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HomeMy WebLinkAboutMiscellaneous - 10 PETERSON ROAD 4/30/2018v North Andover Board of Assessors Public Access OE NOFTlr �� F s p t 9S$wCM,SE( Click Seal To Retum Search for Parcels Search for Sales Summary Residence Detached Structure Condo Commercial Page 1 of 1 U� h neer � r ar��1 �fi span its Owner Name: CLARK, KINO ISABEL L CLARK Owner Address: 10 PETERSON ROAD City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood: 5 - 5 Land Area: 0.11 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1920 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 389,600 389,600 Building Value: 242,300 242,300 Land Value: 147,300 147,300 Market and Value: 147,300 Chapter Land Value: LATEST SALE Sale Price: 278,000 Sale Date: 12/30/1999 Arms Length Sale Code: Y -YES -VALID Grantor: RICHARD IMPRESCIA Cert Doc: Book: 05648 Page: 0038 http:Hcsc-ma.us/PROPAPP/display.do?linkld=188 8962&town=NandoverPubAcc 5/17/2012 O w z O y W I- W CL 0 v U) U W vp 00 � J ' U oQ a. 11- 76 O c CD a) CD N O ofO J 00 L✓n O Y U O J m O Ln N D_ Q 0 r f0 CL 00 y M M Rr r U• 'O -a c c Y Y i `c �M N: >I C) O 00 M M r41 » +• •t� } i\ � z O Q W w J J cu ��, Y `- 2 z O d'O L O Q/ ON V � LL Qio z 00 �, Z O � O M M O u �wa�frrrJ" ' V Zm N� O Fn 4 / r J V a'' o J 0)0) Q m m "'.IL' r .11% �.� z O 4)12 ..� ..� N zCD ' O d � � CID co a LL V'a_ F- � O D x c O F - O m 4) n = z n� a N CO N N �N f z 0) 1-'I N; N a) Z) �N+ ! O.mf(6 .� IN 1 p O _ 0...> � �� o Z.al7 Z5 O LL ,0) CIS Cly U- UY?O �2ciUa`a� Oi=imp m ��, F� N z N `O N NN If � V 13. LV { O �,o a) rn Q �l O m O is m a) LL LL6 N N N OQ a, ` a - c M N N�7... LL. Ca LL,cll cQ.c m lm .. !.� N. E O Z CLL CLL >_ } i` O O W V c6 a�D ��D c < Z) p�tt=,y F- W !>- @!p�V C9 'U i0 a o a+ L6 LL. z W !� co N „ca Id t� IM N o F- F- m ILL L6 CO uJ X V L6 E Eswt p O @i�Q,«O �i� tc`o�`m(W/j i7 co 0. �N (6�m � 2 co co 1, t�fC','N tE p�N 7 m -f (6 j YiX• yVly F-mLL2WmYWQ ,m ma M W ip N >z C9 Q v LL Icy i} ' f cm c F -f0 ialQ{ai'Q .. 43 2 > F-,�rm F- {$ �� °o•x 2!o lam) =?2jac): V U U) : w 2 LL S LL iz 10. a_ cn 0 r f0 CL Date. 3345 .... .. .. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . .4;z��. . . has'permission for gas installation .............. in the buildings of .................... AW ....... North - Andover, Mass. Fee-�� . Lic. No.�.�Y:� ... ...... ........ SIN WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS NIFORM APPLICATION FOP-:.!,I3MlT L? .00, GASFiTTtK�, (Print or Type NORTH ANDOVER Mass.Date uiidin 'I_ocatlon P �•• � g i0- aete�sot� Rd � ermit � R Owners Na }ear o-16&"' `C c�x K New 1 Renov, `atto�� ;T] Replacement .2Plans �4k���ttes! �] .:..9 _ FIXTURFc (Print or Type) -Check one:.. Certificate Installing Company Name ANDOVER ELM & •HTG. CO,JNI,.LM Corp. 9,129 Address 20 AEGEAN': D.R. UNIT V10 Partner. METHUE.N, MA. 01844 Firm/Co. 00 Business Name of Telephone: 978-685-8.383 Licensed Plumber or Gas Fitter rFORGF I AR()SF Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity 'n Bond Insurance Waiver: 1, the undersigned, have been made. -aware. that • the licensee of this application does not have any one of the above 'three 'insurance coverages. I Signature of owner agent of property Owner Agent i hereby certify that all of the dcuils and information I have lubmitted (or entered) In above applieatioa ua true &W occmate to the best of my knowtedte and that at1 ptuatbi4 work and Mattladons pafomud;uader•h'ermht tutted for Wit AprliatloowWcbe 4s.00m ILace witis &11vcgu at provisions of the 14nactuscUs State Cas We sad Qupter 142 of tho Ceaesat Laws. By Title City/Town: APPROVED (OFFICE USE ONLY)' PE. LICENSE•:=;•, . ' Gasffitter Sign>ire.of Licensed gaster Plumber or Gasfitter Journeyman 9983 Mcense Number W 10 •� x; Fes'. us U3 0 � � �. F x w � a 1 W ' M ... , 'US ,, ai z '� a o y=,, ?' w W w a. :v v .� w x a 1st: '� a. ' w t- a w F- x Cf a 0 H x , I .. r • x r.: W t- w ra:. o � a. o i~ W. ..t o.. tr- w x Q, 4 W w Y � .e W a 'O .. d a- C<< m= O O" x W O kr 1- . x x o 0 x a�� a Z .a v x y a .a N. o SUR—MSMT. I3ASEMFHT 1, 1ST FLOOR 2U0 FLOOR 380 FLOOR' 4TH FLOOR r , STH FLOOR 6TH FLOOR 7TK FLOOR (Print or Type) -Check one:.. Certificate Installing Company Name ANDOVER ELM & •HTG. CO,JNI,.LM Corp. 9,129 Address 20 AEGEAN': D.R. UNIT V10 Partner. METHUE.N, MA. 01844 Firm/Co. 00 Business Name of Telephone: 978-685-8.383 Licensed Plumber or Gas Fitter rFORGF I AR()SF Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity 'n Bond Insurance Waiver: 1, the undersigned, have been made. -aware. that • the licensee of this application does not have any one of the above 'three 'insurance coverages. I Signature of owner agent of property Owner Agent i hereby certify that all of the dcuils and information I have lubmitted (or entered) In above applieatioa ua true &W occmate to the best of my knowtedte and that at1 ptuatbi4 work and Mattladons pafomud;uader•h'ermht tutted for Wit AprliatloowWcbe 4s.00m ILace witis &11vcgu at provisions of the 14nactuscUs State Cas We sad Qupter 142 of tho Ceaesat Laws. By Title City/Town: APPROVED (OFFICE USE ONLY)' PE. LICENSE•:=;•, . ' Gasffitter Sign>ire.of Licensed gaster Plumber or Gasfitter Journeyman 9983 Mcense Number N2 2181 Date-.—.�'. -. ac� ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... z .�,.,.-7 .... .................................................................... 4, has permission to perfoaR_...A<.L—.-.'1 .. ............................................ wiring in the building of ...... ..................................................... at ................ . North Andover, Mass. Fee ....... Lic. No.��/J.;.R. .. ...... .. ....................... ih, � - ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 1% •� C1m1=1uaaahA o/ P1?a„a<<rwalt, 2eparintenI o`J;,. &raicai .. UV BOARD OF FIRE PREVENTION REGULATIONS official use only Permit No. Occupancy and Fee Checked Rev. 1 ti99) rt�o... t,t ,,.t•� --------'-- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the ;Ntassachusetts Elcctricnt Code (;1dEC). 527 GMM 1-.00 . (PL E.iSC PRINT IN INK OR TYPL•' : l LL /tW'0'JW I T IOtV) Da t c: City -or •Town of: L id C�0-b60 -b 6 V e 2 To the Inspector of 1•Y ct•es.. By this application the undersigned gives notice ofltis o her intention to perform the ciccrrical work described below. Location (Street & Number) (� �e f S c, Owner or Tenant V ��..4. Telephone No: 9 Owner's Address �' Is this permit in conjunctioti with.i buildinb permit? . Yes ❑ No (Check Appropriate Box) Purpose of Building 1 Utility Authorization No. Existing Service Amps. /Volts Overhead ❑ Undgrd ❑ No. of tilcters New Seryilce Antps / • ` Volts Overhead ❑ Undgrd e ❑ -. No. of Meters: Number of Feeders and Atnpacity Location and Nature of Proposed Electrical Work: No. of Recessed Fixtures .r me ruuulcure No.`of Ceii: Susp. (Paddle) Fans more nray oe n aived by the his' cctor o%lYires. 1 °• °f "Total fransfornlers' KVA No. of Lighting Outlets No. of Hot Tubs Generators IKVA No. of Lighting Fi=tures Pool Above In- b 11 crud. rn. t o. o mergenc0 tgti BatteryUnits .'.; ... .. •`` No. of.Receptacle Outlets No. of Oil Burners .*FIRE FIRE ALAILIIS No. of Zone's No. of Switches �' No. of Gas Burners o ' etection and Initiating Devices No. of Ranges Ranges Tota! No. of Air Conci. Tons N°, of Alerting Devices O No. of Waste Disposers HcatYutup Totals: number Tons K1Y No. ofSelf-Contained Detection/Alertine Devices No. of Dishivasllers No. of Dryers No. o. of Water Heaters KW Space/Area Heating K`YLocal Heating Appliances K1i: No. o I o. o Signs Ballasts ❑ unicipa Other mon S it Svstcros• �', ,. vices or E uivalent Baia Wiriug: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Tota} HP Telecommunications Wiring: , No. of Devices or E u}valent OTHER: V1 araacn aaarrrarrar aerarr 1 aesrrea, or as required by the Inspector of {Vires. INSURANCE COVERAGE: Unless waived by the owner, no-perrnit for the performance of electrical work nray issue unless the licensee provides proof of liability insurance including "completed operation" covera_e or its substantial equivalent. The undersigned certifies that sttch coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK OINE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) ' dd (Expiration Date) Estimated Value of Eley neat Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance witli MEC Rule 10, and upon completion. I Certify, ruttier the liahns anal penalties of perjuq; that the injortuatiotn on this application w trite and complete. F[WNINAINIE: ADT SECURITY SERVICES INC. LIC.NO.:_C1533 Licensee: JACK BASSETT Si;nature LIC. NO. C1533 (If applicable, cuter "ec:rnpt" in the license number title.) Bus. Tel. No.: (781) 278-1169 Address: 111 MORSE STREET, NORWOOD 02062 Alt. Tel. No.:(7811_ R— 131 OWNER'S INSURANCE W.-UVER: I am aa3re that the License: docs not have the lizoility insurance co%era;c normally required by Inw. By my signature below, l hereby waive this requirement. I am the (check one) ❑ owner ❑ o%%'ncr's acrnt. Owner/Aecmt Sienaturc Telephune No. P%:RaIIT FE•L•: S J� ..~ v � ? h.YA _f �• `i.'� -�{r.. •1 'e .,r, �[. ' � ... ..... � � .'fes. ... Y ,�' ,1 l , iell st ?•— T _. s.. . ..� � '.y�}. .•1 l . . . `r t F'•__ „ d^ � ! _ .. .. .-"._._ aw..r,.o-n.. ... �. .w* - w . .. w � T ^' Fi. ..t � i.Y �• .__ �. �. . .Al'in. . �. ..., ,'.. � -.__..die.. .tBi� •.1� - �?1 r . '.. fir, �r l .�. • r .,ys7 £.1 ..M 'rV4 .'i � .,2Ar� ,1�4}k" J-^wl'./.� _ V .. .. r tn{ �'�1 .."_., f', ±„�.._ ._ _... �a^_ ... _ i « T} ..._ _ »-... . _ _.. „„ ' %i to tea. J i _.� �.._--�--•> ..Y... _...e _..-.._.. ,..�..r..�,-. Location No. Date CAL* 7861 TOWN OF NORTH ANDOVER Certificate of Occupancy $ M Building/Frame Permit Fee $ qZ(0 Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee $ Mx 'Water Connection Fee $ PCQ TOTAL $ &XID - Building Inspector Div. Public Works Location Q6 No. Date 40 T TOWN OF NORTH ANDOVER Certificate of Occupancy $ ........... Building/Frame Permit Fee $ MU Foundation Permit Fee $ 0c, Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspector 01117/95 IE:23 -7859 150 -CO PAID Div. Public Works Location r2,,P No. Date Al, I qh�— I TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee 7 Sewer Connection Fee $ Water- Connection Fee s TOTAL $ TO aA In7sj6tor Div. Publi�*orks PERMIT NO. ©t S APPLICATION FOR PERMIT TO BUILD — NORTH 'ANDOVER, MASS. N V PAGE 1 MAP d40. I LOT NO. EST. BLDG. COST ��T -!!- EOz 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE Z ONE SUB DIV. LOT NO.� SEPTIC PERMIT NO. / 4 APPROVED BY :_OCA PURPOSE OF BUILDING ?p Jty OWNER'S NAME n C r- NO. OF STORIES - SIZE-�•Z,ZZSF OWNER'S ADD P '"5 r� BASEMENT OR SLAB a s',`,IpI ARCH ITECT'sy' E SIZE OF FLOOR TIMBERS IST .gyp �� 2ND �. f1/ -v 3RD -6 Fff:#_ @UILDER'S NAME jNEAREST � t SPAN 7 :DISTANCE TO BUILDING //1 DIMENSIONS OFF SILLS �y '" "" POSTS °,�. /� •/� DISTANCE FROM -STREET DISTANCE FROM LOT LINES - SIDES REAR fs / "" '" GIRDERS / AREA OF LOT (i( ~///�.yy�, f FRONTAGE ��` ! J HEIGHT OF FOUNDATION ` THICKNESS v A/J IS BUILDING NEW e� �I SIZE OF FOOTING Pt X' i IS BUILDING ADDITION ,p e U MATERIAL OF CHIMNEY IS BUILDING ALTERATION /� i IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1e �s IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LIN .,(S INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 . 3 PERMIT FOR FOUNDATION ONLY REGULATED BY PARA. 114.8-& B.C. PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDINGD +TMS ATTACHED GARAGES MUST CONFORM TO STATE FIRE QbUCA FEE PAID 00 i T PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR Wl�l DATE FILED - SIGNATURE Op/OWNERq�/AUTHO z L� ,/ / FEE ��� ®L-3 PERMIT FOR FRAME/BUILDING - PERMIT GRANTED 5b•� � t ' 19 ATE: z d FEE PAID JLL BLDG. PERMIT 01.2 ih• Ro LESS FDA FEE too • 0 0 DEC 3 0199ti ......_........_._.,�... - DUE FRAME PERMIT $0,33k : 0 a 3 PROPER INFORMATION LAND COST I Uu EST. BLDG. COST ��T -!!- EOz EST. BLDG. COST PER SQ. BLDG. COST PER SQ. F�. l D `E EBT. BLDG. COST PER ROOM (1 O SEPTIC PERMIT NO. 4 APPROVED BY OWNER TEL.# CONTR. TEL. # ( J—H 9 CONTR. LIC.11. D `E H.I.C. # BUILDING. RECORD -,OCCUPANCY 12 SINGLE FAMILY I STORIES MULTI. FAMILY APARTMENTS CONSTRUCTION 2 FOUNDATION INTERIOR FINISH CONCRETE -8 --- PINE 3 I 2 13 CONCRETE BL K. BRICK OR STONE— HARDW D PIERS PLASTER DRY WALL --jN F I —N 3 BASEMENT AREA FULL B M T AREA N. ATTIC AREA B M -T FIRE PLACES -T HEAD ROOM MODERN- KITCHEN 4 WALLS I FLOORS CLAPBOARDS tZill-.11 DROP SIDINGCONCRETE L, B 1 _21 3 JARTH HA�RDVJ D COM/ICN SPH TILE WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAMf,,r�-- 11 BRICK ON MASONRY 7 ATTIC STIRS, & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. WIRING STONE ON' MASONRY STONE ON FRAME SUPERIORPOOR I ADEQUATE 4 NONE 10 PLUMBING 5 ROOF GABLE BATH 13 FIX.) GAMBREL -dip MANSARD TOILET RM. 12 FIX.) 4— FLAT SHED WATER CLOSET ASPHALT SHINGLES -LAVATORY WOOD SHINGES— KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING I I MODERN FIXTURES TILE FLOOR -tIlE DADO 6 FRAMING j I. 11 HEATING WOOD JOIST S PIPELESS FURNACE FORCED HOT AIR FURN. - T'MEIER'M2& CQL STEAM SEL BZ. &�COLS! AOT W T'R OR VAPOR WOOD RAFTERS_ AIR CONDITIONING RADIANT H'T G UNIT HEATERS I A OIL 7 NO. OF ROOMS B'MJ 2nd — I 3,d ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT'DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES. ETC. SUPERIMPOSED. Tmi-l§ REPLACES -PLOT PLAN.--- 4- A T m .T v CA '0 C DD CD CA C7 10 CD CD Z y CD = O n r * M CM c S CL = y aCO -0 O CD CD CLQ CD �F CD 0 CD .CD y. CL y CO CD v CO) . O 1 Z CD O C") O CD O C CD rm n m = CO �• y O Q y. O CD C.3 a y aO m n o ymac 3 Z ?`p f%1 CD a.=rd m m O .m CA 0 y O O D C=* -moi a. O O ..r O 00 C09 W ��• O_ a o 'O O O O N R sa n -o r - c co .d_-.• COH O 03 H N d m C CA CD up .•r < co Vl CO -3 O CD ' o CD i! V O to C Y� .rt C O 3 3 � o CD �. i� c� rn r CA m �CD mac: CL ?.► �Z n m �O y = 00 Z 2 NO o = Z o Cy O 0 H 0 0 � ' 1 I ��I .}. {, _ � r ` .. ,. .„•� � .. ,. 1. - I.: 1 ' t S , ;:. FORM U - IAT REIM SR FOgM INSTRUCTIONS: This.form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction, have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: 11VIle /[ r `/ Cote Phone LOCATION: AsSe,�ssor's Map Number Parcel Subdivision _ Oed &/Ow dry --ZZ7-- Lot (s Street Pe l -Pr- St. Nu-=er � *iF1r�c*i*iir�c***ic�c�rict*�tt**QfilCjal Use Only*******fie*ic*******icicxic*** e RECOMY-END T ON OF OWN AGENTS: Date Atnroved 242 Consar: a tion ?,d= inistrator. Date Re; ected vl� 6 cku& t Town Planner Cc=erts Food _ns:,ect.,_- ealth Date Approved Daze Rejected Date Approved Date Rejected Date Approved Date Reject=er Pu:.__c Ncr:;s - sewer/water connect_ans dr_vewa.• permit SS i 2 F -re Depar--ment Recsi,ied by Building Ins:.ecfor Data err, 3 01994 1 a m 74 OD r OD �o m NO IV 10 . lro) </�- co o. O D— Q t. o V -Ti. 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KE C YMXX GJ^"al�'7�:- Y1i L -h . h O 1 rA W 11, y . .. . � a.+: y. - ..:.: - .....:�..i . .. .: ..: ."t.'.'}sw�-�.��2L"�L"_:AL^:�'LPF.f1"5"�,o°L2Z7..K{-:STsA.iL��'...i�'^`e1`�'�Co"G'a^L^'P.Z3 AS"�Fd�B^..N'^�`�"lC_.i-•..ry.$'.w'41S'.�"Y, :.. yrva - d`�'� � 77 . � h t2L Sh. KE C YMXX GJ^"al�'7�:- Y1i L -h . h O 1 .. . � a.+: y. - ..:.: - .....:�..i . .. .: ..: ."t.'.'}sw�-�.��2L"�L"_:AL^:�'LPF.f1"5"�,o°L2Z7..K{-:STsA.iL��'...i�'^`e1`�'�Co"G'a^L^'P.Z3 AS"�Fd�B^..N'^�`�"lC_.i-•..ry.$'.w'41S'.�"Y, :.. yrva - d`�'� � 'sN� � .vAn3r2YE--'St-:uaacieeie� � V �r� ~�• S~"�su.ef' � �Y� ilkG��..� r�3fL�P' ^SNS-: . •� - ��� e - .. "... S•q+R:-". :. �:.�id•ttM4 r..+T: �r:.t F \ b"i'�S' P".. .:....3 . 'L : - .� ..:"',�.:x^L- ... 74 Mt , ►' �, jAiL 77 . � h t2L Sh. KE C YMXX GJ^"al�'7�:- Y1i L -h . h _ .. . � a.+: y. - ..:.: - .....:�..i . .. .: ..: ."t.'.'}sw�-�.��2L"�L"_:AL^:�'LPF.f1"5"�,o°L2Z7..K{-:STsA.iL��'...i�'^`e1`�'�Co"G'a^L^'P.Z3 AS"�Fd�B^..N'^�`�"lC_.i-•..ry.$'.w'41S'.�"Y, :.. yrva - d`�'� � 'sN� � .vAn3r2YE--'St-:uaacieeie� � V �r� ~�• S~"�su.ef' � �Y� ilkG��..� r�3fL�P' ^SNS-: . •� - ��� e - .. "... S•q+R:-". :. �:.�id•ttM4 r..+T: �r:.t F \ b"i'�S' P".. .:....3 . 'L : - .� ..:"',�.:x^L- ... Mt A Date. . ... TOWN OF NORTH ANDOVER 0 PO PERMIT FOR PLUMBING ',S4CHUS d This certifies that .......... has permission to perform ....... plumbinge inith buildings of ...... ........ at North Andover, Mass. Fee. Lic. No.. ............................... PLUMBING INSPECTOR Check # 6285 MASSACHUSETTS UNIFORM APPLli T G`t/'lam/� IYiaSS. ening Location 16 New O ,ST Plenovalion O :A ON�FOR PERMIT TO DO PLUMBING parnit Owners Name Ito . Tjrpe of O=upancycL Pians Submitted: Yes Q No G neem Z � Z Y 0- Y 0 O Z m O Z OD W ¢ z W W 3 Q~< W fA Y 4 ar, O Z W >a s Go > � au 0 aD =Lu ju go Q 4 Zx3,�b0�-.c «i � Go0 z 0 0 0 z m�aa�i� 8 Timone - Rc? -:?,T .ye Nameof LWWWW Phnrfber vv i a 0 corporation C3 Pwumvft piniveo. OMWANCE OpVERAG> I have a current iiabiiity pol'wy or its svbstarrtiai univalent which meets the requirerne of MGL Ch 142 Ye8[ !fecked No haves�M Please w9kcate the type coverage by dwx*mg the appropriate boot A liability mwrance poluy -g Other type of inderywifty O Bond G BR'S WRMRANCEVAIVElb l am aware that the !ice does Trot have the irrsurance by Chapter iQ of the Mass. General Laws. and that my SWOUM on this Denrtappficafion waives tf>s mere ofChec* one: owner or Owner's AgentOwner Agent G I halby oxtilyom an of the details aid kdonnation I ran "belt etmypWWkdgeand that au pk nbbV vr= and ba Wn woe" M aq penkma pro isiom of the.Massas Of wed Pltarrt Type of Lrerma 0 l,reerrse Wrrnber - /-25/01 true and acww tD. raps application wr'b Pr thermal i�wa. Y V • • y IN EMEMMEEMES■ ■MENNESEEN■ ■��M■N®EEN■ No ONE ■ENIMMEENEWME ■EEMMEMESS■ mummommm■ MWEEMEEN ONEENSOM� mmmmmmm 0 corporation C3 Pwumvft piniveo. OMWANCE OpVERAG> I have a current iiabiiity pol'wy or its svbstarrtiai univalent which meets the requirerne of MGL Ch 142 Ye8[ !fecked No haves�M Please w9kcate the type coverage by dwx*mg the appropriate boot A liability mwrance poluy -g Other type of inderywifty O Bond G BR'S WRMRANCEVAIVElb l am aware that the !ice does Trot have the irrsurance by Chapter iQ of the Mass. General Laws. and that my SWOUM on this Denrtappficafion waives tf>s mere ofChec* one: owner or Owner's AgentOwner Agent G I halby oxtilyom an of the details aid kdonnation I ran "belt etmypWWkdgeand that au pk nbbV vr= and ba Wn woe" M aq penkma pro isiom of the.Massas Of wed Pltarrt Type of Lrerma 0 l,reerrse Wrrnber - /-25/01 true and acww tD. raps application wr'b Pr thermal i�wa. i Z 1 t �• r t Z O Z 30 A r r 30, Z A A O; . . Z.., 'ott P as A S Z O Z 30 A r 30, C 1 s Z. O. i Date .......... T TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION V1 This certifies thata ....... .......... has permission for gas installation., ........ .............. in the buildings of J .... a t A/) ..... ...... . .................... North Andover, Mass. Fee -,46-10. Lic. No.. 4,3/6 . .......................... GASINSPECTOR Check 4 S-1,7 9 NM I ASSACHUSETMUNIFORM APPUCAfiQhf fWd or Type_ AJ%l , Mass•_ Oat. t'�, t I y c 9 New ❑ Rte, _❑ RMFr TO DO GASFrMNG . t LV - Permit es Name-::�i!No C,, -*,e of Occupancy_ f lUC7L t Plans. Submitted. Yesp lIr r V ; W" a_. a c a: a o c. �•' Iw lug 44 a` C Q> G Fr W W Q '' Irc- , q InstaON Company Name-- AMr,, T, ("�.b, Business Telephone`s r Name of Ucensed Plumber or=Gas Fitter. Check;one : ❑ Corporatkm- O Partnetship A Firm/Ca. I INSURANCE: COYERAGE-�- I have a .Y . I Y poli4y.oc as s I: equWent which meets the -requirements,of_tMGL,Ctx 142• H You have: -lMg*o afidiaatia—*-&+A =vei<age:by. dwddng:ft appwpd".box A 1WAlty irmranoe:-po ky Obwbipe'atirwamcft CIL Bond- O OWNER'S INSURANCE WAIVER: I arty aware . that:the iloa�see does, not=beans - � ice .Coverage required by - Chapter 142 of the 4Aass� General~Liwa.. and MW.my signahtre °on •this permit -application wages .this requirement Check one: Si9natun of OwMc or Ow�wr Agent OwnerO Agent.❑ I hereby certify that ap of the detals wW � aft* ed for entered) in. above appikation am true. and ac=ate.to.the best.oi my knowledge and that al performed under the pertnQ ' the, vnQ be in Pertinent Provisions a the Massachusetts State Gas. Code and Chapter 142 a the plianoe with est True G _ nature or Itter W rown „�, License Number 131O(n. W n W'. � • 2 = z ms's o v s Sufi-BSYT. SASEMENT- 1STfLOOR 2N0 FLOOR SRO FLOOR 4TH'FLOOR.- STH-FLOOR , 4TH FLOOR 7TH 'FLOOR - 4TH FLOOR.. RMFr TO DO GASFrMNG . t LV - Permit es Name-::�i!No C,, -*,e of Occupancy_ f lUC7L t Plans. Submitted. Yesp lIr r V ; W" a_. a c a: a o c. �•' Iw lug 44 a` C Q> G Fr W W Q '' Irc- , q InstaON Company Name-- AMr,, T, ("�.b, Business Telephone`s r Name of Ucensed Plumber or=Gas Fitter. Check;one : ❑ Corporatkm- O Partnetship A Firm/Ca. I INSURANCE: COYERAGE-�- I have a .Y . I Y poli4y.oc as s I: equWent which meets the -requirements,of_tMGL,Ctx 142• H You have: -lMg*o afidiaatia—*-&+A =vei<age:by. dwddng:ft appwpd".box A 1WAlty irmranoe:-po ky Obwbipe'atirwamcft CIL Bond- O OWNER'S INSURANCE WAIVER: I arty aware . that:the iloa�see does, not=beans - � ice .Coverage required by - Chapter 142 of the 4Aass� General~Liwa.. and MW.my signahtre °on •this permit -application wages .this requirement Check one: Si9natun of OwMc or Ow�wr Agent OwnerO Agent.❑ I hereby certify that ap of the detals wW � aft* ed for entered) in. above appikation am true. and ac=ate.to.the best.oi my knowledge and that al performed under the pertnQ ' the, vnQ be in Pertinent Provisions a the Massachusetts State Gas. Code and Chapter 142 a the plianoe with est True G _ nature or Itter W rown „�, License Number 131O(n. 1- Z rl t 0 Ad - - J - d Itf �' V Z J a s