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Home My WebLink AboutMiscellaneous - 240 Salem StreetN2 2879 Date. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ....... has permission to perform ..... ................................................... wiring in the building of .................... ...... ...... ............................... at ........ ....... . NorthAndover, Mass. . Fee . ........... Lic. ............................................................. ELEcnucAL INspEc-rOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer V =C0MM0NWF.4LTH0FA1,4MCffUS 'M Office Use only DEPARTMENT0FPUBLIC&4FM Permit No. X79 BOARDOFMEPREVEM70NRWUTA770MS527CMR12:00 Ug'aPPUCATION Occupancy.& Fees Checked FOR PEI. W TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 a ) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant ©ZL. %}ivit /S C' 7,7d Owner's Address Is this permit in conjunction with a building permit: Yes r7TNo (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service _ Amps /�Volts Overhead [::] Underground Q No. of Meters New Service 0 d AmpsVolts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs / No. of Transformers Total KVA No. of Lighting Fixtures 0 Swimming Pool Above Below Generators KVA C72 and 2round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units D No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals / No. of Heat Total Total Pumps Tons KW Itutiating Devices No. of Sounding Devices No. of Dishwashers ` Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local ® Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hflro Massage Tubs No. of Motors Total HP Jo OTftt .. hstrdr=Ca&age Ptasuattaotheteipmutta�ofNias�adtst Ga�aalLaws IfimeaaraitL *h'x'atoePd ymdudmgCm#,&' CawdWcrlsa*sWtdepvWai YES NO lha%est$xntWdvandproofofsmxlothe0(iim YES r J M Ifj uhawclte WYES,plem dic*theNxofo &aWbYd=kt<tgtbe CW4INSIJRAI� [Ef BOND OIIiER WatktoSut htspectiatDa�eRe d SigmiunckrMlknalfiesofpajtey FIRMNAME Liaatsae 1`6u ' ftese) Expiration Date EtmakdVakiedElecodWark $ Rough� Fetal.. O - i \ Lio=Na � j (F Old Lwwl o �3 Sia BtsimTelNa Alt TeLNa OWNER'SNRJRANCEWAIVER;Iammmthattbelkmdix zahUtde*kakr1asreqLmWbyNbmxkfM Canal Lam andthatmys a cnlhis pwnkWpkafiIthiste4miunant. (Please check one) Owner a Agent Q rn1 Telephone No. PERMIT FEE No 4%25 Date,?.:. % ..c . /. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . /;/!I: cA"; II1i.... /!¢ . �?. . . . . . . . . . . . . . has permission to perform ................. plumbing in the buildings of . L., . �1� .!I!? � . C .1. ................. . at .. . �� .:� N ? ... s . r ............ , North Andover, Mass. Fee .J�./. " ... Lic. No.. ? ......... ..1. ��a�?....... . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location';? 40 Date iv - C)c > - Permit # Amount �e2/ Tyge of Occupancy �IA—S New ® Renovation M 91H Replacement FIXTURES Plans Submitted Yes ❑ No (Print or type) Check one: Certificate Installing Company Nameal," ,( J �ly,��j, , J , Cts sJ 4 ttPC ,4 p ,/� ® Corp. Address Zai- 0 Partner. Business Telephone 011 SS'-) i (6- 00 Firm/Co. Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy © Other 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 , Signature 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Codg}d Chapter 142 of the General Laws. Title PROVED (OFFICE USE ONLY Type ofPlumbing License icense um er Master Joumeyman 348 7 Date.. .. . �..... . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 7 This certifies that .................. has permission for gas installation ..<..�......... `. . in the buildings of <. at .. ..U.. C ............ North Andover, Mass. f Fee..,.)..:.. Lic. No..�`.!<.%. �.. ......... j . ......... . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UINT'ORM APPLICATON FOR PCRN TT T.0 DO GAS FITTING or print) twrcfn ANDOVER, MASSACHUSETTS Building Locations a � AAJU I — (c, 19 C9 0 Permit 9 34%(P / Amount S 25-0—* Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ (Print or type Check one: Certificate Installing Company ,Name inn '2aC.P+J p��3M► tt.Y, ��t.�� CLdaC ✓S ❑ Corp. 4 Address ❑ Partner. 1.P. + >M A Business Telephone Gj C c—,r?- j-goU Firm/Co. Name oFLicensed Plumber or Gas Fitter (1,k w M Pi INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1] No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liabilin insurance policy Other type of indemniry ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 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 0 Anent ❑ 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 pertormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. AA — Ivy Signature of Licensed Plumber Or Gas Fine,- Plumber inerPlumber ��MS ❑ Gas Fitter tcense Numoer 1 iMaSter L❑�_l Journeyman ,p• ;C (Print or type Check one: Certificate Installing Company ,Name inn '2aC.P+J p��3M► tt.Y, ��t.�� CLdaC ✓S ❑ Corp. 4 Address ❑ Partner. 1.P. + >M A Business Telephone Gj C c—,r?- j-goU Firm/Co. Name oFLicensed Plumber or Gas Fitter (1,k w M Pi INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1] No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liabilin insurance policy Other type of indemniry ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 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 0 Anent ❑ 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 pertormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. AA — Ivy Signature of Licensed Plumber Or Gas Fine,- Plumber inerPlumber ��MS ❑ Gas Fitter tcense Numoer 1 iMaSter L❑�_l Journeyman