The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 5 Foulds Terrace Date. . 9- ORT fi •D M 1�a TOWN OF NORTH ANDD VER PERMIT FOR PLUMBING ,SSACMuSE� ....., �. This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . .� . . . . has permission to perform.. . .... . . . . . • . . . plumbing in the buildings of . . . . . . . ...1-. . .!.-.- �. • at . . . . . Andover,, North Andover, Mass. p 1 � FeeQ) . .Lic. No. j �/;� ��~A MBIA INSPECTOR VV Check .N 818 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 'City/Town NO RTH A!0 d U UL MA. Date: Permit# C 10127 6 Building Location:�0 UbiOS /�/P/��L'E Owners Name:NG. aoue /TDUS/N9` *74 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential [300" New: ❑ Alteration: ❑ Renovation: ❑ Replacement: &J-/ Plans Submitted: Yes❑ No❑ FIXTURES z z 0 Z N W a Z Y N J D ui ui w Z (A Z H y Q z Q_ w to U) I-- w 0 a aq Q -w o a Z rc z LU 55 U) rn Z U IL X Q Y = � O 0 l- 3 i z Q LL ?" a Y Q = w w W Lu a a y N ° a 0 'a a °o z ° Q a a a � Q m m u- C9 2 Y J J IY to to H 3 O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4'r-FLOOR 5 FLOOR 6 TH FLOOR Pr-FLOOR 8 1H FLOOR Check One Only Certificate# Installing Company Name: Rom'01410-P r �Corporation Address e��y s S�ity/Town:�Q1� E 9 L State:M8 Q p El Partnership Business Tel:7 Z&�� I&/ Fax: 97A 2 740 YS ❑Firm/Company Name of Licensed PlumberAqui, 0 Hop, P INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes❑ No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy %j Other type of indemnity ❑ Bond l► OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title Plumber ignatur of License P ber City/Town [?Master License Number: 9 �� APPROVED OFFICE USE ONLY ❑Journeyman yol4D CERTIFICATE OF LIABILITY INSURANCE OP ID CE DATE(MM/DD/YYY9) —r DAVID-3 08/11/09 8 11 09 PROD ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Byam Bros-Mahoney Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 191 Pawtucket Blvd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lowell MA 01854 Phone: 978-454-2926 Fax:978-937-0745 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Mountain valley Indemity Co. INSURER B: Guard Insurance David M. Murphy Plumbing INSURER C: Commerce Insurance Company Heat & Gas Fitting Inc. P y 3 Chambing ers Street INSURER D: Lowell, MA 01852 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY L CY EXPIRATIO DATE MMIFEC DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY 320-0022545-06 05/15/09 05/15/10 PREMISELIAMAIJIS(E.occurence) $100000 • CLAIMS MADE X OCCUR MED EXP(Any one person) $5000 -PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY PRO- ECT LOC J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 C ANY AUTO 08MMZX1488 09/12/08 09/12/09 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ A X OCCUR EICLAIMSMADE X20-0028029-04 05/15/09 05/15/10 AGGREGATE $ HDEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND TORY LIMITS I X I ER EMPLOYERS'LIABILITY B DAWC911326 10/17/08 10/17/09 E.L.EACH ACCIDENT $1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $1000000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWOFAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Town of North Andover IMPOSE NO OBLIGATIOyy qq L OF Y I P T fy$ BE I7S QCLBNTS OR 120 Main Street )s m-XI �R � �<:ta� NL�..C. North Andover MA 01845 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE B am Bros ACORD 25(2001108) m, � .k2",=�a ACQ .,MPTION 1988 .vs.LY:..iY N° 2 E 5 9 Date/.—. `N2 f NpRTM q TOWN OF NORTH ANDOVER a r PERMIT FOR WIRING SACMU This certifies that .....t :�`��''�^. ' has permission to perform ..................... wiring in the building of./Y7 :. .!..... �-^ ° " ... ?_-_` `J �!��-P ear ` — % at....................................................... .... ,North Andover,Mass. Fee ..CIE/ ....... Lic.No............. . .;.yam'......................................... J ELECTRICAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer \ THECOMMON E4LTHOFMA5SAOHiSETJS OfficeUseonly DEPARTMWOFPUBLICSAFM Permit No. BOARD OFMEPREVEMONRWULATIOAND7CMR120 �� J Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 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) 5 F-00 t-05 TeitRAC� Owner or Tenant AV►oo'lle . liA60*t-1C0 A-,Tr1i0Rt'TX Owner's Address Is this permit in conjunction with a building permit: Yes[2rNo (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead Underground No.of Meters New Service Amps/� Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ,15" P.-0401Z REA0%JA't10 JV 4 >E "41DIC.AP 43447-44 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets ' No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER ��15TA�t t.J�Q t r16 F o(2 1.1A�D 1 cq P c D $A'T•K QE.P►AC.� e,Xt Stud 6 — ' IrstaartoeCo�aa�Ptd5lTc11YtD1het9C]1ID0T19tiSd319d��'1H13c11Laws Ihaw aa>itatUbildylr>Fd=PoliYHim tgCar#* Cota'aW Its�>tiala0mleit YES NO l homes bnftdwMptoofof btheOffie YES If}cuha\edwdWYES plemmdc*thetypeofoo�aagebydxckirgthe WSURAI BOND 01NER M (PIeweSpe*) E timAdvaluedUedncalwotk$ Work IDSW •0 1 , hq=tionD*-RgxsW Ra# Final sigtted uttderTr Rndties of FIRMNAME Ccd �,L�LTR 1 C LiMWNa 15 a S 3 A Lioalsee �F,- S ACOA Sigrattae ---- ,._ LioerseNo 3 b 00� BtsirmliidNo. 663 635 30iZ Addres4— _Ze_"_ �tt� Pt�ty4rt i�1 K o3a7b AiTeL% to03 770 33%t OWNER'SMURANCEWANFR;IamawaretlrattheLicarsedoesnut theatstra>wwveaWorilsRkSW aleqvalalt3Sm WbyMmmdlsettsCienaalLam and tltat my sern the p�app6c�ian wanes this rec�mattrnt. (Please check one) Owner Agent Q Telephone No. PERMIT FEE Date% N2 4611 -14,0 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING • � r ,SSACMUS� 1 This certifies that . . . . . . . . . . . . . . :.tea. . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . • • 14 plumbing in the buildings o> •F-^ • •-� <� ! '� � O at North Andover, Mass. Fee3P. . . . . .Lic. NoA/4',f- . .. . ✓ . . . . . . . . . . . . . P�,Um v G INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer 21�?, 6� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ' (Print or Type) 1,oa 0VWO- Mass. Date___LQ . ,� — ,L®00 r City, Town permit #_ G a Building [:pe ner ' s AT: Location Gy4bs rwt 4e&- me_ ArW w F ..® ao ram. AVS W ep 40"dsh* a ry ofoccupancy: �o�� y.v�ry New ❑ Renovation ® �Replacement CENT�rtt p � , Plans FIXTURES Submitted: Yes ❑ No U z o z to S zY S N _ F N J N O z W W QL1tLY, ,I/�1 W Y J N Q U F N � O � Q T° 1 O Z W I- W _ ¢ of Z W z ? z a N f U Y a N f" U z CCm m x ac } a l- W z m a a Q a a 3 x cc W O O Q y x 2 a W N G J _z ¢ n aY O LL J E" F" W D J tx O O LL x W = a z 3 0 z Y d H a Y a W LL Y W Q FU- > F• O N N D N f✓ z O 00 N z z W 1 O U Y O a J J a M it M a 0 a F- 3 Y J m to � G J 3 s ►- N LL c� � o a 3 tt m o SUB—BS MT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate ,Installing Company Name -ROBER-T W. `CRVI NE 5014S, 'IQC• E� Corp. 2014 Lo C, Address St ALLEY S`t ❑ Partnership _ LY►a m MA 01 RO Z - 4 4 4 ( ❑ Firm/Company Business Telephone -7151 - 5%1 - 04(04 Name of Licensed Plumber or Gasfitter 'TERRANU M .SMONh I hereby certify that all of the details and information 1 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 Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature Owner/ I have a current liability insurance to e policy to include completed operations coverage. (� By Signature of Licensed Plumber Title City/Town Type of Plumbing License �0Da [Z Master ❑ Journeyman APPROVED (OFFICE USE ONLY) License Number BELOW FOR OFFICE USE ONLY w FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER MOBERT W 'XRVINE F Sor.IS INX. r PERMIT GRANTED DATE 19 PLUMBING INSPECTOR