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Home My WebLink AboutMiscellaneous - 9 DEVON COURT 4/30/201834-46 4.46 Date .................... . NORTH TOWN OF NORTH ANDOVER Oy,to, 1tiOL p PERMIT FOR GAS INSTALLATION This certifies that ......'......... .... .................... has permission for gas installation ... .......... . in the buildings of .... . • . • • • .. at .. .-:� `: "..d, .............. . . , North Andover, Mass. Feer .... Lic. No........ .�............ . GAS4NSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations 10-V New ❑ Renovation ❑ Date / 3 Permit # Amount S Owner's Name �9 8� �,A=L Replacement 10 Plans Submitted ❑ INSURANCE COVERAGE Checkl2n9r I have a current liability Insurance policy or it's substantial equivalent. Ye Ez No ❑ If you have checked yes• pleas dicate the type coverage by checking the appropriate box. 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent 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 �jrred7nder Permit Issued For this application will be in compliance with all pertinent provisions of the Massachusetts Stadrl Chapter I2 of the General Laws. By: Title C i tyiTow n APPROVED (OFFICE. USE ONLY) Si ature of Licensed Plumber Or Gas Fitter (umber ❑ Gas FitteriL cense ivumber lasze, ❑ Journeyman (Print or rypc I Name IN Check one: Certificate Ins[alling Company Corp. Address �'✓ ❑ Partner. ' -Business Telephone Firm/Co. :; ► Name of Licensed Plumber or Gas Fitter / ( lPt d;U CA9 d I INSURANCE COVERAGE Checkl2n9r I have a current liability Insurance policy or it's substantial equivalent. Ye Ez No ❑ If you have checked yes• pleas dicate the type coverage by checking the appropriate box. 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent 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 �jrred7nder Permit Issued For this application will be in compliance with all pertinent provisions of the Massachusetts Stadrl Chapter I2 of the General Laws. By: Title C i tyiTow n APPROVED (OFFICE. USE ONLY) Si ature of Licensed Plumber Or Gas Fitter (umber ❑ Gas FitteriL cense ivumber lasze, ❑ Journeyman Date .......t...`........ . O-t�.lo °` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ... " ....................... has permission for gas installation ................ in the buildings of ... k� I' !.� f C G 4 ............. at . a� ..... �.'.... ... ............. ., North Andover, Mass. Fee. 2 ... Lic. No...11. t . j � L - �.�. �......... GAS INSPECTOR Check # 36;8 MASSACHUSETTS UNIFORM APPUCATON FOR PERNIlT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER. MASSACHUSETTS Building Locations -e- V Owner's Name New ❑ Renovation ❑ Replacement to eo-d(e Cp 2 Permit # 30 WNA?&LJ LO Amount $ 'ZL Plans Submitted 11 (Print o ) v kiL) KA.. Name A�IAracc � ✓ �/ t� (� ` �� Name of Licensed Plumber or Gas Fitter e 0t1 f k one: Certificate Installing Company Corp. ❑ Partner. ❑ Finn/Co. INSURANCE COVERAGE Check I have a current liability Insurance policy or it's substantial equivalent. Yes I No ❑ If you have checked r, pl dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I 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 ❑ 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 40��apter underr sue_for this application will be in compliance with all pertinent provisions of the Massachusetts State _ 142 of t nPai t w (OFFICE USE ONLY) 'Signature of Licensed Plumber Or Gas fitter Plumber Gas Fitter LicOnse Number Master Journeyman • • (Print o ) v kiL) KA.. Name A�IAracc � ✓ �/ t� (� ` �� Name of Licensed Plumber or Gas Fitter e 0t1 f k one: Certificate Installing Company Corp. ❑ Partner. ❑ Finn/Co. INSURANCE COVERAGE Check I have a current liability Insurance policy or it's substantial equivalent. Yes I No ❑ If you have checked r, pl dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I 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 ❑ 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 40��apter underr sue_for this application will be in compliance with all pertinent provisions of the Massachusetts State _ 142 of t nPai t w (OFFICE USE ONLY) 'Signature of Licensed Plumber Or Gas fitter Plumber Gas Fitter LicOnse Number Master Journeyman Date ..7.. 1. `/ c; / ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .. y .. . EE .. -/ .............. has permission for gas installation ...... `. ................... . in the buildings of . �.� U. c:.� `.�� . ....c .. 1 ............... at . /'7 .<..�. ............. North Andover, Mass. Fee.2 6. Lic. No../ ?4 r.. ..... . �...,. GAS INSPECTOR Check # &/l 36" 7 MASSACHUSETTS UNN ORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations Lodad42,: Owner's Name New ❑ Renovation ❑ Replacement Date L 3. j�l.J � y 2 ^- e •p 6 Permit # Jn nI r Amount $ l O Plans Submitted ❑ je w a01 vi F d a z p O z w x c7 w d x w a a w > � a zd� roil O O z O x a O w 3 A t�7 0 aA w SUB-BASEM ENT F O BASEM ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 9TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print Name o q 6 � 0 P I_�u �� elfv �C one: Certificate Installing Company � • (/ Corp. Addr J Q "`' w tilt! LpO 7 ❑Partner. Business Telephone — 7 �j'-'— ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter /LLK p% l 6) INSURANCE COVERAGE Check n . I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ If you have checked y, pl ' di c to the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licenseedoes 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 ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to t best of my knowledge and that all plumbing work and installation erfo ed nder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta an� ter 142,aPfiieneral Laws. (OFFICE USE ONLY) Licensed Plumber Or G.aZs Fir Plumber 51,9 Gas Fitter License Number Master Journeyman �? 0, 3(66 4 Date.... ../!.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ..t ..f......... .�:.z.t. lr.,' ....�: < X` c .............:........ has permission to perform ........ .........../�o/< -e ..................... z wiring in the building of .......�iLf�%Ur�/.�:/ ` l'�'�% ................................................ r. at ........1.7 .... 5� ......... P.w �...t.............. .North Andove Mass.Fee .. � .:....... Lic. No�I1��%....... ... �:.:.........�... ........ ELECTRICAL IN E Check # t�cca,nin,onwaa[� o� ///addaeteuda�l . 21,01rfatant 1/ iia S mead BOARD OF FiRE PREVENTION REGULATIONS Official Use Permit No. Occupancy and Fee Checked tev. 11/991 tt...,..e APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All .work to be perl'ornud in accordance with the Massachusetts Electrical Code. (EIEC), 527 ChIR 12.00. (PLEASE PRINTININK ORTYPG;ILLItVr02ti1,•1T'ION) llate: City or Town of: 1J, AWp�, P� To 11ee I�tshector o Flrires: By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location (Street & Number) L Owner or Tenant U)Q04 R,Ad AQW _a Telephone No. 3 Owner's Address _ A0 u/ oc(6 jgt ID—t2oA Is this permit in conjunction with a building, No permit? Yes . n ❑ (Ctuccl: t\}i +.l propriale Box) Purpose of Building Re Sid idt0-k Utility Authorizatiou No. ooh, Existing Service ice � Annps Volts Oti erhend ❑ Undgrd � No. of tlIeters . Nc Servicc SArvL Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters.' Number of Feeders and Ampacily Location and Nature of Proposed Electrical Work: Attach additional detail if desired, or as required by the Inspector of {Vires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless Elie licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent..1Tte undersioncd certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE P/ BOND ❑ 01'I-IER ❑ (Specify:) Estimated Value of Electrical Work:' (When required by municipal policy.) (Exp' ation Date) Work to Start:�fij�l Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certifj•, ititticItalties of perjug, that the information on this application is trite and Complete.1rI1LA[ NADIL•'r j�i �i Maud -4 Let J Licensee: Si (If applicable, enter ..exc,npt •' ill the license n tntber line Address: - �� 6bz . t�f OWNER' INSURANCE WAIVER: 1 ant aware ilial .._ require! by law. By my signature below, l hereby waive this requirement. Otiincr/rlbcut Sibrnature 'Telephone No. LIC. NO.: � _k LIC. NO.:.E_ OS3l) 3 flus. Tel. No: - Alt. Tel. Pio.; $ V not have the liability insurance coverage normally 1 all, the (check onc) ❑ owner❑ owncr's at, Ep:j;RdIIT TEE: v �+ u.clt'aiL'ett 1) + I/te bis' cctor o%Wires. No, of Recessed Fixtures No. of Ceil. Susp. (Paddle) Fans 1 0.0 Total Transformers KVA No, of Lighting Outlets No. of Ilot Tubs Generators KNfA o. o mergemcy ug u ung No. of Lighting Fixtures Swimming Pool Above ❑ ln- ❑ rnd. rnd. Batte Units No. of Receptacle Outlets No. of Oil Burners ;FIRIE ALARMS No. of Zones No. of Switches No. of Gas Burners . o Detection and Initiating Devices No. of Ranges No. of Air Cond. TonTots No. of Alerting Devices No. of Waste Disposers Heat rump Num ertons __ K� No. of Self- ontained __ Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ r unncipa Connection ❑ Other No. of Dryers Healing Appliances KW Security Systems: No. of Devices or Equivalent Mo. o. of -Water No. of No. ol• Heaters KW Data Wiring- Ballasts I--'- No. ofllevices or Equivalent No. Hydromassage Bathtubs No. of Motors Total iIp 1 elecommunlcattons 1 •iring . NO. of Des -ices or Eq uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of {Vires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless Elie licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent..1Tte undersioncd certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE P/ BOND ❑ 01'I-IER ❑ (Specify:) Estimated Value of Electrical Work:' (When required by municipal policy.) (Exp' ation Date) Work to Start:�fij�l Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certifj•, ititticItalties of perjug, that the information on this application is trite and Complete.1rI1LA[ NADIL•'r j�i �i Maud -4 Let J Licensee: Si (If applicable, enter ..exc,npt •' ill the license n tntber line Address: - �� 6bz . t�f OWNER' INSURANCE WAIVER: 1 ant aware ilial .._ require! by law. By my signature below, l hereby waive this requirement. Otiincr/rlbcut Sibrnature 'Telephone No. LIC. NO.: � _k LIC. NO.:.E_ OS3l) 3 flus. Tel. No: - Alt. Tel. Pio.; $ V not have the liability insurance coverage normally 1 all, the (check onc) ❑ owner❑ owncr's at, Ep:j;RdIIT TEE: v