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HomeMy WebLinkAboutMiscellaneous - 10 WOODRIDGE DRIVE 4/30/20186374 Date ......./. ...... VORT)l "aa TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SSAa4u This certifies that ............. ......... ........... has permission to perform ............. ....... ....................... ....... wiring in the building .......... Pt ......... ......... . North Andover, Mass. Fee ...... ............ Lic. No...:sJ./`"L 011 .. ...................... A-'� . .... .... .......... ...... EU�GR-I-CAL INSPECrOR Check # e Commonwealth of Massachusetts Oficial Use Only Department of Fire Services Permit No. 7 r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked A [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 01/24/2006 City or Town of: North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 14 Briarwood Owner or Tenant Wood Ridge Homes Telephone No. 978-423-7867 Owner's Address 10 Wood Ridge Drive, North Andover, MA 01845 Is this permit in conjunction with a building permit? Yes ❑ No X (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installed switch for porch light Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑In- 11o. rnd. rnd. o Emergency -ig mg Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches 1 No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pum Totals Nu.................er Tons , " KW � � ........... No. of Self -Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I cert, under the pains and penalties of perjury, that the information pn this gppljfation is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signature/ 46y:�14izA LIC. NO.: 9743 (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: 978-686-3828 Address: 1000 Osgood Street, North Andover, MA 01845 Alt. Tel. No.: 978-686-3829 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a ent. Owner/Agent PERMIT FEE. $ 5.00 Signature Telephone No. NDERS LECTRICAL COJNC. Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE RECEIVED OCT 2 6 2005 October 24, 2005 INVOICE # 050389 08/23/2005 14 Briarwood - Outside Porch Light, Not Working Supplied and Installed New Switch Material & Labor: $ 67.00 TOTAL DUE THIS INVOICE.- $ 67.00 TERMS: Net Due Upon Receipt of Invoice 2.0% Per Month Finance Charge On Balances Over 30 Days THANK YOU 9 1b00 OSGOOD STREET PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978) 682-1646 N°RTM d °f ,Ao M � 9 - � Date......4 .. .... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION -'A US This certifies that .. fir(........ . .. e has permission for gas installation in, the buildings of ��jj// �� //.or-t"h Andovv/er�,/Mass. ASINSPECTOR I F Check # 5'137 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, M Building Locations PERMIT TO DO GAS FrrmG Date Permit # Amount $ .wner's Name ZL"A,dac %1,�, l -s New ❑ Renovation Replacement Plans Submitted ['I❑ (Print or types Chec one: Certificate Installing Company Name 11L.S)N 1&ra Corp. ElPartner. [N[Firm/Co. Name of Licensed Plumber or Gas Fitter —7)c) 11 1 (C-SGh INSURANCE COVERAGE Check o e: I No Q have a current liability Insurance policy or it's substantial equivalent. Yes x. If you have checked yes, please indicate the type coverage by checking the appropriate bo Inability insurance policy 0 Other type of indemnity 13 Bond 13 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 , _ •., _..., u== .,. --A—LU ,,,..,,,,,aL,V„ I „avn Suoimueu kor enterea) in anove application are true and accurate to the best of my knowledge and that all plumbing work and installations pe ormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St Ga Co and hapt r I f the General Laws. IAPPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter 13 Plumber -)-6313 Gas Fitter License Number Master ® Journeyman SUB-BASEM ENT ,IST. FLOOR MEMO (Print or types Chec one: Certificate Installing Company Name 11L.S)N 1&ra Corp. ElPartner. [N[Firm/Co. Name of Licensed Plumber or Gas Fitter —7)c) 11 1 (C-SGh INSURANCE COVERAGE Check o e: I No Q have a current liability Insurance policy or it's substantial equivalent. Yes x. If you have checked yes, please indicate the type coverage by checking the appropriate bo Inability insurance policy 0 Other type of indemnity 13 Bond 13 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 , _ •., _..., u== .,. --A—LU ,,,..,,,,,aL,V„ I „avn Suoimueu kor enterea) in anove application are true and accurate to the best of my knowledge and that all plumbing work and installations pe ormed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St Ga Co and hapt r I f the General Laws. IAPPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter 13 Plumber -)-6313 Gas Fitter License Number Master ® Journeyman A�' —7� r13 Date..................... 'kORTo4 TOWN OF NORTH ANDOVER 0 1401•PERMIT FOR GAS INSTALLATION SACHUS Et Ais certifies that ..................... has permission for gas installation ............ in the buildings of ...... . .............................. .... at North Andover, Mass. Fee -.;��..-V/. Lic. . ........... AS IN eE�V Check # 2 4450 MASSACHUSETTS UNIFORM APPUCATON FOR PERMPf TO DO GAS FT HNG (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations -j C�� vjL ��� W�perm't # P' �` 1 Amoulnt $ c �?� Owner's Name V aj- ot.) (` dli , su New ❑ Renovation ❑ Replacement Plans Submitted ❑ (Print or A9 l9 IM Business Name of Licensed Plumber or Gas Fitter (� heck one: Certificate Installing Company J V l Corp. ❑ Partner. },INSURANCE COVERAGE Chec one: I have a current liability Insurance policy or it's substantial equivalent. YesL.Al No❑ Ifyou have checked yes, pli irate the type coverage by checking the appropriate box. Liability insurance policy Other 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 I have submitl best of my knowledge and that all plumbing work and installations compliance with all pertinent provisions of the Massachusetts State OVER (OFFICE USE ONLY) Plumber Gas Fitter Master Joumeyman in above application are true and accurate to the Permit Issued for this application will be in ehapteF442 .c the General Laws. ,ed Plumber Or Gas Fitter kens um er MMMIMMIM���������i��i��a� IST. FLOOR MMIMIMMM (Print or A9 l9 IM Business Name of Licensed Plumber or Gas Fitter (� heck one: Certificate Installing Company J V l Corp. ❑ Partner. },INSURANCE COVERAGE Chec one: I have a current liability Insurance policy or it's substantial equivalent. YesL.Al No❑ Ifyou have checked yes, pli irate the type coverage by checking the appropriate box. Liability insurance policy Other 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 I have submitl best of my knowledge and that all plumbing work and installations compliance with all pertinent provisions of the Massachusetts State OVER (OFFICE USE ONLY) Plumber Gas Fitter Master Joumeyman in above application are true and accurate to the Permit Issued for this application will be in ehapteF442 .c the General Laws. ,ed Plumber Or Gas Fitter kens um er