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HomeMy WebLinkAboutMiscellaneous - 89 HICKORY HILL ROAD 4/30/2018Date.. R. F� s;).. ��- .... f NoRT� 1 TOWN OF NORTH ANDOVER PERMIT FOR GRAS JNSTALLATION o .ty This certifies that ....? Q ....-'7.--�! �.!.- has permission for gas installation .............. in the buildings of .. ................... . at . `, ......... , North Andover, Mass. Fee '?..7. Lic. No..A.?6.... y� . .......... GAS INSPECTOR Check # :j 6101 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date 7 /2 NORTH ANDOVER, MASSACHUSETTS Building Locations "W � J Penn it # % U /_ Amount $ 24 Owner's Name � GCJ /� New D Renovation Replacement 0-- Plans Submitted (Print or type) ^ Name 6��� Address /-?,D- `D a I " e-1 -t- ur Business Telephone Name of Licensed Plumber or Gas Fitter Che k one: Certificate Installing Company Corp. E] Partner. airm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes a-- NoO If you have checked Yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 Other type of indemnity 13 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 Owner 13 Agent 13 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 instal lation!,parf0ihed un Permit Issued forVeral pplication will be in compliance with all pertinent provisions of the Massachusetts t as Code a hapter 14?,/�f the LavjV (Title City/Town VED (OFFICE USE ONLY) Signature of Licensed Plumber KGas Fitter ©-p-lumber xzy, 3 Gas Fitter (censemer Iviaster Journeyman U a � GW7 a r� w O m H x aq vy� Z Z w w z d x a F w a z w > w a Q m z o z w O vFi u a > SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) ^ Name 6��� Address /-?,D- `D a I " e-1 -t- ur Business Telephone Name of Licensed Plumber or Gas Fitter Che k one: Certificate Installing Company Corp. E] Partner. airm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes a-- NoO If you have checked Yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 Other type of indemnity 13 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 Owner 13 Agent 13 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 instal lation!,parf0ihed un Permit Issued forVeral pplication will be in compliance with all pertinent provisions of the Massachusetts t as Code a hapter 14?,/�f the LavjV (Title City/Town VED (OFFICE USE ONLY) Signature of Licensed Plumber KGas Fitter ©-p-lumber xzy, 3 Gas Fitter (censemer Iviaster Journeyman 6087 Date P.- .-1. ........ + TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............................ ......... has permission to perform-,—,-J�.,�. ......... X . �/ wiring in the building of ..... . .. ...... at ... tye9 ...... .................... !��rNorth',U*do,v'er,"Mass. Fee .��. .......... Lic. . ...... ....... ELECrRICAL INSPkToy Check # r y �r'e'47401 Permit No. (O o Q 7 Ocenpmtcy & FeesChecked APPUCATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL woRK To BE PERFORMED IN ACCORDANCE WrrH THE MASSACHUSSTS MICrRXAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street d Number) l) 9 A1re1<e1TY `Lz, Owner or Tenant s 1` e ,�/g-/'ce 2 Owner's Address �/� -e Is this permit in conjunction with a building permit: Yes l:3 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Ampa� Volta Overhead Underground No. of Meters New Service Ampa...�. Volts Overhead Underground � No. of Meters Number of Feedets and Ampacity Location and Nature of Proposed Electrical Work A At, !/-e No. of Lighting Ootlw No. of Hot Tube No. d'haudbrmen TOW KVA Na of Uahtins Rztem Swimming Pod' Above Below KVA No. of ReceptacleOutlets No. of rm Oil Buan No. of Emergency Ughting Buttery Univ No. of Switch outlets No. of Oe Barnett FIRE ALARMS No. of Zones No. of Ranges No. of Air Cad. Total Ton Na of Detodma uW No. of Dispoasis No. of Heat TotalToW Po Ton Kw Wtialial; Dem Na Of Sounding Devices ��• No. of Dishwashers Space Ara Nesting KW Na of salt Contained DesectiowSouodhq Loci Municipal Od�� Oda No. d Dryers Heating Devices Kw omlection No. of Water Heaters Kw Na d No. d signs Bdlads No. Hydro Massage Tabs No. Of Moan Told HP hL==QwmWPi�rattbtberecNis3rt�ctHlaesciargel�l3ar®1Latts Ihmsi trilbdvaidp dofs=1D Y$9 dyed 1ft bac BOM 0 OM o WoMoStatt c�a'7VJ^ ltt!p�tionDrreRfc}imed qVrAdMLtrTr.RUNMofP0W FgtMNAbffl F s b* dla}ivtrht YE Np F)mhatedtedm'YKP1=irdcateere0F f BOMMDO r Rao dVAredEbc"Wc& s � . Lio=Nd ,� IiomseNo Ul UNM 1,2o3 67/7' AkTdbb X03 3X0 0WT,WSMXAIMWAMIamawaetWftGQ=d=w1 eiettfanoea�,�ar�s>be��dslagiivaimtasgx�aedbYMaesaciruaet�G�talLawa ardtlutnrysgitet;l�ondd�emra<appicAulalirmrat (Please check one) OwnerEn Age a Telephone No. '318nmull'a us VwHW Of AIM FEE S _ Q� C DEPARMWOMBUMUM Pertait No. % BOARDOFFBMPREVFM1101VR1 OULA7X)li1ISS27adRIZIN Oeeupattey & Res Checked �— APFIUCA17ONFOR PERNUTO PERFORM ET WORK ALL WORK TO BE PERFORMED IN ACCORDANCE wrrH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINr IN INK OR TYPE ALL VMRMATION) Da Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street dt Number)' Owner or Tenant S 7—e k'�,f ' 5,1�e1k Owner's Address is this permit in conjunction with a building permit: Yes No To the Inspector of Wires: -..�®._ r (Check Appropriate Boa) Purpose of Building Utility Authorization No. Existing Service Amps /.Volts OverheadUnderground IM No. of Meters New Service Amps�� olts Overhead Underground 1:3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work d L b1 -e No. of Uandns Godo Na of Hot Tula No. of hwawlorrasee TOW Na of Ugbdng Rxtm= SwinuninB Pad" Above Beier, KVA yourad KVA No. of Receptacle Oudeft No. of OB Burners No. of Emergescp UghWg Battery Udu Na. of Switeb Outlets No. of On Borers FIRE ALARMS of Zane No. of Ranges No. of Air Card. Total TOW No. Na of Detecdon and Na of Disposals No. of Hest Totd ToW Pu Toot KW Isidsaing Dal= No. of Souncarrg Devloss No. of Dishwashers Spece Ana Hewdag KW Na of sw C=Nbwd Daecti0 AloOp�i Devices o odw No. of Dryers Hewing DevicesKW No. of Water Heaters Kw No. of No, ofo signs BaIW6 No. Hydra Masse Tabs No. of Mokn Total HP OTHER lrtxsa�aeCbver� Filaretb6eax}iernmtrafMasd QIMA IhwaavxULiditkm Fb1LYmdft�traftworinatomqvdaNO Ihttvesu n1kdvff=C3 Oft YM YBS dreddrB� 1<)wheredrid�d=PkWirr *A0typedaovWby nvsvRANCs am 0 aVAZdWwhk S wakbstae�.�� Zlrepec�nRl�irepecfredcd Hoeg, Sq dur�r P�dpajury►. lend *FIRMNANIB BuskmTeft, Kja 3 (W -q e. a+�Per AtT»,Na OWINFR'SIIVSt)1tANCIE+WA1V0t,IamawaefsttkLxa�reiheisra>wcvm.osym�4�bylNaeaachatbGmeaiLaws a rddidmysigftncneispm,itapp %4M"vW ft1MFWnUj (Please check one) Owner Apo ❑ Telephone No. , FES t -->a) — `� P,�,P 6 /L ?^ Z 6 - a -s7- �T/T ■