The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 28 Phillips Court03 �: I i ic Date..:�5 ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... .............. z . ........... has permission to perform ........... S.;ff.-K4IAtT1; .... 64, cs ............ wiring in the building of ........... C6..�4,ILAP ........................ .............. 7 - at ........ ; g I�oc ...... ................ . Nr� h Andover, Mass. ......................... Fee- ............. Lic. No. ..15 ................. L r Check.# 2-7112512S- 8062. Official U sc Only it No. 2— dpart'" Occupancy and Fee Checkeid. .60AR.D,OF FIRE PREVENTION REGULATIONS V�ev., 1/07]' (leave blank) APPLICATION FOR PERMIT -TO PERFORM ELECTRIC' ALWORK All w 4 -to be performed in accordanc'e with the Nizissachus'eas Electrical Code (KC), 527 CMR 12.00' (PLEASE PRLVT Di LVK OR TYPE ALL L ' VFORMA TIOA9 Date: ctor City or Towit.of.: . AJok;rM P4, '1-o the Inve " ,of By this application the undersigned, gives.riotice his or her.intention to pzi;form the electrical work desciibed,below. ri Num r) Loc2iion (.Street, Owner. -or Tenant CAI) 6 J) Teleph o ne.No. Y -16 -,--5 Vd, Owfi�er�s Address Is this -permit in conjunct tion with a building permit? Yes NO (Check Appropria t.e Box) Purpose of Building Utility Authorization No. Existin -'Service Amps Volts Overhead Undard No. of Meters New�Service Amps, Volts Overhead Undgrd No -of Meters Number of FetderSr,and Ampacity Location.and Nature of Prolposed Electrical Work- L 0,-� t 'a-, a SCCLv!�j 0� [—I rc 14 La rr-n- S-revn CDmoletion ofthe ff)ilawinv IchIp mnv ho wn�vpd hu AP 1"cnoefrir mf W;,or NoiofR6ce_5sedLumifia1,res'� No. of CeiI,Susp. (Paddle) Fans _=7 No. o Total Transformers KVA No. of Luminaire Outlet No. of Hot Tubs Generators KVA No. -of.Ldmina res Swimminc, Pool- Above gend, Cl d. El 0 0 I Emergency Ligfiting I- ' battery Units No. of -Receptacle Outlets No. or oil Burners IFIRE ALARMS, jNo.orzones No. orSwitches No. of Gas Burners !No. of Detection and !..!tiatinga Devices No. of Rano, Oes Total No. of Air Cond. T ons No. of Alerting Devices No. of Waste, Disposers Heat Pump Totals: I Number I Tons KW, 'No. of Self -Contained. Detection/AlertinZ Devices No. of Dishwashers S ace/Area Heatina, KW p Local unic pal Other lion El No. of Dryers Heating Appliances KW. (Security S�ystems:*'�� -=M5n51:0Zv'+ces or Equivalent No. of Water KW ...�4eaters No. of No. of Signs Ballasts Data Wiring: No. of Devices c" Equivrltnt No. Hydromassage Bathtubs No. of Motors Total HP 1'elecommunic2tions Wirina: No. of.Devicestor Equivalent JOTHE]k: qlraCn aaaglon y jae.strea. or as requirea py ine inspecror ol Yr tres.. Estimated Value of Electrical Work. 2_4, (When requiredalb'y1emIc'u1nicipal policy.) Work to Start: Inspections to be re�uested in accordance with MEC . -Rule 10, and upon completion. INSURANCE COVERACE: ( less waived by the owner, no permit for the -performance of electrical work may issue unless the licensee rovides proof of liability insurance including "completed operation7 I e u p _coverage or its substandal- q1 ivalent. The s undersigned certifies that such cpverage is in force, and has exhibited proof of sami� to the permit is uing office. CHECK.O,NE: INSURANCE BOND, C1 OTHER, C] (Specify:) I cerfij�, under thepains andpenalties ofperjury, that the information on this application is true and complete - LIC. NO.: FIRM NAME: r V Ce,— Licensee: LIC. NO. 0 4�� Signature L 6U_ 4 ffapplicablq, enter er(pt in zhe licenjinianker line.) ;7� Bus. Tel. No' 5 , 01 -M 150 Address: IJT AIL Tel. No.: *Per M.G.L. c. 147, s. 57-61 secdeity work requires Department of Public Safety -S- License: Lic. No. oolq7s OWNER'S INSURANCE "IV -ER: I am aware that the Licensee does not have the liability insurance coverage normally required by law own By my signature below, I hereby waive this requirement. I am the (check one) er E] owner's aaent. Owner/Agent Signature Telephone No. 1PEPZNffTtFF.! S LL LL r I LLI .z �uj L) ts LLJ > CC cc 0 LU LT) 4n 0 5 ch C6 z cn '� C:, C) '6 -.6C)Cj-S- m 04 E U) U) < 0 w C) Lu UJ V) Z (D 0 < x ILI < w Ln D -j r� LL L) 0) U .0 U-) LL LL ui A l" Z. �- Lu 0 w < 0 CN �-z P w < L) cn C) 0 13� p 10 D- L) 0 z ej 0 W, Lu .0 C L) !:: UJ Q E :L (D' Ch x .2 CD -J C) C� z u z w - olz 00 0 z E. 71� 3. zv:� j Zj z u LU C I r 1. 1 Di-, N LLJ w W UL Z:F <CLLJ (A 73 N'. LD Lij z Cl UL) u Lun WLLI Z 'o C) 0 F- 'Uj L 4- Ln Lb 7 c ui LU cc M c T 0 C) cc CD m Nr LL 0 LL L LL LL r I LLI .z �uj L) ts LLJ > CC cc 0 LU LT) 4n 0 5 ch C6 z cn '� C:, C) '6 -.6C)Cj-S- m 04 E U) U) < 0 w C) Lu UJ V) Z (D 0 < x ILI < w Ln D -j r� LL L) 0) U .0 U-) LL LL ui A l" Z. �- Lu 0 w < 0 CN �-z P w < L) cn C) 0 13� p 10 D- L) 0 z ej 0 W, Lu .0 C L) !:: UJ Q E :L (D' Ch x .2 CD -J C) C� z u z w - olz 00 0 z E. 71� 3. zv:� j Zj z u LU C I r 1. 1 Di-, 14 Date. . ;? 0�" TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that T .................. has permission to perform ............ plumbing in(the buildings of ............ ......... atAe. . . . North Andover, Mass. 3b 4w '444-P F e -e ......... Lic. No .......... .... Check # PLUMBIWUNSPECTOR 5567 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUsETrs Date Building Location Hi PS- Cr —Ow-ners Name Les lie CjRiZc)jvf, Permit # Amount 30 Type of Occupancy Owe 11 /I New 0 �Renovation 0 Replacement Plans, FIXTURES Yes 1:1 No 19 (Print or type) Check one: Certificate Installing Company Name T, 10 It ArA/ Corp. Address 0 - Do "' i- 571 Partner. /.AI,4j ReAlte A40- 01'94Z -- 'Business Telephone qj (0 �� 5-- f:L,0 Firm/Co. Name of Licensed Plumber: 7-0 M -'?04 r-1 ��s% Insurance Cove ge: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Mr Other type of indemnity Bond Insurance Waiver: 1, the undersi gned, have been made aware that the licensee of this application does not have any one of the above three insurance i7nature 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 3tate.Plumbing Code and Chapter 142 of the General Laws. (OFFICE USE ONLY Type of Plumbing License Maste Journeyman ense i-4UMDer r .. 11 k (Print or type) Check one: Certificate Installing Company Name T, 10 It ArA/ Corp. Address 0 - Do "' i- 571 Partner. /.AI,4j ReAlte A40- 01'94Z -- 'Business Telephone qj (0 �� 5-- f:L,0 Firm/Co. Name of Licensed Plumber: 7-0 M -'?04 r-1 ��s% Insurance Cove ge: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Mr Other type of indemnity Bond Insurance Waiver: 1, the undersi gned, have been made aware that the licensee of this application does not have any one of the above three insurance i7nature 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 3tate.Plumbing Code and Chapter 142 of the General Laws. (OFFICE USE ONLY Type of Plumbing License Maste Journeyman ense i-4UMDer r .. 11 -*p- -- -.- - z� -1- - �- � - 7 --" --A, �, 1, , --� �'-- - , .� t-1 - �. � " , ` _- - � - _ I 1* a Date. . .- 'q. -. ...... TOWN OF NORTH ANDOVER 'PERMIT FOR GAS INSTALLATION K This certifies that . X,... has permission for gas installation in the buildings of ....... at .................. North Andover, Mass. .................. Fee�� ..... Lic. Noc G S IN E TOR Check 4 / ;!-/ 4330 MASSACHUSETrS UNIFORM APPLICATON FOR PERAUr TO DO GAS Ffrr]NG (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Locations RX )4 #�/ I i4s c Lesiie Cf0P,1?0AJe Owner's Name New Renovation Replacement [M Plans Submitted El LIJ Date 4-3 -C)3 Permit # Amount $ Cr) (Print or type) bee one- Certificate Installing Company Name—r- L1-41-t01Cg2111 ja4 Corp. Address 97,�, Partner. e-4 &j 4 e, -v c e 14 q C .Business Telephone 2-71 6 Y!5- '� 5-10 Y Finn/Co. Name of Licensed Plumber or Gas Fitter 7�Yvn os W-4 �& leq -a INSLTRANCE COVERAGE Check one, I have a current liability Insurance policy or it's substantial equivalent. Yes ID Noo Ifyou have checked M, please indicate the type coverage by checking the appropriate box Liability insurance policy 0 Other type of indemnity [3 Bond 0 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 F-1 Agent [3 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 peiformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas.Code�,an �J ,d Chapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber ;t V � 33 Gas Fitter License Number 0 Master [Z] Journeyman mom (Print or type) bee one- Certificate Installing Company Name—r- L1-41-t01Cg2111 ja4 Corp. Address 97,�, Partner. e-4 &j 4 e, -v c e 14 q C .Business Telephone 2-71 6 Y!5- '� 5-10 Y Finn/Co. Name of Licensed Plumber or Gas Fitter 7�Yvn os W-4 �& leq -a INSLTRANCE COVERAGE Check one, I have a current liability Insurance policy or it's substantial equivalent. Yes ID Noo Ifyou have checked M, please indicate the type coverage by checking the appropriate box Liability insurance policy 0 Other type of indemnity [3 Bond 0 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 F-1 Agent [3 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 peiformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas.Code�,an �J ,d Chapter 142 of the General Laws. VED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber ;t V � 33 Gas Fitter License Number 0 Master [Z] Journeyman