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HomeMy WebLinkAboutMiscellaneous - 87 FOSTER STREET 4/30/2018_N O J � T vcn 6- m 9D Cn O 1 CD M o 4 0 Date..... 9 -.074 ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . .......... ....:........ has permission to perform ......-� ............................................................. ........................ ............... wiring in the building of........:.........�,........................................................... at .. .7.... . ......rel::..... -- ..� d Fee? ............. Lic. N.........��. . Check # 5369 . o�dover, Mass. .............................................. � EmCrRICAL INSPECTOR 7HECOMMONWEALTHOFMAS94CHUSE77S Office Use only DEPARTAIE l' OFPUBIICSAFE!'Y Permit No. V BOARDOFFMPREVF1MONRF,GULAHONS527CMR12W Occupancy & Fees Checked APPLICATIONFOR PERMIT TO PF'ORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I _L f bcy Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the Location (Street & Number) 'X -% Pr, t /, Owner or Tenant Owner's Address below. Is this permit in conjunction with a building permit: Yes [::] No Q (Check Appropriate Box) Purpose of Building C -At* A0 tr F No. of Transformers Utility Authorization No. 6 3 Existing Service if`��J AmpsVolts OverheadUnderground M_ New Service -,L�fZ7 AmpsV olts Overhead C9Underground Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Meters f No. of Meters �•G�� No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round ound No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets t No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• -1161.uaiVeCovtaage R1tstlarttotheteglm xntsdMmxhnMGaxralLaws IhawaamatLihTitykoxaroeiblityiwkxkgCornplee ComWorksabUrt leg ivalat - YES NO `Ihavesubrni*dvaWpiuofofsameialheOffi e. YES ffycuhmedE edYES,pleasemffc& Mmofcov Wby WSURANCE UJ BOND WHR ED ftm*y) WodcboSm kWecfimDaleReWcsbd surdunciArnmaknofpaw FIRMNAME jj f � Licensee ��I,v l--fi�✓�i G - Sigr a w / S 7— OWNER'SINSURANCEWAIVER;IamawarethattheLio wdoesnothat andthatmysigrhwcnlhispmnkappkab*mwaivesthistegt mot. (Ple check o Owner ® Agent -signature o ner or gen Estir *d Vakx dEbMical Work $ Rough I Fiml E' LiwiseNo. `r�; tic � y Bus=TelNo. -V/ 6793 -/4�6 A/ Alt Tel No. Ince oDNaaW ori substiTtial apvalat as mqu ied by Nb%whuseft G=!d Laws Telephone No. PERMIT FEE $ S Date. `` �.... . ° TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. .//9f7 has permission for gas installation .. ��f.l.. ��. ". ....... . in the buildings of .. �.s��.�.�.�..7. %. Y ........................ at ........� .�. .�. !:...`.?` ............. North Andover, Mass. ,r (_1i -� Fee.-^' Lic. No. �..!... f,...'n14, T........ . }.� GASINSPECTOR Check #I� 3735- MASSACHUSETTS UNIFORM APPLICATION F PERMIT TO DO GASFITTING �p w•ii vi j�Q�, • I r daCtQA, . Mass. Date ( /Pit �i Building fpe of Occupancy-UJQ� ct cc,4c----1 New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET (Z Corporation 103C MIDDLETON, MA 01949 ❑ Partnership Business Telephone 978-774-2760 ❑ Firm/Co. Name of Ucensed Plumber or Gas Fitter WILLIAM R, HARRIS INSURANCE COVERAGE: i have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Xx No O It you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy IK K Other type of indemnity CI Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General laws. and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent OwnerQ Agent Q I hereby certify that all of the details and information i have submitted (or entered) in above application true and to to the best of my knowledge and that all plumbing work and Installations performed under the permit for thl pliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the al t3y T)ae of License: PlumberNg-nature o mber airGas Filter Title asiltler 3785 aster License Number lfownr Journeyman av Y • �l ■rrrrrrrrrrrrrr rrrr`rrrrrr ■rrrrrrrrrrrrrrrrrrrl.�rrrr■ �m ' • - ■rrrrrrrrrrrrrrrrrr►�•rrrrr■ ... ■rrtrrtrrrrrrrrrrrrrrraarrr■ - ... ■rrrrrrrrrrrrrrrrrrrrrrrr■ - • • � ■��rrrrrrrrrrrrrrrrrrrr�rrr■ ... ■■rrrrrrrrrrrrrrrrrrrrr■rrr ., - ■rrrrrrrrr�irrrrrrrrrrrrrr� .. - ■rrrrrrrrrrrrrrrrrrrrrrrrr .• ■rrrrrrrrrrrrrrrrrrrrrrrr■ Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET (Z Corporation 103C MIDDLETON, MA 01949 ❑ Partnership Business Telephone 978-774-2760 ❑ Firm/Co. Name of Ucensed Plumber or Gas Fitter WILLIAM R, HARRIS INSURANCE COVERAGE: i have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Xx No O It you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy IK K Other type of indemnity CI Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General laws. and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent OwnerQ Agent Q I hereby certify that all of the details and information i have submitted (or entered) in above application true and to to the best of my knowledge and that all plumbing work and Installations performed under the permit for thl pliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the al t3y T)ae of License: PlumberNg-nature o mber airGas Filter Title asiltler 3785 aster License Number lfownr Journeyman Location`) �No. Q� Date 1013 f TOTAL v/,q -54,30 '13 4 15 10/15/99 mw $ f� Building Inspector 58,00 PAID Div. Public Works TOWN OF (NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ sd�CMUSE CHUS Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ ' Water Connection Fee $ TOTAL v/,q -54,30 '13 4 15 10/15/99 mw $ f� Building Inspector 58,00 PAID Div. Public Works 1 Q cn cv z � N � O i Q QQ z K C C k w w k a A w J O O M..y .. 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CD O `: N • 4% ' N 3 � c 1 m (A R N ECD CZV 16.: ' e o ® �c c N �dOW: acs CCD o H a CL m N O C m dys., p F r0. N mH W C O+=••2L 0 �. ♦I C p. .y MO.L ea C +..' 'LU •E Cvi y6O�i r V CD0 w y. C V� O' O '� O = w H 0- 06 � m i 2 O co O a L O O v Z CL CD O y Q � CD os I o c CO) Q - O •E m Q i O co CD f� 3 Lft CL) O Q O _cc O d M tmQ y C OL••• LizC C CD cm CL C.3 y O C •� C 0 LLJ U) Irw w Ll:, w Cl) North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordant/ with he provision of MGL c 40 S 54, a condition of Building Permit Number l is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: - 4z,._ ru \- fv�\ ocgt6 of Facility) Signature of Permit Appli ant 61 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector