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Home My WebLink AboutMiscellaneous - 81 EMPIRE DRIVE 4/30/2018�_ 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that.. �'..,.N�.Jx— C`i C— .................................................................. e-, � has permission to perform .......... ........ k/ ...... .... .... . . .... .......... s ................ wiring in the building of.......... o ............................................................................ at ........ ........ . 2. , North orth . Andover, Fee..... ..... Lic. No...f..`!...... ELECTRICAL .. IN . SPECT ........... Check # U1 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. ' I Occupancy and Fee Checked tev.1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical CodeC), 5 1 CMR 12.00 (PLEASE PRINT IN HK OR TYPE ALL DWORMATIOA9 Date: a -(c S� City or.Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 10 J EM, /)1'y r bri'We- e % Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes ,® Purpose of Building �j& , k ,*I!/LT - Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: 64mae, ®[A K/oc'K fc&5.>e4 efir Telephone No. b5A 7?4— 6149 No ❑ (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Completion ofthe following table may be waived by the Inspector of Wires. No. of Recessed Luminaires dLO No. of Ce&-Susp. (Paddle) Fans v No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets -3C) No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 6 No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Dis posers p Heat Pump Totals: Number Tons KW ..... ..... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW p g Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Securityof Systems:' or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total IlP Telecommunications Wiring: No. of Devices or Equivalent OTHER: j Attach additional detail if desired, or as required by the Inspector of Ores. Estimated Value of Electrical Work: (A' o � I I (When required by municipal policy.) Work to Start: 2& / S Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE PS BOND ❑ OTHER ❑ (Specify:) Icertify, under CheCir and penalties ofpeerjjury, thatthe information on this application is true and complete. FIRM NAME:. i E - C CM,t — G LIC. NO.: ;� ( Licensee: , (,r�fmri -" 1Signatur LTC. NO.: 50" S'4� (If applicable, enter 11empt" in the license number 1i .) Bus. Tel. No.: G' 0 Address: ti Alt. Tel. No.: �7-s61-14fs *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 1 -z— t GO,MM(�14W,EALTH OF -MAS" HUyS,E -R]; cl ANS ISSUES.4 `LICENSE AS A RE�tSTx i 11 AST R_ ELECTRI"C'l HORRIG-A ELECT I "i�IC `fif I _ I �x !'I"1 CHAEL -kt HO j�GAN" 6 TITUS."L'ANE BO"X`FORD tA;01921-2610 r ?` 21452 A 07Y311,1:6: 214999 vmg Willi r" 96ki 0. Date... ... .. ... ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... e ........... ....... has permission to perform .... wiring in the building of .... %-e ......... eefix..- 1;;7� at,4jtt" ... ........... .... ... ........ ....... North Andover Mass. 19 9 Fee �—k -I ....... Lic. NoA-7 . .. ............... A, q'A' ELEcrRICAL INSPEC"-R Check #IZ67 1-Z _ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. D,2,1 BOARD OF FiRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pcxformed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT iN INK OR TYPE ALL INFORMATION) Date: — /d City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) a �- Owner or Tenant s � Owner's Address Is this permit in conjunction with a building permit? y� Purpose of Building �� , ° ❑ (Check Appropriate Box) d� -t Utility Authorisation No. 9,f �p- 'Z Existing Service Amps �/ _ alts Overhead ❑ Undgrd ❑ No. of Meters New Service Z`v Amps /Zy 1 i Yv Volts Overhead ❑ Und d Number of Feeders and Ampacity �o• of Meters Location and Nature of Proposed Electrical Work: • v .. % Com letion o the ollowinie table may he ivaivnd h„ th, t_-_ ,.r ui:__ No- of Recessed Luminaires No. of Cell.-Susp. (Paddle No. of Luminaire Outlets No. of Hot Tubs No. of Luminaires Swimming Pool ave nd. No. of Receptacle Outlets No, of Oil Burners No. of Switches No, of Gas Burners No. of Ranges No, of Air Cond. No. of Waste Disposers eat ump um er No, of Dishwashers SpacelAres Heating K No. of Dryers Heating Appliances No. o ater o. o i Heaters KW Si s B No. Hydromassage Bathtubs No. of Motors 'T OTHER: ) Fans W allasts otal 0.0 ata - Transformers KVA Generators KVA ❑ n- ❑ rnd. o, o mergency Lightng Batte Units FIRE ALARMS No. of Zones o. o etechon an initiatin Devices ota Tons No. of Alerting Devices ons o. o e ontame DetectionlAlertin Devices Local ❑ unrcipa ❑ Other Connection KW ecurtty Systems: No. of Devices or Equivalent ° Data Wiring: of Devices or E uivalent No=No- HPunrcahons ►ring: . Devices or Eauivalent Attach additional detail if desired, or as required by the Inspector of Wires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 1lj _ Inspections to be requested in accordance with MEC Rule 10, and upon completion_ INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) i certify, under the pains and penalties o r ury, that the information on this application is true and complete. fPe J FIRM NAME: /% If LIC. No.: gy3s Licensee:ACI: /,(- {_ ��_ Signature (lf�rpplicuhlc, e"41 "r.rempt'�in thee-lisccn�sese-n4u-mberiine.) �L��(C��N---0.: 9 g 3 3 Address: 5 Bus. Tel. No.: - 2 *Per M.G.L c. 147, s. 57-61, security work requires Departm of Public Safety "S" License: Alt. Tel. *Per No. o.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one ❑ owner owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 735; Date .... �! ........ 3? TOWN OF NORTH ANDOVER O p ,r : PERMIT FOR GAS INSTALLATION j �SS�CHUSE a This certifies that ... 6?0.4. 6 ". !. �� ?:... �L . ............ . has permission for gas installation .. A. in the buildings of .. v.A. e .. I k .......... at ... �/ ............. . . North Andover, Mass. Fee. lG. �! ... Lic. No/q.). GAS INSPECTO . Check # 7) 2 Y FIYTI IRFC MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: WV4A MA. Date: O °- I O Permit# %3 3,),-" Building Location:TL( t✓ WA 0wtQ-z I(Ji 44— Owners Name: 044'L Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential [� New: fe Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No ❑ FIYTI IRFC INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes E�) No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy V Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner E:1 Agent E] By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) reaardino this aoolication are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. FGlas of License: By umber Fitter'f r G Title l Master Signature of I- censed Plum as Fitter City/Town riourneyman License Number: APPROVED OFFICE USE ONL ❑ LP Installer W LLJN 2 a w O rri m x 0 O W>- X z U)p g w w z I— W z to W 0 W m O w ~ m m H 0 O O r W D X m uj E- m v Z U) m W w O~ z_ W to x w O ►- a W W F' m o x LL i Z U W W >- Z J l• m N -t Q i- O a m Z J C7 w O Z LL 0 W I- F' w ~ W I— W U w U. 0 mU' i=� o CL g ix H>>> 'S O SUB BSMT. BASEMENT 1 FLOOR 2Nu FLOOR 3 FLOOR 4 FLOOR 51H FLOOR 6 FLOOR VH FLOOR 8 FLOOR n �' "• n � " In Company Name: Gni ( 1t,SV�., 1" �yn, (p ( Vi,� Check One Only Certificate # Q (Corporation 7 b h Address: i 0 i City/Tow V . n: t�J'�VI"vQ.iM LE, State: M 14 Pa ershi Business Tel: -( ��` 3) q-1 143 Fax: n %T 5 21 - �� 3 ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: 67VWI;r� Gt&Lt-L INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes E�) No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy V Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner E:1 Agent E] By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) reaardino this aoolication are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. FGlas of License: By umber Fitter'f r G Title l Master Signature of I- censed Plum as Fitter City/Town riourneyman License Number: APPROVED OFFICE USE ONL ❑ LP Installer Date �4,00L TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 49 ,'$AC MUS This certifies that .... J AII '1 .... . L . ( ...... . has permission to perform .....t n ............ . plumbing in the buildings of (lot. i ....... at .../... �" �n�/J/�. �........... ............... North Andover, Mass. ^� r Fee. S. 9. Z .. Lic. No. bJ 3. �'. ..............�.- _ — e , u ... . PLUMBING INSPECTO Check x 3% 8396 clvIr 13C MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: 11`�� r MA. Date: -T - (,O-vz Permit# Building Location: �M I Vit A— Owners Name: (5'ctXA4-- R Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: [ ? Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No ❑ clvIr 13C INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 19 No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy '� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner [:] Agent I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of n -- _.._ ..._. .. . .........y .., .. ,,..,, „� �",,,,,eu u„uer me permn issues Tor oris appucauon wni De in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY Type of License: C. Title IN Plumber Signature of L censed Plumber City/Town 19 Master O 3 L{ Q APPROVED OFFICE USE ONLY []journeyman License Number: C> DEDICATED La Z SYSTEMS D W F- W Y z O >0 JX Z tl H CA z Q 6n �, > Z 4n J Q U Qa tn W o �, Q z Q W Vf W x V! W Z h N W Q in h N L O Z d F- Ni.- J Q L" Q QY x 3Q N 0 G Q Z x a' Z ~ G LL w 2 W w J Q Z U = W a W LL x 3 LU Q Q h N .7 C! O Z z Q Q Q = VI W Q Q a m m o a LL x x J J arc vxi v 5 3 3 3 o a UB BSMT. BASEMENT ST FLOOR 12P ( 1 FLOOR 3 3f D FLOOR FLOOR 5T" FLOOR 6T" FLOOR 7' FLOOR 8' FLOOR Installing Company Name: rt, G4 (i,^ V� V }� (V�'►� b.w �y�- Check One Only Certificate # v Corporation / {� Address: ?.6. ,3 ayc 1-7c) l City/Town: 1-i A -U 1.c21A1` 1 State: A44. -- -... -- --- ----------------------- ----- - — -- --- - - - Business Tel: 37 V - i-14 3 Fax: Ci 7F- 5 Z(- Ll (3 ( ❑ Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 19 No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy '� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only ❑ Signature of Owner or Owner's Agent Owner [:] Agent I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of n -- _.._ ..._. .. . .........y .., .. ,,..,, „� �",,,,,eu u„uer me permn issues Tor oris appucauon wni De in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. BY Type of License: C. Title IN Plumber Signature of L censed Plumber City/Town 19 Master O 3 L{ Q APPROVED OFFICE USE ONLY []journeyman License Number: C>