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Home My WebLink AboutMiscellaneous - Exception (762)4. J Date../... � N°RTq °t<•``° '•'"� TOWN OF NORTH ANDOVER is �.,� ...,__'• °t PERMIT FOR WIRING ,c.�<vu, ( r� This certifies that f�...............'.i. ��!.!................�.....1....�........... Aas permission to perform ....................... ........... vi ring in the building of ........ ......l. U✓J .�................ �` 7 ' , North Andover, Fee�Q.()'.Oo.... Lip. No.,/I.. I././.. . ........ ...xsr.�........1�.............. ELECTRICAL INS, CTOR Check CCl i WW.wea[!h o�cc uesac�tuae!!s . Ofticiat Usc only i 2, ill o�,�ire �ernicas Permit No. — cJl�� Occupancy. and Fee Checked I BOARD OF FiRE PREVENTIONREGULATIONS Rev. 11/99 I j APPLICATION FOR PERMIT TO- PERFORM ELECTRICAL WORK Ail %vurk to be perl'ormed in accordance with the Massachusetts Electrical Code (sXIEC), 527 CbIR 12.00 i (PLEASE PRINT IN INK OR TYPE :ILL 1tVf•OIZ;11,-lTION) llate: � Z_City or "Town of: 1414 a t -y To the Inspector of i tt-es: By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location (Street & Number)f?, 14Z t"e,I kV to .4- _ A-4 t ,,rtn l.r0 t . _ .1 Owner or Tenant A► 1P �t i Lt2Ji -L. Adtwl REL � t IMA J a to e- ^ Telephone No. Owner's Address _ u)ot�4rI�I-r /•lrll&4 l^ .�w Is this permit in conjunctiosi with a building permit? Yes ❑ No. ,I {.i 19'(Check Appropr�iate Box) 1'urliosc of Building �(.{St ��•�t"� Utility Authorization No. � —� Existing Scrti ice AmpsZQ / bolts Overhead ❑ Und rdn g 4AJ No. of dieters . $r an, Scrvk-e Std Amps I .'olls Overhead ❑. Undord ❑ tp No: of itileters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Plr�ccr�.drf a'FServtae f Ota !V l COa1 lelion o%the rollmvine table may be haired b'the � No. of Recessed Fixtures No. of Lighting Outlets No. of ceil.-Susp. (Paddle) Fans No. of Ilot Tubs or N o. 0 otat Transformers KVA Generators Ii�VA No. of Lighting Fixtures Swimming Pool Above ❑ -in- ❑ rid. rnd. i o. o mergency tg t Ing Batte Units No. of Receptacle Outlets No. of Oil Burners ;FIRE ALARtIIS No. of ZonesNo. of Switches No. of Ranges No. of Gas Burners No. or Air Cond. I°tat Tons . o Detection and Initiating Devices x No. oCAlerting Devices y (�NN-o. No. of Waste Disposers N'o. of Dishwashers Heat Pump Number Ions !hl To - --' Space/Area Heating KW No. oC Sel - ontained DetectiottlAlertin Devices Local ❑ untcipa Connection 0 Other No. of Dryers t o. of Nater Heaters KW Hydromassage Bathtubs OTHER• Heating Appliances I{`y t`to. of Vo. of Sion Ballasts No. oCi11°tUrs T°fat T•IP Security System s No. of Devices or Equivalent Data Wiring - No, of llevices or E uivalent I decomniunications Wiring - No. No. of Devices or E uivalent Attads additional detail if desired, or as required by the Inspector of Wires. Ii`iSUR.-AU`10E 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. The undersigned certifies that such c;ZND is in force, and has exhibited proof of same to the permit issuing of Ice. CHECK ONE: INSURANCE ❑ OTI•IER ❑ (Specify:) ♦ 2. Estimated Value of Electrical Work:* (NVhen required by municipal policy.) (Expiration Date) Work to Start: 2, Inspections to be requested in accordance with MEC Rule. to, and upon completion. I certifj•, antler th Ppaills—aend pc ualties ofperjrlly, that the iufonnaiion on this application is trite and complete. FULNE NAME:- . LIC. NO.: Licensee: Signature Gly! LIC. NO.: (Ifapplicable. enter -e.Y:iupw t" in the licet se nnb 1ine.) � . Address:_ �6?� ;It ��g3 . Bus. Tel. No:- Alt. Tel. No.: y O�ti'NL+'R'S IiVSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, l hereby waive this requirement. I am the (check onc) [—F 0 o%vuer's assent: Owner/Agent Signature Telephone No. P!-Rt1 -IT TEE: S 0% Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .... o. r -c ................. has permission to perform .../-/.0 lam ....................... . plumbing the buildings of . Ut--C, c,. �- �- ................. at .... x ................ , North Andover, Mass. Fee. . .3 Lic. No. P t Sg.. -. ...... $ ....... -PLUMBING INSPECTOR Check # 1773 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) i NORTH.ANDOVER, MASSACHUSETTS // Building Location //& (', 4r Owners NameW C)''�`�;� Date t# j Permit # 773. Type of Occupancy Amount 3U New Renovation 1:3 Replacement Plans Submitted Yes No ❑ FiXTi1i?ii C I n Mmmmm M M NO ON S'.qAcmUS Teck one: Certificate This certifies that ......0 j-. .. ••� • • • • • ] Corp. has permission to perform ... - ........................ Partner. plumbing in the buildings of . -o-0 v. A $ •te . ............ • • • CG G 1 Firm/Co. at .....l.�i. • • • • `� ,North Andover, Mass. Fee. .3 U... Lic. No..�Z.Z�i9.. � PLUMBING INSP CTOR ).ox: Bond ❑ Check # _-- ation does not have any one of the above I 6773 I b.....-...- - - - - .- . _.. - - 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 perfo ' d un r Permit .Issued for this application will be in compliance with all pertinent provisions of the Massachu its State P e an r -j- By: Title City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License Lic nse iMilluer Master Journeyman El1 t J Date 1l l�.l......... of °` TOWN OF NORTH ANDOVER �4- �{ PERMIT FOR GAS INSTALLATION 4 This certifies that ... (,et G l r ,�? l f ..................... has permission for gas installation .../% f-A..i- ............ . in the buildings of ... !O o^ ..............: .... . C b L S Cbz - at ..... Y ,� �... .. .. ....... , North Andover, -Mass. Fee.. ' 0 ... Lic. No.�! L.. L s 5.. ... ........ GAS INSPECTOR Check # 5445 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS I nw / I Building Location (�� / �P Date Owners Name W Permit # 7?3 Amount i Type of Occupancy 3U New Renovation Replacement � Plans Submitted Yes No FIXTURES i i (Print or type)Check one: Certificate i Installing Company Name Corp. I Address Partner. I eBusrness lelephone _ rj Fimvco. Name of Licensed Plumber: Insurance Coverage: Indicate the t pe of insurance co,4erage by ch eking the appropria ox: Liability insurance policy PF Other type of indemnity ❑ Bond ❑ I L.J 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 Signature Owner 0 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 perfo d un r Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P e and hapter 142 of the General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY of Plumbing License .-Z um er Master it Journeyman ❑ frnoice i i . H. WOLF PL UVOLN6 d HEATM6 INVOICE NUMBER. WR 110 ZWOME DATE: 23 -MA Y-05 P. O. BOX # 2229 SALEM, N.B. 03079 RANDOLPH H. WOLF i TEL: 603-234-9231 MA. MASTER PLUAIVE i # 12299 I VISTONEg' WOODRIDGE NOSES CO-OP T PRO/Y� j ADDRES& 10 WOODRIDGE DR. FAX. I GO%STAM POSTAL com NO. ANDOMER, NA. 01,645 POBUHR£/L Is COLBYCT. i ORDER DATE MORK REQUESTED DYGARY.- ® , DA TE, Ir' NDY 0.00 $6.06 22 HAY -Dv - 325.00 _._._. - ......... _ ......... -- _- - - — :.... ._..-.... : /R -a I A , A I tVli°ri L � f_ti1J7 0.00 $0.00 0.00 $0.00 BY-------� TOTAL ACT COST. - i BATS We . 40GAL. CE WA TER 04A TER ... 0.00 1) 314CXAf 1) 314XC FA $2.50 EA. 2;,50 2) 314C 90 1.40 21 314X3=112 BITS NIP $3.75 EA. 2 % 314 COP TUBE "L •• 1.25 PER 2.:50 3I BLx NIP 315 1) 112 BLIP TEE 2.00 1) 112 DLK CAP 1.60 1) 3/4X 1/2X3/4CCC TEE 5.00 TOTAL MATERIALS COST: - NET . 10 DAYS TNANK YOU TOTAL IUM $35140 $0 i I Invoice I I I Date ....I c?.-.O?� - .0.3 . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . j� . 0.'. `�� 0. L P .... P. l `'. et l'.:..... . C.A Co has permission for gas installation ik o *q C. in the buildings of �........ v° `...... U at .... �� ..? �. ��...�� .?.......... ,North ndover, Mass. Fee.. �. Lic. No..�.a .` .. S� ��o-zi A i'�(,�-- A GAS INSPE TOR Check # 5,3 4 4573 MASSACHUSE rlS UNIFORM APPUCATON FOR PERMTr TO DO GAS FMING `'-Z2 �� `�3 (Type or print) . / Date NORTH ANDOVER, MASSACHUSETTS� L I �/� '/ �/ -� dr Building Locations ° `u I " ` ` Permit # 7 Q _ Amount $ a s' Owner's Name New ❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ ! (Print or type 1, Name l Address wo�c qw,w, Name of Licensed Plumber or Gas Fitter v( Check one: Certificate Installing Company ❑ Corp. ❑ Partner. ® Finn/Co. /,,,o n t i INSURANCE COVERAGE Check one: I leave a current liability Insurance policy or it's substantial equivalent. Yes No ❑ .If you have checked }_es, ple e tndic e type coverage by checking the appropriate box. •ability insurance policyOther 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 1 have submitted (or entered) to above application are true ana accurate to are best of my knowledge and that all plumbing work and installations ;p eA rmed u tder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State n Chapter 1 of the General Laws. ! By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber % Z Z• 1 � I Gas Fitter License Number Master Journeyman , � a a C6 a w w a p o U M x H x 0 1-4 O W J GaWx z w 00, H b U 19 A SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type 1, Name l Address wo�c qw,w, Name of Licensed Plumber or Gas Fitter v( Check one: Certificate Installing Company ❑ Corp. ❑ Partner. ® Finn/Co. /,,,o n t i INSURANCE COVERAGE Check one: I leave a current liability Insurance policy or it's substantial equivalent. Yes No ❑ .If you have checked }_es, ple e tndic e type coverage by checking the appropriate box. •ability insurance policyOther 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 1 have submitted (or entered) to above application are true ana accurate to are best of my knowledge and that all plumbing work and installations ;p eA rmed u tder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State n Chapter 1 of the General Laws. ! By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber % Z Z• 1 � I Gas Fitter License Number Master Journeyman ,