HomeMy WebLinkAboutMiscellaneous - 10 WOODRIDGE DRIVE 4/30/20186374
Date ......./. ......
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
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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 #
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Commonwealth of Massachusetts Oficial Use Only
Department of Fire Services Permit No. 7
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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
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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