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Home My WebLink AboutMiscellaneous - 85 FLAGSHIP DRIVE 4/30/2018 (11)p D ".�o':'�o TOWN OF NORTH ANDOVER 3j • •. 0 ' PERMIT FOR PLUMBING This certifies that ...... has permission to perform plumbing in the buildings of ........... at. North Andover, Mass. Fee? .... Lu. iVo.� S... PLUM NSIINSPECTOR Check # 77! MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building New Renovation Glltjv /�/S �lof%! Date- §) --Owners �l 3G/ �� Name �r%� f 1 Permit # Type of Occupancy Amount Replacement ' Plans Submitted Yes ❑❑ No . inrV'TrTT r�r. ,—...L U1 Lypu) Installing Company Name& -c �j s� � f% Check one: Certificate Corp Address etAle riPartner. Business elephone 97�_ r7 793 Firm/Co. Name of Licensed Plumber: Insurance Covera e• Indicate tthhpype of insurance coverage by checking the appropriate box: Liability insurance policy Itd( Other type of indemnity Bond L�1 i❑ ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuse PI b' Co dVa Pd C t 14� of the General Laws. By: lna Ur o_ irNneP 19 Title City/Town APPROVED wmcE usE ONLY T e of Plumbing4(cense icense NUM571 Master Journeyman ❑ %A F Date ... ?L. �.3...- TOWN OF NORTH ANDOVER PERMIT FOR WIRING sA,-1e- 1/t This certifies that ......... ................................................................ has permission to perform .....��`. �r ......................................... wiring in the building of ....... y....... ...... .. /�... v� ::................ at ...........�`..�./�.. f'..!.!>. , North Andover, Mass. .. // ........................ Fee �q L :..% `. Lic. No .. �y. ............... ..... �`' r....... . ELECTRICAL INSPECTOR Check # ��y \ 81 U Jun 08 08 11:18a John Dugger, AIA 978-283-8303 I Date .............. 7, Q ....'........ ry f 40RTH ?°•```°:'�."°o� TOWN OF NORTH ANDOVER '° PERMIT FOR WIRING This certifies that ...........&�l..OAF ....... ei ....... ZF. Cc. has permission to perform ...... ;2 .. 44.�s .......................... wiring in the building of0.1. i S' ?..� ,N,orth Andover, Mass. at ....................... �.... '........................ Fee .. ®. ".... Lic. No. 4S717?...................s ELECTRICALINSPECTOR j �L Check # 2 4� 6 P, Date. � Y- ��- - ,ORT" TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING This certifies that . . . . . . . . . 'k-. . .. . .. . I . . . . . . . . . . . . . . . . . has permission to perform ....... ... ......... plumbing in the buildings of . ............... -4t at. North Andover, Mass. Fee 7.-. .�'—Lic. No .......... NG INSPECTOR Check # -03,18 7(t50 AV MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 6,$' TIM S h :i'<L?J` # C Owners Name -Toe New of Occupancy CJ/Y)/►%e .rC- 0,_,,, Renovation ❑ Replacement F1VgrFTDC0 Date ns' Q T -OC Permit # Plans Submitted Yes fM No ❑ (Print or type) Installing,Company Name CJU�Y) 9�y/vvpCheck one: Certificate 11 Corp. Address1 �'C� S-}' v ACA 1\Ar,1V 8 P12 art er. BusinessTelephone . (�' Firm/Co. 3,021q-^ (% Mame of Licensed Plumber: Mpy} Insurance Coverage: Indicate the t. of insurance c verage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner11 1:1tlgent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the Fust of my knowledge and that all plumbing work and installations pufurmed under Permit Issued Ii�r this application will he in _ompliance,with all pertinent provisions of the Massyh�T�tate Pltw ode and C hapter I•h nt th �' 1 I [By: CityiTown APPROVED (OFFICE, USE C)NLY c "ra .aw.,. ['ypc of Plumbing License O Z rcense lNumuer Master ❑ lourneVman • r �` I ..................... I ..-.-.--.�...-.-mom -- NN NWM --------------------.-I mom IN WAIROMINNNNNOMMM NNW.....-' ME NNW MMMUN1 (Print or type) Installing,Company Name CJU�Y) 9�y/vvpCheck one: Certificate 11 Corp. Address1 �'C� S-}' v ACA 1\Ar,1V 8 P12 art er. BusinessTelephone . (�' Firm/Co. 3,021q-^ (% Mame of Licensed Plumber: Mpy} Insurance Coverage: Indicate the t. of insurance c verage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner11 1:1tlgent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the Fust of my knowledge and that all plumbing work and installations pufurmed under Permit Issued Ii�r this application will he in _ompliance,with all pertinent provisions of the Massyh�T�tate Pltw ode and C hapter I•h nt th �' 1 I [By: CityiTown APPROVED (OFFICE, USE C)NLY c "ra .aw.,. ['ypc of Plumbing License O Z rcense lNumuer Master ❑ lourneVman An= Lot Sa chusetfs official Use Only Department of Fire Services Permit No. �'J y I - BOARD OF FIRE PREVENTION Occupancy and Fee Checked REGULATIONS v. I/o7J 9,S APPLICATION FOR PERMIT T (leave blank All work to be performed m accordance 0 PERFOas`�acbuseM Electrical RM EL WORK (PLEASE PRII N"W OR TYPE I4LL INFO (MEcj, 527 CMR I2.00 City or Town of NORTH ANDOVER ON) Dater --/2 --d ` By flus application the undersi ed .phis or her ' To the I gn gives no Inspector o ices: . Location (Street & Number) mf intention to Perform the electrical work described below. Owner or Tenanty— Owner's Address Telephone No. Is this permit in conjuncti 'th a buildingpermit? < Yes Purpose of Building_ . 7`� 'e - No ❑ (Check Appropriate Bog) EBistfne Utility Authorization No. a Service �� Amps � / 2G Volts -�---� Overhead U New ce Amps � Volts nd NO.' of Meters Number of Feeders and Ampacity Overhead � Unds d Q No, of Meters Location and Nature of Proposed Electrical Work: Co lesion o tie ollowin -table may be waived No. of Recessed Lumiaau-es No. of CeiI..S �' �e 1 ector o Wires. 9.S usp. (Paddle) Fans No. at Total No. of Luminaire Outlets No. of Hot Tubs Transformers KVA No, of Luminaires Generators KVA Swimming Pool Above �- n. o mergency Cr No. of Receptacle Outlets d• Batte Units A - �°�' No. of Oil Bidets . No. of Switches FIREALARMS No. of Zones No. of Gas Burners a. of Detection and No. of Ranges No. of Air Coad„otal WtiRfingDevices Z No. of Waste Tons No. of Alerting Devices Disposers eat ump umber Tons Totals:. ""'----- o. of elf: oatained No. of Dishwashers ' Detection/Aie ' Devices Space/Area Hem ting KW Local Municipal No. of Dryers Heating APPHanConnection Other. o. of ate-. / ces KW Security Systema-.* Heaters- ! KW n• of No. of No. of Devices or E uivalent Si Ballasts Data Wiring: No. Hydromassage BathtubsNoNo. of Devices alent . of Motors or E uiv Total HP Telecommunications OTHER: No. of Devices or E urvalent j Estimated Value of Electrical Work �� p o Q Attach additional detail irdesired oras required by the Inspector of Wires. Work to Start -(When required by municipal. policy.) !Y"d Inspections to be requested in accordance with MEC Rn1e 10, and upon.completion .INSURANCE COVERAGE: Unless waived b the o the licensee Provides Y� no Permit for the performance of electrical work may issue unless Pr proof of liability insurance including •`completed undersigned certifies that such cov a is in force, and has operation" coverage or its substantial equivalent, The CHECK ONE: INSURANCE B exhibited proof of same the permit issuin 4 g��ce. . 1'certify, ander the pains and e e�ND OTIC 0 '(Specify:) S �'� P fP ! rJ', that the infornea&on on ilsts ° FIRM NAME: aPP n is true and complete. Licensee: r✓ LIC. NO.: Signature fa f appticab e, enter "exempt •' in the license numb line.) LIC. No.: r�Z�� WAddress: of *Per M.G L c. 147, s. 57-61, security work re �' Bim• Tel• No.: quires D d Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am awaretzQent of Public afety "S" License: Lic. No. required by Haw. By my sig that the Licensee does not have the Liability, insurance. coverage normally nature below, I hereby waive this re Owner/Agent quirement I am the (check one) ❑ owner , Signature❑ owner s agent Telephone No. i �' .r.-..----------Ul(lct Vee u\tly The CO)ImlUJlweahh of Mus.�•uchusetts e'er■lt o.�llf 22, - D`c;partment of Public Safay _ Oeeupaney b he Checke0�__ BOARD OF -.FIRE PREVENTION REGULATIONS 527,CMR 12:W 3/90 � (I64e blank) AC,:PLICAT IrtO`N``` EQR: PERM I^1- ltU-�1'(_( FORM ELECTRICAL WORK---� W work to be pct$orsncd In accor'ds:ncc wWt tl,c �1*"ncliusctu Eicculcbl Code,;527,CT1R.-12:00 - (PLEASE PRINT, IN 71112.OR TYPE ALL iNFOR2=10N) City or Town of /vo 4�D U U 0t To Che inspector of Wires: The undersigned applies for a permit to perform the electrical work described below.- Location (Street &Number)- K S FL Iq G S H/P V U N% C Owner or Teaant SCUT? CO+yST CO I A,) C_ Owneres Address_(.L (Z 0 G em_ S /L 7 /-ip 0 t -R 1-0 ( .. _ R . .. Is this permit in conjunction with a build'ing permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose: of Building Utility- A`thorization NO. J: y 4 ExisCig Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters ttewc,Seitvice Amps J Volts Overhead ❑ . Undgrd ❑ No. of Meters .•Aum� Feeders and Ampacity�— Locatign .and Nature .oi Proposed Electrical Work 15 pr 1�11 r1 N1 t No.;:,of ` Li titin Outlet`s 1 8,. g , . �cNo:: ._ _ .__ No. of llo't Tubs .. _ __ • . fNo. of Trans'forme'rs TINA No.: of'•Lighting-Fixtures' - $witmaing '?ool ' . Above- Ill - ❑ ,Generators }CVA' WA No. -..o£'. RecepCacle out, --- o. of oil liu> Hers No. of Emergency Lighting Batter Units No.` oUSwitch Outlets No. of Cas Burners `FIRE ALARMS No. of 7aneffi ` No. of Detection and—� Initiating Devices No. of Sounding Devices . No. of Self -Contained Detection/Sounding Devices . ❑ Municipal ='- ;Local Other Connection❑ No; of' Ranges Ton 1 No. of Air Cond. tons No.'of•'Dispoaald:' __._.__...� .._ No.. of P.tun s. T�•nsl -KW' No 79f ' — `- .. .,. p E- - S ace/Area`Neaxin KW No::`of Dryers" `` - -' "" 116ating-Devices-` - __KW No. otWater Beaters .'•. No. oz Signs Ballasts' Low Voltage Wiriniz t N�,dro Massage Tubs No. of Motors Ti>tal.`lLP ♦ OTtiERti' ; INSURANCE COVERAGE;: I•ur:uaitt to the requirement..; of M:,ss„tcl,usetts 9cneral Laws I havt:•a.current Liabtlit Insurance Policy including; Completed Operations Coverage or its substantial equivalent. YES❑ NO ( I have submitted vnl.i:d proof .off same to this office. YES 0-. NO If you';have checked YIiS, please ludicatc the Cypc u[ ctw,.iagc by checklnl; the appropriate box. INSU{U1NCE ❑ BONU U U'1'111.,R U. (Please -Estimated Value of Electrical Work S (Expiration ate Work to Start' Inspection Uate Request d: ltougl Final Signed under the penalties of.perjury: / FIRM NAME A t -c o n g (_ t -/c c f N / LIC. NO. - - _ - Licensee- /j�ltt'TH( xi I / "OIL F iignacur ' LIC. N0. 7 S Address (off A(Ci; DN �'F t`/fi�t �, ,`,,.j,- s: Tel. No. ,-�� l..} _.t.J Alt. Tela No. �, _: _ OWNER'$ NCE -WAIVER :_, -I ata aware that"the``Licc, d does not have the insurance _covers. e?o its �su _ atantAl equivalent as required by Massachusetts Cenct'al,Law s, and-thht,my signature:on this'%permit appl'ie,�tion waiv.es,,this3 requirement.. ,Owner;°-nr Agent"?'pS�(•please check+oNe) .... s $lgnature of Owner or Agent Telephone Wo: PERMIT FEE $ - io 06 /I R6&A, il%C -g-q-B(2 1�-O _. o i -c 10- mo b 4,