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HomeMy WebLinkAboutMiscellaneous - 89 FOXHILL ROAD 4/30/2018 (2)Date... 5�.-13.7Z..Z. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that............. Ze — Z 471,( ............................. . . ........................... has permission to perform ...... C9 0 cqe7j,--�l . .................................................................... wiring in the building of ..... we ................................................. at ...9 .f. ..... 6KkLLAD ........................... n. , North Andover Mass.. Fee..L/,�- Lic. No. .............. .... ........... �. tEC�TRIC�ALI&SiPQ6rbR Check # 10659 I (_.onunomaea[Ut o/ccMaddacliusefh 2.part.d o/ -tire Serviced BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 1 e, Occupancy and Fee Checked [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEF), 517 CMR 12.00 (PLEASE PRINT IN INK OR TI�rP�E IN�M ION) Date: 2. /!iZ City or Town of: pl:° +C/ G t / 2� To the Inspe for of Wires: By this application the undersigned gives notice of his or her ' ntio tot perform the electrical work described below. Location (Street & Number) � % , OzA/_P IFA Owner or Tenant Owner's Address EM Is this permit in conjunction with a building permit? Yes ❑ No Telephone No. (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps ! Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:/ No. of Meters No. of Meters Completion ofthe followine table n:av be waived by the Inspector of IVires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o. of Tota Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool rnd.1:1 rnd. EJBatte NO. o Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No . of Zones No. of Switches No. of Gas Burners No. o uch nand Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers eat Pump Totals: umber ons o. ofSelf-Contained Detection/Alerting Devices I No. of Dishwashers S ace/Area Heating KW p g Local ❑ Municipal❑ Other Cyonnection No. of Dryers Heating Appliances KW uri eCNo of Devices or Equivalent No. of Watero. Heaters KW of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP clNo of Devices or Wiring No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. EstimatedValue of Electrical Work: (When required by municipal policy.) Work to Start: 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, ' surance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force, and has exhibited proof of s e tothe �e7nit issuing o ice.CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) b.A % .i/ /U 1 certify, under the Pains aid penTel-14 erjury, t/ t thein rmation onlitisappplicatl t is true anti wn ete ,[�� FIRM NAME: v<C .ti LIC. NO.: .) f/3 Licensee: 3PAPAle Signature _ 2 LIC. NO.: (Ifapplicable, ent "ex'em t" in the license number JiBus. Tel. No.• 128' Address: Address: � 13 141&fJ--A Alt. Tel. No.: k36 .- *Per M.G.L. c. 147, s. 57-61, security wq# requires Departrhent 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 Signature Telephone No. PERMIT FEE: S Date .... / ........ TOWN OF NORTH ANDOVER MOO 11) PERMIT FOR GAS INSTALLATION This certifies that .. A . ,� . 4 z�. ... " has permission for gas inst//allationr?.f??4�'� ....... � rC4.S"o p in the buildings of .. // . . ................... . at ... �,% .�.°y'�.. !�`'�� !'��. •...... . , Northover; ass. Fee .G . Lic. No.. 9A?t .... GAS INSPECTOR Check # 8059 INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN_ POOL HEATER ROOM/ SPACE HEATER L.. _ ... �._... ._ ..... � .. _ - :.. ROOFTOP UNIT TEST 11 UNIT HEATER_ �� r: _ UNVENTED ROOM HEATER WA T ER HEATER. C —�.. _ OTHER: } .. . INSURANCE COVERAGE I have a current faabilWnsurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES ;XkNO r - I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW e _ LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY f BOND OWNER'S INSURANCE WAIVER: I am ajliare that the licensee does not have the insurance coverage required by Chapter 142 of the lUlassachusetts.Generakaws, and thatmy signature on this permit application waives this requirement.. CHECKONEONLY: OWNER (.._,� AGENT SIGNATURE OF OWNER OR AGENT 6 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to th.e 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 Pe in pr Asio 0 [Massachusetts State Plumbing Code and Chapter 142 of the General Laws. '2 PLUMBER-GASFITTER NAME t1L 7 LICENSE#�`v2�jr 41 SIGNATURE MGF _ ! JP JGF LPG[. A CORPORATION kLi`G*� PARTNERSHIP LLC COMPANY NAME..I�{- �/ �r f�G�LL�YIIY ,,,ADDRESS CITY � T a— ,( - STATE ZIP FAX-q/'�.� fsCCELLJ���� L� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFOMW GAS FITTING WORK y CITY` /�if7`-�sGT/LC W MA DATE C 3 ,, JPERMIT # JOBSITE ADDRESS !.�t' l�� OWNER'S NAME OWNERADDRESS TYPE OR PRIINT OCCUPANCYTYPE COMMERCIAL.�:j EDUCATIONAL _ i , RESIDENTIAL �.p CLEARLY NEW: ; RENOVATIONJE REPLACEMENT; (�� PLANS SUBMITTED: YES�_.� � NO APPLIANCES -1 FLOORS- 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILERryx TM�l w.k. 1 BOOSTER L. I CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER - FIREPLACE FRYOLATOR- FURNACE :. GENERATOR I,; ....., e L1, J 7 4 INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN_ POOL HEATER ROOM/ SPACE HEATER L.. _ ... �._... ._ ..... � .. _ - :.. ROOFTOP UNIT TEST 11 UNIT HEATER_ �� r: _ UNVENTED ROOM HEATER WA T ER HEATER. C —�.. _ OTHER: } .. . INSURANCE COVERAGE I have a current faabilWnsurance policy or its substantial equivalent which meets the requirements of MGL. Ch.142 YES ;XkNO r - I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW e _ LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY f BOND OWNER'S INSURANCE WAIVER: I am ajliare that the licensee does not have the insurance coverage required by Chapter 142 of the lUlassachusetts.Generakaws, and thatmy signature on this permit application waives this requirement.. CHECKONEONLY: OWNER (.._,� AGENT SIGNATURE OF OWNER OR AGENT 6 hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to th.e 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 Pe in pr Asio 0 [Massachusetts State Plumbing Code and Chapter 142 of the General Laws. '2 PLUMBER-GASFITTER NAME t1L 7 LICENSE#�`v2�jr 41 SIGNATURE MGF _ ! JP JGF LPG[. A CORPORATION kLi`G*� PARTNERSHIP LLC COMPANY NAME..I�{- �/ �r f�G�LL�YIIY ,,,ADDRESS CITY � T a— ,( - STATE ZIP FAX-q/'�.� fsCCELLJ���� L� f Q res >- PY _ 111 CL yy® LU co LLI J C Ix � 67 LM i bq I b \ r' S. - 1�/dL"'�'�11ia83d�ljtt"t'flrl�f ���P�/�Lll3'L��iS •�f �'Q�/1LTt'��gt��07/S tsi� �lJsiElfl��ft'c�f'G'4'f+. 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Pl*c b&ktwthafthe affidavit is coriaplefeatid prL or lka wcar Fol r vnE k aMd6wWkdl year an b"css Orcommercki'vemn.- 'Ae--Qf co of Il igatioias Nvould fike:tO tfiYur-firaftmtce fib Tim, 60CM, ash, Fugfon- Skeet'. '727 Tel. P-617-, 6 `7 MASSACHUSETTS UNIFORM APPLICAI-1014 FOR PERMIT TO DO GASFITTIN(3 Wrint or Type) I NORTH ANDOVER Mass. Date 6l�ly _�-:- Building LocationX�., l� Permit # Owners Name New 77 Renovation D Replacement Plans Submitted (Print or Type)//ICheck one: Certificate Installing Company Name �% �y e (� Corp......J6-20 C Address `�� Ou j�" - �S� Partner. F—) Firm/Co. Business Telephone: 1 Name of Licensed Plumber or Gas Fitter 6C e— Insurance Coverage: Indicate the type of irisura,�;1,6- coverage by checking the appropriate box: Liability insurance policy C5;j--0ther 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 coverages. Signature of owner/agent Of property Owner Agent n I hereby certify that all of the details and infotmation l have submitted (or entered) in above applicalion are true and knowledge and that all plumbing; work and InstxUations performcd under Petmit itsecd to: this spptication wIU be 1p�egr provisions of tho Matsachusetts Slate Gas Code and tlsapter 142 of the Genual I-lws. /J/ M Title City/Town: APPROVED (OFFICE USE ONLY) `to the be of my with pa net TYPE LICENSE: Pluirtber Gasfitter —Si(cp4ture o icensed Faster Plumber or asfitter Journeyman License Number apl 140 N Ld N N a N a O j to Cw„ rn o v m F' _ z to d 0 a o N x w a of m O to V N w x O �- w rn W W °� w .a z d x W to tz '�- w o a a M w O �" Q> w U x c1 cc z Q w '' a~ Q w 0> m' LL O: N � ...t u~s x ri > a .w z cc¢ a y 0 a H o UO Q SU6l—R I.1T. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type)//ICheck one: Certificate Installing Company Name �% �y e (� Corp......J6-20 C Address `�� Ou j�" - �S� Partner. F—) Firm/Co. Business Telephone: 1 Name of Licensed Plumber or Gas Fitter 6C e— Insurance Coverage: Indicate the type of irisura,�;1,6- coverage by checking the appropriate box: Liability insurance policy C5;j--0ther 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 coverages. Signature of owner/agent Of property Owner Agent n I hereby certify that all of the details and infotmation l have submitted (or entered) in above applicalion are true and knowledge and that all plumbing; work and InstxUations performcd under Petmit itsecd to: this spptication wIU be 1p�egr provisions of tho Matsachusetts Slate Gas Code and tlsapter 142 of the Genual I-lws. /J/ M Title City/Town: APPROVED (OFFICE USE ONLY) `to the be of my with pa net TYPE LICENSE: Pluirtber Gasfitter —Si(cp4ture o icensed Faster Plumber or asfitter Journeyman License Number apl 140 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN(3 1 (Print or Type) NORTH ANDOVER Mass. Date 6 w 3 �uilding Locations (�XGr, l/ Permit # � Owners Name New ; 7 Renovation Replacement Plans Submitted. ❑ FI),111R' Q (Print or Type) Check one: Certificate Installing Company Name Corp. SAO C Address Partner. Firm/Co. Business Telephone: �7 Name of Licensed Plumber or Gas Fitter �� Insurance Coverage: Indicate the type of i-isuraa'ce coverage by checking the appropriate box: Liability insurance policy Other type of indentrlity [__] 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 coverages. Signature of owner/agent of property Owner U Agent u 1 hereby certify that all of the details and information l have submitted (or entered) in above application are true and accurate to the knowledge and that all plumbing work and InStAllations petfomed under Permit irseed for this application will b3/_�_ mp ' noe with a provisions of the Massachusetts Slate Cas code and chapter 142 of the Genual lawa. j By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plum er Gasfitter Master Journeyman MY SiVi�ature of-�icensed Pluntbe�ror asfitter License Number lA W N x x Q N rC N [C O N Y t- Z a a] N w f' o C w tt w a F O. N a Q x w tw- 4 cd cr: N w v x v w x m" w a a o r a y w xs cw7 Fw- _j! z 1x., W Cr a o? k t-- U w F w '¢ z q w > a 4 w tr x .. z F' a >- cc to Q cd — O o z o rn z ,m Q O U ct > cZ a F- O SUR-13SIdT. BASEMENT ISTFLOOR 2ND FLOOR 3RD FLOOR 4THFLOOR STH FLOOR 6TH FLOOR TTH FLOOR 8TH FLOOR LH (Print or Type) Check one: Certificate Installing Company Name Corp. SAO C Address Partner. Firm/Co. Business Telephone: �7 Name of Licensed Plumber or Gas Fitter �� Insurance Coverage: Indicate the type of i-isuraa'ce coverage by checking the appropriate box: Liability insurance policy Other type of indentrlity [__] 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 coverages. Signature of owner/agent of property Owner U Agent u 1 hereby certify that all of the details and information l have submitted (or entered) in above application are true and accurate to the knowledge and that all plumbing work and InStAllations petfomed under Permit irseed for this application will b3/_�_ mp ' noe with a provisions of the Massachusetts Slate Cas code and chapter 142 of the Genual lawa. j By Title City/Town: APPROVED (OFFICE USE ONLY) TYPE LICENSE: Plum er Gasfitter Master Journeyman MY SiVi�ature of-�icensed Pluntbe�ror asfitter License Number •.i- Date..±. r.f'. . TO`*N OFpNORTH ANDOVER o� y` ., �A PERMIVI FORPGAS INSTALLATION �9SSACHUSEt- - - This certifies that has permission for gas installation ,� <;.. in the buildin(gs�.of .. 'fr ..... . at , .l 'c? s North. Andover, Mass ':.:f' G Fee..... I .Lic. No....... .... ... .... f tom_ GAS INSPECTOR WHITE: Applicant -./CANARY: Building Dept. PINK: Treasurer GOLD: file �ASSACHUSETTS UNIFORM APPLICATIOt4 FOfj PERMIT TO Do GASFITTINC (Print or Type) =�\ NORTH. ANDOVER Mass. Date Jii.��� f kuilding Location "S-9 V-CXAtr Permit #vim Owners Name 4i,� New '-1 Renovation Replacement 4;2f- Plans Submitted J� FIX ( Print or Type) Installing Company Name Address Check one: Certificate --Eorp. 4--�)d C Partner. Firm/Co. Business Telephone: �;�� -5;� X6 Ir Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of i Isur . ce coverage by checking the appropriate box: Liability insurance policy -id 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 coverages. H Signature of owner/agent of property Owner i-1 Agent 1 hereby certify that all of the details and information I have submit(ed (or entered) in above application are true and a to to the belt of my knowledge and that aU plumbing work and InstrUa(ions perfomud under remit issued to: this application wUl berth comp oa wltdt` a pertinent provisions of tho Massachusetts Slate Gas Code and Chapter 142 of tho Genual Laws. By Title City/Town: APPROVED (OFFICE USE ONLY) T PE LICENSE: lumber Gasfitter .aster Journeyman Signature of Licensed PIlLmber or Gasfitter License Number W14 N w rn w 0 to CC v v x CC a = cc H a N LL x o w a c x o a N w a 0 to a w a w x W O a a a o a W y 4 (n W a W m W z v a W x a �, c>: W o a to }- Q w w a 0 H z- H z �, w o} LL r U W -4 t- w Z Q Q r:, W y a w tr o .+ z Q G o o d o o o w a o o N w X 1— a x v a x u. a O ,, 0 M> Q n r-- o SUEk– RS MT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR — 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR ( Print or Type) Installing Company Name Address Check one: Certificate --Eorp. 4--�)d C Partner. Firm/Co. Business Telephone: �;�� -5;� X6 Ir Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of i Isur . ce coverage by checking the appropriate box: Liability insurance policy -id 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 coverages. H Signature of owner/agent of property Owner i-1 Agent 1 hereby certify that all of the details and information I have submit(ed (or entered) in above application are true and a to to the belt of my knowledge and that aU plumbing work and InstrUa(ions perfomud under remit issued to: this application wUl berth comp oa wltdt` a pertinent provisions of tho Massachusetts Slate Gas Code and Chapter 142 of tho Genual Laws. By Title City/Town: APPROVED (OFFICE USE ONLY) T PE LICENSE: lumber Gasfitter .aster Journeyman Signature of Licensed PIlLmber or Gasfitter License Number 1 �> Date. ...... . HpRTH - TOWN OF N:O-RTH AND.OVEI�R- 3?�,14, {A s o p PERMIT FOR GAS-INSTALLAT!p SS�CHUSE i This certifies that ......... ..... :... .. . has permission for gas installation..:. F .......... ............. . in the buildings of'. 4. ..: �:. ... ... ... . at .... �:...s..... ,North Andover, Mass'.. Fee. Nod.1.! `A..:.. ................ GAS INSPECTOR WHITE: Applicant CANARY: Building Dept.. PINK: Treasurer GOLD: File . z L w w r Y O / M z Y u xi Z 0 < O z ] 0 r IL 0 H Z tl W x W u Z 0 r ►- 0 J IL 0 3 < 0 z t` 8 L 0 w N w W I u IL 0 J I 3 W z z D J • w 0 • w F 3 z H > O u W z z u tl z O J ■ M w 0 0 t r c L z it W L 0 II L w ai 8 J • 0 I r f • If w 0 V W a rn Z ■ IA Z 0 1- z i o 'r ' • 0 1 •fir 4. \J� l Z w ] 1 0 . Z t 1 0 1 C • 0 0 H i a ±. w' W o w 0 w 0 � w t w J ;! _ x M ► r L w W L u r u Y w 0 V W a rn Z 1 •fir 4. \J� l t t C V l�'iir'Iti.: rA a ±. W M ;! U w 4 �. W vE � 0 Z �_ <2 x ti ►. o. E u N� �P O.L ** 0 x w C) w � z z w W 4 O a u 0-4 U a W A a o u° °: a cn a, .a w° w�' (U- U ro iL a ; a�' m w W �°° a�' c� w �°° o n4 w W x w v W o z. U)cn e o vE � 0 Z �_ <2 x ti ►. o. E u N� �P O.L ** 0 1 c �- 0 I a; c ea c 5 y mac m cc �m E a o Q � 5 0 a y C. COD, m Q t; cm := Z.a E C m m - O m 3 H t c m H -m �.� y cic c CA A O . � co y •_0 m O O CL CD o :_= o n y US y O 0 cC2 tLO cm C x =CD N n+..'O O W cc 4=3 03 LIU•N O.Z �LU O`r m•y O V O pO C#* n C H O� O� g _ CA .00toO F— Z , nim ir sli O E oc 0 s Z (D CL O y Q c O CM I C� H Q -0 CD Ag O O 'E m m CD 0 CD L- CL CD O O Q O e—ov o a m:co v��t O � C O O C ZIS O V ca c C C . C cc y Q