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HomeMy WebLinkAboutMiscellaneous - 97 MILLPOND 4/30/2018i N O O Nco r g� �� �� Z v 0 61 U7 Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ei ......... ...... ; ...... .......................... has permission to perform ........... 4.6"p/e.. ........................ wiring in the building of .................. 57/V4Z,-.,a ............................................ at ....... 5. 7 ....... Z11.1.(—t.A0 .0 ....................... . North Andover, Mass. Lic. Noklklft ............... 1��7- I ELECTRICAL INSPEcTod Check # Common taeaA of Mail ac%w#Ua Official Usc Orrly cc•�� Permit No. �+ ® Z �I.JeParinunl o`�irt �iwices - BOARD OF FIRE PREVENTION REGULATIONS Oc pancy and Fee Clucked R ,. 11199) (leave blank) _ICATION FOR PERMIT TO PERFOELEC -RICAll WORK All wurk to be performed in accordance with the Massachusetts CI t . cal Cadc (MEC) 27 CAI 13.00 (PLEASE PRINT IN INK OR 7'Y'E AL hYF RM 1 PION) llatc: City or Town of: -��/' To the Inspector of fh7res: By this application the undersigned gives notice of itis or h r intent to peri rm the electrical work described below. Location (Street & Number) / �c�Yt Owner or Tenant / L/ Q Telephone No Owner's Address Is this permit in conjunc 'on with a b !dine perniit? Yes ❑ No © (Cheese Appropriate Bos) 1'ur•Irose of Building �_ Utility Authurizntion No. Existing Servicc Amps / Volts Ovcrlhcad ❑ Undgrd ❑ New Seri -ice Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity , �Z7,4 Nature Proposed E ectric I1 No. of deters - No. of Meters -- alsly C'mm�lrtinn .��,Le GN,....r.... r..l.le ....... L_ ..._:.._-, t._ .,. _ �---_ --.- _ _ � ni• No. of Recessed Fixtures No. of ccii. Susp. (Paddle) FansNo. 6rIfransforincrs of Total KVA No. of Lighting Outlets No. or Ilut Tubs Generators KVA No. of Lighting Fixtures Swinauiug Above Pool - rnd. LJrnd. r o. o mergency rg rung BatteryUnits No. of Receptacle Outlets No. of Oil Burners --------- FIRE ALARIVIS No. of Zolles No. of Switches No. of Gas Burners No. of Detection and - Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. or Alerting Devices �o. of Waste Disposers heat Yutnp Totals: Number f_ ons K1V — No. ofSelf-Contained Detection./Alerting Devices No. of Disliivasliers Space/Area Heating Kms'-'- Local ❑ Conne P tion ❑ Ot r No. of Dryers Heating Appliance& -----MV Security Systems: No. of Devices or Equivalent No. o. ot• —Water Kj.. No. of No. of `�ilxrsts llata Wiring:HeatersSins No. of Devices or E uivale No. Hrdroinassage Bathtubs No. of illotors IP I-Occommunications NVirii No. of Devices or E uivalerrt OTHER: Attach additional detail if desired• or as required by the hispector of (vires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation' coverage or its substantial equivalent. Ilse undersigned certifies that such coverage is in force, and has exhibited proof ofsame to the permit issuing office. CHECKONE: INSURANCE ® BOND ❑ O'HIE•R ❑ (Specify:) - �J � Cv (Expiration Date) Estimated Value of E ectri al Work: L (When required by municipal policy.) Work to Start: %s Inspections to be requested in acco nee with M R e 10, u on completion. I crrtifj, frndcr the Irains and penalties ujperj►trr, Nr,rf drr info i r oil f s / �licaf'v I is a d cDnrplefe. �` l lltl�[ Ir'AbIE; Castle Ele IC.NO.: A16191 Ltcensce:_James R. Pres -o .. Signals L1C.N0.: 26186E d (t%applicable, ester "cr,,npt" in the license number Gne.) Bus. Tel. N o.• 7 R 1 —767-9A91 Address: 21 Endi rwood r MA 02062 All. Tel. No.: OIVNER'S INSURANCE \VAIVER: I ant aware ll t the Icensce does not have the liability insurance coverage normally tiequired by law, By my signature below, l hereby w ive tis requirement. 1 am the (check onc) ❑ owner ❑owner's agent. Owner/Agent f Signature Telephone No. P;Rf1IITFE. : S �� 9x tnccommonw#aA of M�aseac/w,lls 1JoPar1nunl o`.�`ire Som,ls BOARD OF FIRE PREVENTION REGULATIONS A Permit No. ___4f o Occupancy and Fee Checked Rev. 11/99) (leave btanh �` APPLICATION FOR PERMIT TO PERFORM ELEC RICAL WORK All wurk to be perforrticJ in accordance with the Massachusetts Electrical Codc (,,IEC) 2 CAI 12.00 (PLEASE PRINT IrV INK OR TYPE AL MF R,1•L tTION) Date: � City or l'omi of: /" To the Irtshector of I -Vii es:, a By this application the undersigned Sivcs notice of his or h r intent to perC rm the electrical work dcscribedbel�lo Location (Street &C Number) / ./-7/ 7/ ZY t Owner or Tenant ,_��• / U 0 Owner's Address Is this permit in eonjunc un with n b *Idin; permil? Yes ❑ 1'urlwsc of Building Existing Service Amps/ Volts New Service Amps / Yults Number of Feeders and Ampacity (loq and Naaure of ProposCd E. carie I Work: S ��r// z� C Telephone No-� 61 96 — (31Vl!` No © (Chcck Appropriate Bos) Utility Aulhorizntion No. Overhead ❑ Underd ❑ No. of Meters- Overhead ❑ Utldord ❑ No. of Meters cumnletiol! Ur1ltP t'orinu.Frav Ar%re nrno h.... ..J A.. 1— l.._.. _r rrw_ ._ No. of Recessed Fixtures No. of Ccil.-Susp. (Paddle) Fallo. ns I of rans Total irrsfonncrs I;VA No. of Lighting Outlets No. of Ilut Tubs Generators KVA .No. of Lighting Fixtures w Swinlnliug Pool Above . ��❑ rrl-I. rnd. t o. o mergenci rg tang Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALAR.LNIS No. of Zones No. of Switches No. of Gas Burners No. o Detection and Initiating Devices No. of Ranges •total No. of Air Cond.-� Tor-- 1- s -� No, of Alerting Devices No. of 1Yaste llisprlsers fleet Yurllp Totals: Number f _ ons KNV No. ofSelf-Contained Detectiort/Alerting Devices _ No. of Dishwashers Space/Area Heating H -MI-- Local ❑ Municipal ❑ 0 r Connection No. of Dryers Heating Appliance&------j0NV Sec ritNo of Desli cs or E uivatent Nu. of Water KZV hIentcrs No. of No. of Sins --------- Dallzrsts Data Wiring: No. of Devices or E uivale No. Hydromassage Bathtubs No. of Motors-----"�1,2t11P 1' clecommunica==Ci No.ofDevi OTHER: Attach additional demil if desired, or as required by the /nsFector of Wires. I1 SU1L4NCE COVEILIGE: Unless waived by the owner, no permit for the performance ofelectrical work may issue unless the licensee provides proof of liability insurance including "completed operation' coverage or its substantial equivalent, 'llte undersigned certifies that such coverage is in force, and Ilas exhibited proofofsanle to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) - (Expiration Datc) Estimated Value of E eclri al Work:• (When required by municipal policy.) i/ Work to Start: .%jInspections to be requested in acco ! ccrtifj-, ruiner tlrei/oitrs mrd prnahies ufperjurr, tlt«r the inform i r cFIRAIINAAIE: Castle Electric 1cellsee: _James R. PrescotS;gnatu (/f applieoble, enter "emi mpt " its the license number tine.) Address: 21 End i rwood OWNER'S INSURANCE WAIVER: I am amrc l4at ill icerlsee dog .juircd by law, B)' my signature below, l hereby w lvc t lis requircmcn Olvuer/Agent ./1, Sigllaturc 1'clrnhonc \u. with MWR4e 10, out s / Ticar��M71 it eOnrplete. C.NO.: A16191 ✓ LIC. NO.: 26186E Bus. Tel. No. ;781 -762-9891 MA 02062 Alt. Tcl. No.: s not have the liability insurance coverage normally t. 1 and the (check one) ❑ owner ❑ owner's attent. 1'i�RMIT 1'E• E: S13- ` v MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING �a (Print or Type) a , ,y C!, NO . ANDOVER , MA Mass. Date , lg_AL Permit # Building Location �Z MILLPOND Owner's Name ,A1-0eif/1y' NO . ANDOVER , MA Type of Occupancy, RES New ® Renovation ❑ Replacement ❑ . Plans Submitted: Yes❑ No ❑ Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certificate � Address 91 BELMONT STRFFT C3 Corporation NO . ANDOVER , MA . 01845 ❑ Partnership Business Telephone 508-689-9233 ❑ Firm/Co. Name of Ucensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes R7 No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance pollcy ZI 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: owner -0 Agent ❑ Signature of Owner or Owner's Agent I hereby cartily that all of the details and information I have submitted (or entered) In ove appficatlon are true and accurate to the best of my knowledge and that all plumbing work and InslallaUons performed under the permll sued for this appiicaU wIII b In pflance with all pertinent provisions of the Massachusetts Slate Gas Code and Chapter 142 of the neral Law By Tyve of Ucense: rcnatuo c nse um a or Gas alterrue�?mbefiller Master Ucense Number M-3440 Ci ty/Town Journeyman M rtxryr- ff7C N N Uj W N yf N Y U ¢ v1 N s N cc W w N ¢ O U © F' n O<}. < m N F- cc W O O = O C p H 01 s Q U1 U < W = N F < N Oa O > y<j m W W !— F S LU < <W W T s W W 0 F- i ❑ d O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR ORD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certificate � Address 91 BELMONT STRFFT C3 Corporation NO . ANDOVER , MA . 01845 ❑ Partnership Business Telephone 508-689-9233 ❑ Firm/Co. Name of Ucensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes R7 No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance pollcy ZI 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: owner -0 Agent ❑ Signature of Owner or Owner's Agent I hereby cartily that all of the details and information I have submitted (or entered) In ove appficatlon are true and accurate to the best of my knowledge and that all plumbing work and InslallaUons performed under the permll sued for this appiicaU wIII b In pflance with all pertinent provisions of the Massachusetts Slate Gas Code and Chapter 142 of the neral Law By Tyve of Ucense: rcnatuo c nse um a or Gas alterrue�?mbefiller Master Ucense Number M-3440 Ci ty/Town Journeyman M rtxryr- ff7C Date -e e .... � ...... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION O C? N This certifies that . Z"G ,14. (Z,," 6!.`:... .............. has permission for gas installation .. �� ��? !.�? . 5...... ......... N in the buildings of .................... ..... at ...` .?..1�✓t 1. e'.zv?r' <?. -d ........... , North Andover, Ma'. Fee. ,�.S- , '.. Lic. No.? Y. y.4... ..............� GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File gr ; Date. 2—..G.?. . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING I This certifies that ....1%..1?! {��/.`.................... . has permission to perform ... 1) )Itq-. 6� ........................ plumbing in the buildings of .-F/?. (.� ......................... at ... C ........ , North Andover, Mass. Fee. Lic. No. `i.)J7......... . r�yrct.......... i' PLUMBING INSPECTOR Check # L/ .) �� 5654 mssAmusETTS UNII+}ORM APPLICA m FOR PERMIT T® DO>G S mTwG (Type or print) Date -7 4Lj NORTH ANDOVER, MASSACHUSETTS Building Locations 1. v GSD Ve �t J// `i mit Owner's Name New Er Renovation ❑ Replacement ❑ M Permit # Sc)- Y Amount Ar . —T Plans Submitted ❑ (Print or Address Business Name of Licensed Plumber or Gas Fitter one: Certificate Installing Company CD Corp. DPartner. INSURANCE COVERAGE Check one I have a current liability Insurance policy or it's substantial equivalent. Yes �/ No ❑ Ifyou have checked yes, please indi to the type coverage by checking the appropriate box- Liability ox 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 instal" performed underP it Issued for this application will be in compliance with all pertinent provisions of the Massachu S e/�as Coo and C ter 142 ofthg.CwA)pFal-ayvs. OVER (OFFICE USE ONLY) Sigrfature of Licensed'Plumber Or Gas Fitter ❑ Plumber 4 3 3 ❑ Gas FitterIL cense Number aster ❑ Journeyman • Islas i6TH. FLOOR (Print or Address Business Name of Licensed Plumber or Gas Fitter one: Certificate Installing Company CD Corp. DPartner. INSURANCE COVERAGE Check one I have a current liability Insurance policy or it's substantial equivalent. Yes �/ No ❑ Ifyou have checked yes, please indi to the type coverage by checking the appropriate box- Liability ox 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 instal" performed underP it Issued for this application will be in compliance with all pertinent provisions of the Massachu S e/�as Coo and C ter 142 ofthg.CwA)pFal-ayvs. OVER (OFFICE USE ONLY) Sigrfature of Licensed'Plumber Or Gas Fitter ❑ Plumber 4 3 3 ❑ Gas FitterIL cense Number aster ❑ Journeyman