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Miscellaneous - 19 COCHICHEWICK DRIVE 4/30/2018 (2)
1 r_ - - `4✓ � --- Date..,1.0,131./�l .... .. ppRTM Of TOWN OF NORTH ANDOVER t PERMIT FOR GAS INSTALLATION r + �,SSAC04 This certifies that . . . . . . . . . . . . . . . has permission for gas installation . '!n .��+"lJ! ei in the buildings of . .apwv.!iw. . at Fee. T T.©-4.6Lic. No.tlP 3 . . . 4' '' . . . . GAS INSPECTOR Check# 3 7869 I.- 1 1 MASSACHUSETTS UNUORMAPPUCATONFORPERMrr TO DO GASFfrMG (Type or print) Date l0 Z 11 NORTH ANDOVER,MASSACHUSETTS Building Locations `^2 CW C/.0_ 1 21 Permit# Amount Owner's Name 0A2 21 �� C-. New❑ Renovation ❑ Replacement ❑ Plans Submitted x v � U F C U a C O x F z a F ¢ z zO F w ¢ °m F x o ° ] o z F a C7 w ¢ x w F L a > v Q x a a v F z F z w w U O > w z < > -- C F F' Y v W z O z w O x ax O x -< � 3 o C¢7 OU a > `c a0 Fw- O SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6 T H . F L O O R M1 7TH . FLOOR 8TH . FLOOR r (Print or type) n C eck one: Certificate Installing Company NaCorp. Address t� ' `� Ifaak-v" '`o ❑ Partner. k-t�yc-.- A) Business Telephone 3_ `lam_ ff7__1 S ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ST�Ul i✓ �� SIS 102-3 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ If you have checked yes,please indicate 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 13Agent 13 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 e Gas Code and,Capter 1 of the General Laws. By: U /�/ `� ` Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber 102--3 City/Town © Gas Fitter lcense um er ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman 1Of Si Vdit t[AXQh4 t2 i cry a b " •moo �' - J .,b, ., \yv"� /�// ° �_ --- // +�.ar�•lst ,P ---_- - P / jj 6s1 tr. / P fn.—�M / \ / ONO �♦ '* 1P/ J ez/,z ��°Nc O c v 111 . µ ..•��.u;. ...�.i...w.n.... «e.....�. 1111 11 111 - 11 /, W� Mi. 1 . •�.mmr �ww.._.e.c-.mw `r' / .urw • gnu.r � 11 �MMrw "'••suv wM� p.,11 11 1 • ��•k _ SITE PLAN CAMPION ESTATES NORTH ANDOVER, MASS. PREPARED FOR:CAMPION ESTATES,LLC DATESCALE:: 1*-2 ER 23.2010 SCALE: 1"E20' sio 1'0'" ndto .S., tants inc. 1 E-Ri 1w Place N . n.01811 m 0¢U 20 10 60 80 Ft. PA10\10-03\4"ESTE RAN ENO-N%NGA.g r t — rol cam`» �• °4 / ,.. �'^+n %i/ a _____ �__ tw.oa s^metst ` ---- 4 n F p / °NCO ®zh.>r/eU/OjNc c•>,:J� G,. I C w •^tea°" ___\`�,/"i, s - SITE PLAN CAMPION ESTATES NORTH ANDOVER, MASS. PREPARED FOR:CAMPION ESTATES.LLC '1' W DAIE:NOVEMBER 23,2010 �.�/ '• SCALE: l'-20' +onsutants I-V 1 Ea.l Rives Pl... M—W.Wa 1.01814 0 20 40 60 60 Ft. `(f P:\10\10-03\d,\9TE PLAN ENC-W%NC.d«p 5 COMMONWEALTH OF MASSACHUSETTS j LICENSED ASIAN LP GAS INSTALLER !II ISSUES THE ABOVE LICENSE TO: I . STEVEN E CASTLE SR ! 23 CRYSTAL DRIVE U1 HAMPTON FALLS NH 03844-2136 1023 05/01/12 790359 Of cm 1 'QCT-26-2011 17 29 MARKETPLACE INSURANCE P.0i/01 DATE(MWDwrrr r) 08"FIC SATE OF LIABILITY INSURANCE 10126/1/ CERTIFICAIV ISS ISSUED At,A�-'I T.TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:THIS f ; dZTIF(CATE DO> ;5:NOT AFFIRMAt111ELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES' : OW; THIS CERTIFICATE OF INIPRAPICE.DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED: > FPRE9ENTATNE OR PRODUCER, THE CERTIFICATE WOLDER. t. ORTANT: If tkle certificate FiofdeF f 'an•ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to ,teltrls and corditlons.of the policy,Certain policies may require an endorsement. A statement on this certificate does not confer rlght9,to the. ,. ficate holder ink Ileo of such'endtirs7emen s. CONTACT 802-878-8156 NAM[_ r `Place Ipsurani:e Gtr Inc802-878-0485 PKONE AIC No- itPlaee.Ste 6''. � sicc#�.VY 05451 . ADDRES ' A1NOIlen PR ME PALME-1 INSURERS AFRORDING COVERAGE NAIL p D palm ° Geis Co.Inc.&Elriier 0i INSURERA:Ar onaut Insurance Com an 266 RW 0 Kikyrnorid LCId-i' INSURERS:ARCH INSURANCE COMPANY _ Rocky Flel Transpoirtatrolr:' INSURER c:Starr Indemnl &Liablll art; 13 Haf IIFarm'Rd INSURER D AEkinson,°''Nh103811 ;I ; i. ENSURER E• + �,: •I �>. INSU ERP: �: ERAS Ci.#IFIW!E NUMBER: REVISION NUMBER: IS:;TO CER71F1G THAT THEPOLICIES,�OF;INSURANGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD °x t�S- CATED. NOTW(ri{STANDING i4NYIR UIREMENT, TERM OR CONDrfION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THTIACATE MAYBE:ISSUED'OR M/4Y FERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB IECT TO ALL THETERMS; LU1qION3 AND:CQNDITIONS OF SUCH,POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE O!INSURANCE POLICY NUMOER MMI OEM—EFF MMID IYVYY POLILY EXP LIMITS .. .10 00 •GENERAL LIABILITY: EACH OCCURRENCE s +00 ,' X 'COMMERCIAL'GENERAL WPW710068400 10101111 10101!12 pR Eae 100,0 � MEO EXP(Any one person) ffi 1 5,0• CLAIMS4461i !^ OCCUR ,•� >1 000 PERSONAL 6 ADV INJURY b ,0 13 GENERAL AGGREGATE $ 000 I,'.. '2 000 AGGREC�1EsLIM4T A@PLIES PERPRODUCTS•COMPIOP AGG $ 1 1,: GIERL ?POLICY LQC > TCOMBINED SINGLE LIMIT $ ,1,000 AUTOeoelLe uaB1�ITY 10101/11 10/01112 (Es ewideu) ' X .ANY AUTO WPW710058400 BODILY INJURY(Per person) $ y ALL OWNED AUTOS BODILY INJURY(Per accident) $ 1,000iO r i! X ;SCHEouI-E&AUTOS PROPERTY DAMAGE (Per aeemni) MI $ I > X •' RED AUTOS? 'NON•OWNE6 gUa08 , LIdB: EACH OCCURRENCE $ 8100 ;uNBRELLA 0;0• X OCCUR s EXCESS uA9 CLAIMS-MADSAGGREGATE $ 716.8000288101 10/01111 10/01112 :'DEDUCTIBLE $ i $ RETENTION: $ .1:1 •YJOwRS COMI x8wION i, WC STATU- OTM- AN44MPLOYERt!L}U1'•BILIT>l ANN F 0PRIEToRIPAR ER xFcLTIvE Yj E.L.EACH ACCIDENT $ OFRCER/MEMBERIXCWDED LiJ N I.A (M4Qitoey In NK) E.L.DISEASE-EA EMPLOYE $ N• deaalbe urtdel ... i E.L.DISEASE•POLICY LIMIT $ r DESCRIPTION F.'•P.ERAMONS below P°robrty Seed'h' APW710058400 10/01/11 10/01112 TIV PVN710068400 10/01/11 10/01/12 Equlpment Fl.otate;: �D.. RFPTapN OF oPEkk.'wN8 f LOCATIONS I VitildLES'(Attach ACORD 101,'Additionel Remarks Schedule,IT more epaee Is required) N( Rar166ATE HOLDER' i CANCELLATION ` NOANDOV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED►BEFORE p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED !IN ! ACCORDANCE WITH THE POLICY PROVISIONS. Tow' 1a11 pith AIY,dover; I TOWIlyrBUlld�ry8 De AUTHORIZED REPRESENTATIVE 97888542 James A Mullen 1600 Osgood St ; No Jai ver MA'D1' ®1988-2009 ACORO CORPORATION. All rights rdperved. i:ww w�,,w�wwbnn • TI.n AO'f%Dr%wu,r.n—1 t..nn Ars roeuatP,w i markR of ACORD r TOTAL P.01 The Commonwealth ofMassachuselts Print Form Department of Industrial Accidents ------ Office of Investigations IA; I Congress Street, Suite 100 Boston, MA 021142017 V www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nafne (Business/Organization/Individual): Address: City/State/Zip: JJ11' ` -A il Phone-9: Are you an employer?Check the appropriate box; Type of project(required): 1.El lamaemp)oyerwith 'jO 4, F] I am a general contractor and 1 6. E) New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. n Remodeling ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. employees and have workers' 9. E] Building addition [No workers' comp. insurance comp. insurance.* required.] required.] 5. F1 We are a corporation and its 10.[] Electrical repairs or additions 3-0 1 am a homeowner doing all work officers have exercised their I I.[) Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[:] Roof repairs c. 152, §1(4),and we have no insurance required] employees. [No workers' 13.[] Other comp. insurance required." ti •Any applicant that checks box 41 must also fill out the section below showing their workers compensation policy information. Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or clot those entities have employees. irthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: ILMak -.14 ;�J- V Policy#of,Self-ins. Lic,9- PL,_., Expiration Date: Of /o Job Site Address: tw or� ho fink MIP City/State/Zip: 00 fter Ah U Attach a copy of the workers, compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of This statement may be forwarded to the Office of Investigations of the DIA for insurance cover-age verification. I do hereby cerci under the pains andpenallies ofperjury that the informati, H provided above is true and correct. Si nature: Date Phone-9: [[Official use only. Do not write in this area,to be completed by city or town official City or Town; Permit/License 0 Issuing Authority(circle one): 5f Electrical Inspector 5. Plumbing Inspector 1. Board of Health 2.Building Department 3.CityfTown Clerk 4.E 1 6-1 Othe r C, Phone#: Contact Person: T2:TT TTOZ T2 X30 0692868209:XPJ SIO d3l,113 SH9 X_�W-`]Hrl N0RTH TO" of �. _ o , dover, Mass.,. '711,111 • Y O C LAKE �, ! C OC MIC HEwICK V S RATED I'V .7 U ` .BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR mss, 1 ..... ........THIS CERTIFIES THAT... r—...�°..........:-...........1.. ". n ou an�� has permission to erect........................................ buildings on ../ ..... ....../� .. .✓rut 7........f ��M ��. fS. Chimneys' to be occupied as........................... , provided that the person accepting this permit shall in every respect conform to the terms of the application on file in �) y' this office, and to the provisions of the Codes and By-Laws relating to the In pe tion, Alteration and Con tr tion of c Buildings in the Town of North Andover. A � � PLUMING SP CTC,1R ? VIOLATION of the Zoning or Building Regulations Voids this Permit. ' �� Rough ,, el%` ioy:/e�ea l �• �,HC�� 1,9 1704SIN 6 MONTI�S PERMIT EXPIRES ELECTRICAf INSPECTOR TAR.TS�,,x -' �,s ;?�, /�z ;�� �� /,UNLESS CONSTRUCTIO SRough 6 :::�-".-:: Service .... .. .... ... ........ BUILD G INSPECTOR Q Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough"", „ Display in,a Conspicuous Place on the Premises — Do Not Remove FinalG No Lathing or Dry Wall To Be Done FIREDEPARTMENT Until Inspected and Approved by the Building Inspector. Burner r Street -- - -- – — I—SEE.-REVERSE-SIDE-11 _ Smoke` t. - GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns FOUNDATION: Rebar as.required Anchor bolts or straps Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connection. I I FRAME:Fireblock-over girts/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions. Size ridge to provide full bearing at rafter cuts. Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections. Cathedral roof rafters provide proper connections and use"Hurricane Clips"tie to plate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. v Girls-solid brick or steel plate bearing at foundations. 1 '/Z"air space at sides in foundation pockets. Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc.- Check headroom clearances-'stairways, under beams Attic Access. (min.2240 w/3'headroom above). Crawl space access. (min. 1844). Bath exhaust fans to have metal duct to exterior(not in soffit). Firecode S/R wood frame of"0"clearance fireplaces&stoves Window Schedule or Every Habitable Room Must Have: 1 Natural light equal to 8%of floor area. '/of required glazing shall be openable. Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. Inspections at Footing-Smoke Chamber-Finish Smooth parging,clean joints,8"solid @ combust. DECKS: Lag to house, provide flashing. Y� Rails min. 36"high, Baluster max space 5"on center. Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. Pier footings down 48", Conc. pad at stair base. ZFINISH: Handrails returned to wall/newall post. Guardrails required alongside open cellar stairs. ti Exterior grading complete. i E Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. ! Re-inspection fee- $30.00(Be Ready). a Certificate of occupancy required prior to occupying structure. 00RT#j Town of 0 06Al- 11�_v LAKE o dover, Mass., COCHICHEwICK V RATED PP�t�C -PERMIT T D BOARD OF HEALTH Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT... .. . '� / �°'`r....Z7S11_4/s.'....../�� ................. .................................... Foundati 1 A; ....,... .................... has permission to erect........................................ buildings on .., /..:-... .f...... ............... oug to be occupied as � 7"(7al� d f ........................................................: . chimney .......................................:. .5............. 1 provided that the person accepting this permit shall in every respect conform to the terms of the application on file in �in g`Z � this office, and to the provisions of the Codes and By-Laws relating to the In a tion, Alteration and Con r tion of --� ,� ,� Buildings in the Town of North Andover. ��� ,�� �� PLUMBING SP CTw R,p VIOLATION of the Zoning or Building Regulations Voids this Permit. Roug/ 17 E J7 PERM IT XPIRES IN 6 MONTHS �' d ELECTRICAL INSPECTOR sz�/,UNLESS CONSTRUCTIO STARTS r /1 Roughfc L --�-- �. �% Service BUILDI�iNG INSPECTOR in �''��•lZ �7 Occupancy Permit Required to Occupy Building GAS INSPECTOR e"'6-vk 'e�'�D M/u/1 , Display in a Conspicuous Place on the Premises — Do Not Remove Final � No Lathing or Dry Wall To Be Done FIRE.DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner 4- I k'z_ Street" ���� �✓` SEE REVERSE SIDE moke` t. Z 2�—1Z i 0294 Date........-.G. ..� . ORTH N�ac TOWN OF NORTH ANDOVER SPERMIT FOR WIRING 4L i �SSCHUS This certifies that ..... . ....... .................................................l �°o.f ?.A.. has permission to perform ... /..v^.2 lei ................... wiringin the building of........................................................ ........................ at... s...�y..:........�.s...r?.�..... !'.v!!.:. .h e/" .:`.� rth o, r,M s ' Fee 3..... /:. !�Lic.No1.�..��!G�¢........ / ��... J-��F _ RiBerR[CAL Im ,Check #-3 Z-- The Commonwealth of Massachusetts Office Use Only Department of Fire Services Permit No. lo .2 9 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# �\ �I Occupancy&Fee Checked Rev.11/99) (leave blank) i 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 September 19,2011 City or Town of North Andover To the Inspector of Wir�s: By this applicationthe undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1518 Cochichewick Drive Unit#11 &4_457— Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. j Woburn,Ma 01801 i Is this permit in conjunction with a building permit Yes ❑x No Building Permit no. Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 1 6 3 2 4 Existing Service Amps Volts PHASE Overhead Undgrd No.of Meters Mast Service B Syphone B New Service 1 5 0 Amps 120/240 Volts Single PHASE Overhead eUndgrd xe No.of Meters One Mast Service Syphone Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit 11 F_)#57 " 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 Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total i KVA i No.of Lighting Fixtures Swimming Pool Abgrnd In- No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. Tons No.of Waste Disposers Heat Pump Number Tons...... ........KW No.of Self Contained Detection/Alerting ........................ .. ........... Totals: I I I Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection R Connection No.of Dryers KW Heating Appliances KW Security Systems:No.of Devices or Equivalent No.of Water No.of Data Wiring: Heaters KW No.of Signs Ballast's No.of Devices or Equivalent No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equvalent OTHER: I Attach additional detail if desired,or as required by the Inspector of wires. i 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 BOND ❑ OTHER F� (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric, Inc. LIC.No. A10638 ,06�Licensee Signature LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)93;7-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner [:J Agent ❑ (please check one Telephone No. PERMIT FEE$ (Signature of Owner or Agent) i d � ,. The Commonwealth of Massachusetts Office Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK## Z z Occupancy 8 Fee Checked I (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 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DATE September 19,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1518 Cochichewick Drive Unit#15 Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. Woburn,Ma 01801 ) Is this permit in conjunction with a building permit Yes ❑X No Building Permit no. Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 1 6 3 2 4 1 i Existing Service Amps Volts PHASE Overhead 8Undgrd a No.of Meters Mast Service Syphone New Service 1 5 0 Amps 120/240 Volts Single PHASE Overhead Undgrd x No.of Meters One Mast Service 8 Syphone e Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit 11 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 Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixtures Swimming Pool Above red In- No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. Tons Heat Pump Number Tons KW No.of Self Contained Detection/Alerting No.of Waste Disposers .............................................. ...................... Totals: Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection Connection No.of Dryers KW Heating Appliances KW Security Systems: f No.of Devices or Equivalent No.of Water KW No.of Signs No.of Data Wiring: Heaters Ballast's No.of Devices or Equivalent ! No.Hydro Telecommunications Wiring:Massage Tubs No.of Motors Total HP No.of Devices or Equvalent 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 0 BOND ❑ OTHER F� (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric,Inc. C. 0. A10638 Licensee Signature LIC.NO. l Address 154 Fletcher Street, Lowell,Ma.01854 Bus.Tel.No. (978)937-8620 Alt.Tel.No. j OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required i by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner ❑ Agent (please check one). I Telephone No. PERMIT FEE$ 477. 0 (Signature of Owner or Agent) The Commonwealth of Massachusetts Office Use Only l 0 2_6? Department of Fire Services Permit Na. -t:,p33 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# 3?�L Occupancy&Fee Checked J S, (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 September 191,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her Intention to perform the electrical work described below. Location(Street&Number) 1518 COchichewick Drive Unit#17 Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. j Woburn,Ma 01801 I Is this permit in conjunction with a building permit Yes No Building Permit no. I Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 1 6 3 2 4 Existing Service Amps Volts PHASE Overhead Undgrd No.of Meters Mast Service e Syphone 8 New Service 1 5 0 Amps 120/240 Volts Single PHASE Overhead Undgrd x No.of Meters One Mast Service B Syphone B Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit VF rRf Completion of the f lowing table maybe waived by the inspector of wires No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total I KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixturesove In- Swimming Pool Abgrnd grnd No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FHW FHA I FIRE ALARMS No.of Zones I. i No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. I Tons , No.of Waste Disposers Heat Pump Number Tons KW No.of Self Contained Detection/Alerting Totals: Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection M Connection No.of Dryers KW Heating Appliances KW Security Systems:No.of Devices or Equivalent No.of Water KW No.of Signs No.of Data Wiring: Heaters Ballast's No.of Devices or Equivalent I No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equvalent 1 OTHER: Attach additional detail if desired,or as required by the Inspector of wires. i 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 BOND ❑ OTHER F-1 (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric, Inc. 2.0. A10638 Licensee Signature LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)937-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner r—I Agent ❑ (please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) he Commonwealth of Massachusetts Office Use Only wF l r �� Department of Fire Services PermitNo. P Z BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# 3?92- Occupancy&Fee Checked J , (Rev.11/99) 1/99) (leave blank) r 0 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 September 19,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her Intention to perform the electrical work described below. Location(Street&Number) 1518 Cochichewick Drive Unit 1 ' Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. Woburn,Ma 01801 j Is this permit in conjunction with a building permit Yes Q No Building Permit no. I Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 1 6 3 4 8 Existing Service Amps Volts PHASE Overhead 8Undgrd 8 No.of Meters Mast Service Syphone i New Service 1 5 0 Amps 1201240 Volts Single PHASE Overhead e Undgrd xe No.of Meters One. Mast Service Syphone Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit ' i Completion of the f lowing table maybe waived by the inspector of wires No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixtures Swimming Pool Above red In- No.of Emergency Lighting Battery Units I No.of Receptacle Outlets No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. Tons Heat Pump Number No.of Waste Disposers Tons KW No.of Self Contained Detection/Alerting ............... Totals: f Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection R Connection No.of Dryers KW Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW Noof SigNo.of Data Wiring: . ns I Heaters Ballast's No.of Devices or Equivalent No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equvalent 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 Q BOND F] OTHER F-1 (Specify:) Estimated Value of Electrical Work $ (When required by municipal policy.) (Expiration Date) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric, Inc. LIC.NO. A10638 Licensee Signatu LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)937;-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ I (please check one) Telephone No. PERMIT FEE$ (Signature of Owner or Agent) Date UNIT# I ROUGH I PASS FAIL INSP f FINAL i PASS ( FAIL ROUGH I PASS FAIL FINAL The Commonwealth of Massachusetts Office Use/Only y / ' t Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# 3 yx t Occupancy&Fee Checked 9J ate% (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 September 19,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her intention to perform the electrical work d lbed below. I Location(Street&Number) 1518 Cochichewick Drive Unit#,* c" I W 0-,5 r- Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owners Address CONTRACTORS ADDRESS 110 Winn St. Woburn,Ma 01801 Is this permit in conjunction with a building permit Yes Q No Building Permit no. Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 1 6 3 4 8 Existing Service Amps Volts PHASE Overhead Undgrd No.of Meters Mast Service e Syphone New Service 1 5 0 Amps 120/240 Volts Single PHASE Overhead e Undgrd x-1 No.of Meters One Mast Service Syphone Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit Completion of the f lowing table may be waived by the inspector of wires No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixtures Swimming Pool Above In-grnd grnd No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. Total No.of Ranges No.of Air Conditioners Tons No.of Alerting Devices. No.of Waste Disposers Heat Pump I NumberTons KW No.of Self Contained Detection/Alerting Totals: Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection Connection No.of Dryers KW Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water No.of Data Wiring: Heaters KW No.of Signs Ballast's No.of Devices or Equivalent No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equvalent 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 F] OTHER F-1 (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric, Inc. IC.NO. A10638 Licensee Signature LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)937-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner ❑ Agent (please check one) Telephone No. PERMIT FEE$ qr-7- /3 (Signature of Owner or Agent) he Commonwealth of Massachusetts Office Use Only Department of Fire Services Permit No. h ) 1 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# 37,$-Z Occupancy&Fee Checked (Rev.11 199) (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 September 19,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 46446 Cochichewick Drive Unit#W 0- -2,3, &U�5 7— Owner Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. Woburn,Ma 01801 Is this permit in conjunction with a building permit Yes Q No F� Building Permit no. Purpose of Building Residential Condo Building Utility Authorization no..r-1-4-3-4-6-1-4-4- Existing -4 3 1X4-4- Existing Service Amps Volts PHASE Overhead Undgrd No.of Meters Mast Service Syphone 8 New Service 1 5 0 Amps 120/240 Volts Single PHASE Overhead Undgrd x No.of Meters One . Mast Service Syphone Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit 4X 3r– Completion "Com letion of the following table may be waived by the inspector of wires No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixtures Swimming Pool Above In-grindgrnd No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self Contained Detection/Alerting Totals: Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection Connection Fj No.of Dryers KW Heating Appliances KW Security Systems:No.of Devices or Equivalent No.of Water KW No.of Signs No.of Data Wiring: Heaters Ballast's No.of Devices or Equivalent No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equvalent 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 Q BOND ❑ OTHER F-� (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric, Inc. LIC.NO. A10638 Licensee Signature LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)937-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner E] Agent F (please check one) Telephone No. PERMIT FEE$ �S 7. L) ! (Signature of Owner or Agent) The Commonwealth of Massachusetts Office Use Only V. Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# i h Occupancy&Fee Checked (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 September 19,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1518 Cochichewick Drive Unit#V FS-�� C' Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. Woburn,Ma 01801 Is this permit in conjunction with a building permit Yes No F� Building Permit no. Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 1 6 3 4 8 Existing Service Amps Volts PHASE Overhead Undgrd No.of Meters Mast Service Syphone New Service 1 5 0 Amps 1201240 Volts Single PHASE Overhead 8 Undgrd xe No.of Meters One Mast Service Syphone Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo unit ,7- Completion "Com letion of the following table may be waived by the inspector of wires No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixtures Swimming Pool Abgrnd In- No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self Contained Detection/Alerting ........ . . .. ............ Totals: I Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection Connection No.of Dryers KW Heating Appliances KW Security Systems:No.of Devices or Equivalent No.of Water KW No.of Signs No.of Data Wiring: Heaters Ballast's No.of Devices or Equivalent No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equvalent 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 0 BOND F] OTHER F-1 (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric, Inc. LIC.No. A10638 Licensee Signature LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)937-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner [-] Agent (please check one)!J Telephone No. PERMIT FEE$ (Signature of Owner or Agent) ; s; The Commonwealth of Massachusetts Office Use Only Department of Fire Services Permit No. yns S � BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 CK# 379"2- iso x�r� Occupancy&Fee Checked J b' (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 September 19,2011 City or Town of North Andover To the Inspector of Wires: By this applicationthe undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Cochichewick Drive Unit# i d-7 \A}l 5J Owner or Tenant BUILDING CONTRACTOR Andover Rennovations Owner's Address CONTRACTORS ADDRESS 110 Winn St. Woburn,Ma 01801 Is this permit in conjunction with a building permit Yes 0 No ❑ Building Permit no. Purpose of Building Residential Condo Building Utility Authorization no. 1 1 3 -1 6 3 4 8 Existing Service Amps Volts PHASE Overhead e Undgrda No.of Meters Mast Service Syphone New Service 1 5 0 Amps 120/240 Volts Single PHASE Overhead a Undgrd x8 No.of Meters One Mast ServiceSyphone Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install wiring for condo uni (S r Completion of the f lowing table maybe waived by the inspector of wires No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Transformers Total KVA No.of Lighting Outlets No.of Hot Tubs Generators Total KVA No.of Lighting Fixtures Swimming Pool Above red In- No.of Emergency Lighting Battery Units No.of Receptacle Outlets. No.of Oil Burners FHW FHA FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners FHW FHA No.of Detection and Initiating Devices. No.of Ranges No.of Air Conditioners Total No.of Alerting Devices. Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self Contained Detection/Alerting Totals: Devices. No.of Dishwashers Space/Area Heating KW Local Municipal Other Connection Connection No.of Dryers KW Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water No.of Data Wiring: Heaters KW No.of Signs Ballast's No.of Devices or Equivalent ! No.Hydro Massage Tubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equvalent OTHER: I 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 Fx� BOND F] OTHER F� (Specify:) (Expiration Date) Estimated Value of Electrical Work $ (When required by municipal policy.) Work to start: September 19,2011 Inspection to be requested in accordance with MEC Rule 10, and upon completion. + certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME Leonard Electric,Inc. IC.No. A10638 Licensee Signature LIC.NO. Address 154 Fletcher Street, Lowell, Ma.01854 Bus.Tel.No. (978)937-8620 Alt.Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner F� Agent (please check one) !J Telephone No. PERMIT FEE$ (Signature of Owner or Agent) The Commonwealth of Massachusetts IFPrri; irrn if Department of Industrial Accidents a Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/0'ganization/Individual): Leonard Electric,Inc. Address: 154 Fletcher Street City/State/Zip: Lowell , MA 01854 Phone#: 978 937 8620 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 20 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition employees and have workers' workingfor me in an capacity. . Y comp. insurance.I 9. ❑ Building addition [No workers' comp, insurance p• required.] 5. ❑ We are a corporation and its 10.F1 Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11. Plumbing repairs or additions ❑ g P myself. [No workers right ght of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no. employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Phoenix Insurance Co. Policy#or Self-ins. Lic.#: U132733R731 Expiration Date: 6/30/2012 i Job Site Address: � City/State/Zip: _A4,� �� � _ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the gains and enaltie of erjury that the information provided above is true and correct. Si Rnature: Date: ..... G...... . .� 9 ?v Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone M 9'i 01 Date. 9//ZA. . . . NORTp �r��<��•',;•.��coL TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Cows This certifies that . . /?�!".r!h. .��� .h` . . h.G. . . . . . . has permission to perform . ./1�er . .�!Uh� . . . . . . . . . . . . . . . . . plumbing in the buildings of�. . xh..d«/�4—n.0. . . . . . . . . . . . . . . . at. . ��'.,1.9. . e C�l):G/w./.0 k. Acl. ., North Andover, Mass. Fee/j.$ Z4.ic. No.. . . . . . . . . . •6• c^7 / PLUMBING INSPECTOR Check # 17J� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO GAS FITTING CITYITOWN: N.Andover STATE:MA APPLICATION DATE: 9/12/11 JOB ADDRESS: 11-19 Cochichewick Rd GOCCUPANCY TYPE: COMMERCIAL[] RESIDENTIAL PLANS SUBMITTED: YES❑ NO❑ NEW❑ ALTERATION[] REPLACEMENT[] REMOVAL/DEMOLITION r NATURAL&LIQUEFIED PETROLEUM GAS:PIPING-EQUIPMENT—APPL'IANCES—SYSTEMS Z ENTER TOTAL AMOUNT FOR EACH SELECTION LIMITED TO FIVE(5)NUMERALS AIR ROTATION UNIT FURNACE: ALL TYPES 4 TEMP HEATING EQUIPMENT BOILER:ALL TYPES GAS PIPING THERMAL OXIDIZER BOOSTER GENERATOR STATIONARY ENGINE TURBINE BROILER ILLUMINATING APPLIANCE UNIT HEATER BURNER: ALL TYPES INCINERATOR WATER HEATER: ALL TYPES 4 CO-GENERATION UNIT INDUSTRIAL AIR HANDLER EQUIPMENT OVER 12,500MBH COFFEE ROASTER INFRARED HEATER rOTHER NOT LISTED- COOK APPLIANCE HOUSEHOLD 4 KILN 1 GLORY HOLE I CRUCIBLE COOK APPLIANCE COMMERCIAL LABORATORY COCKS DECORATIVE APPLIANCE MAKEUP AIR UNIT DIRECT VENT APPLIANCE 4 MECHANICAL EXHAUST EQUIPMENT j DRYER: ALL TYPES 4 OVEN: ALL TYPES FIREPLACE:VENTED/UNVENTED POOL HEATER FRYOLATOR ROOF TOP UNIT FUEL CELL ROOM HEATER—VENTEDNENTLESS PLUMBING/GAS FITTING FIRM INFORMATION CHECK ONE ONLY K.Martin Plg&Htg Inc 124 Abbott St ]✓ Corporation Business# 2135 NAME: ADDRESS: CITY: Lawrence STATE: MA Zip: 01843 Partnership Business#❑ ❑LLC Business# TEL 978'685-2521 FAX: EMAIL: kmartin343@aol.com ❑DBA 1 Unincorporated �I NAME OF LICENSED PLUMBER I GAS FITTER: INSURANCE COVERAGE i I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES]✓ NOFJ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. ,A liability insurance policyP(] 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 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 OWNER'S NAME: TEL: FAX I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my knowledge.I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws. (OFFICE USE ONLY) Type of License: Permit# ✓]Plumber ]Gasfitter / Inspector ✓]Master ]Journeyman Siqo re of Licensed Plumber 1 Gas Fitter Undiluted LP Installer License Number: 9320 Fee: _ ] Limited LP Installer s% MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO PLUMBING CITYITOWN:.N_Andover — .1 APPLICATION DATE: 9/12/11 JOB ADDRESS: 11-19 Cochichewick Rd_! w! PLANS SUBMITTED: YES® NO❑ POCCUPANCYTYPE: COMMERCIAL[] RESIDENTIALQ NEWRI ALTERATION _J REPLACEMENT❑ REMOVALIDEMOLITION❑ T PLUMBING: PIPING—FIXTURES-FIXED APPLIANCES—APPURTENANCES Z ENTER TOTAL AMOUNT FOR EACH SELECTION LIMITED TO FIVE 5 NUMERALS ALTERNATIVE TECHNOLOGY I DISPOSER I SINK: MOPLJ SERVICE ASPIRATOR E=1 DRINKING FOUNTAIN I STERILIZER - DRAIN: AREA FLOOREJ =1 EJECTOR ❑ F= STORAGE TANK BACKWATER VALVE BAPTISM:FONTO SACRARIUM BAR SINK C BATHTUBVI WHIRLPOOL 4 7804 Date. . ./. /.�. k. . . . . .. BIDET CROSS CONNECTION DEVICE DEDICATED: ACID WASTE SYSTEMof "O o'" DEDICATED: GAS/OIUSAND SYSTEM TOWN OF NORTH ANDOVER DEDICATED: GREASE SYSTEM DEDICATED:RECLAIMED WATER ; ; PERMIT FOR GAS INSTALLATION DENTAL FIXTURE/EQUIPMENT ' °• -•- DISHWASHER s SACHUS t PLUMBING INSTALLER—FI i K.Martin Plg&Htg Inc This certifies that . . .� . . �. . !�l. . . ,!Y 1 . . T✓�C NAME -- - - CITY: Lawrence _ � has permission for gas installation ./. .: .,�Uh. . . .y`S. TEL 978-685-2521 FAX in the buildings of . . at . . .&.- �'lz�.G �/r . . North Andover, Mass. NAME OF LICENSED PLUMBER: Fee. XqP,OR Lic. No.. . 9.?ZU. . GAS INSPECTOR I have a current liability insurance policy or,its; Check 412531 _ If you have checked Yes,please indicate the typ A liability insurance policy F711 OWNER'S INSURANCE WAIVER:I am aware that the ncensee-aoes norr�ave meirrsuranee e�v�rageiequii�a toy Knape rswzvui�,eayaacnoa� ,�� � n_,r..:r, and that my signature on this permit application waives this requirement. CHECk ONE ONLY OWNER❑ AGENT❑ Signature of Owner or Owner's Agent OWNER'S NAME:F - ! TEL: - FAX: I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my knowledge.I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws. (OFFICE USE ONLY) TYPE OF LICENSE: Permit# ❑✓ Plumber Sigtature of iLicensed Plumber Inspector ❑✓ Master 9320 License Number:.__ Fee: ❑Journeyman i TOWN OF NORTH ANDOVER INSPECTIONS LOCATION COCHICHEWICK ELECTRICAL 10294 PERMIT # PLUMBING GAS 10294 BUILDING BUILDING Date UNIT# ROUGHROUGH Garaee 11 15 17 19 21 23 25 27 Eelectrical EAST 10/13/2011 11 ROUGH XXXX P1M 10/13/2011 15 ROUGH XXXX PJM 17 ROUGH 19 ROUGH 9/21/2011 SERVICE TRENCH XXXX DES 1 WEST 21 ROUGH 23 ROUGH 25 ROUGH 27 ROUGH 10/21/2011 SERVICE TRENCH XXXX IPJM I i Plumbing EAST 9/29/2011 11 ROUGH XXXX RKD 9/29/2011 15 ROUGH XXXX / RKD 10/25/2011 17 ROUGH XXXX RKD 10/25/2011 19 ROUGH XXXX RKD 1,7 UNDERGR WEST 21 ROUGH 23 ROUGH 25 ROUGH 27 ROUGH UNDERGR v TOWN OF NORTH ANDOVER INSPECTIONS LOCATION COCHICHEWICK ELECTRICAL 10294 PERMIT# PLUMBING GAS 10294 BUILDING BUILDING I Date UNIT# ROUGH ROUGH Garage 11 15 17 19 21 23 25 27 Eelectrical EAST 10/13/2011 11 ROUGH XXXX PIM 10/13/2011 15 ROUGH XXXX PJM 17 ROUGH 19 ROUGH 9/21/2011 SERVICE TRENCH XXXX DES WEST 21 ROUGH 23 ROUGH 25 ROUGH 27 ROUGH 10/21/2011 SERVICE TRENCH XXXX PJM I Plumbing EAST 9/29/2011 11 ROUGH XXXX RKD 9/29/2011 15 ROUGH XXXX RKD 10/25/2011 17 ROUGH XXXX RKD 10/25/2011 19 ROUGH XXXX RKD UNDERGR WEST 21 ROUGH 23 ROUGH 25 ROUGH 27 ROUGH �. UNDERGR I I I i TOWN Of NORTH ANDOVEK INSPECTIONS LOCATION COCHICHEWICK ELECTRICAL 10294 PERMIT'#' PLUMBING GAS 10294 BUILDING BUILDING Date • • ROUGHPASS FAIL FINAL Ml ELECTRICAL ' SERVICE 11 XXX PJM r 35 xxx P1m 17 xxx PJM q f ;.19 . xxx PJM 21 XXX ojM 23 XXX PJM 25: Xxx Pim 27 XXX PJM ,BEAST 10/13/20111 11:e ROUGH XXX PJM 2/23/2012 XXX PJM 10294 10/13/2011 1S: ROUGH XXX PJM 4/26/2012 XXX PJM 10294. 11/2%2011 17 ROUGH XXX PJM 5/21/2012 XXX PJM 10294._ 11/11 2011 19 ROUGH XXX PJM 3/23/2012 XXX . PJM 10294 9/21/2011 SERV TRENCH XXX DES 10294 11 22 2011 V 4 METERS XXX PJM / / SER 10294 , 1/17/2012 21 ROUGH XXX DES 4/17/2012 XXX PJM 10294" 1/17/2012, ,23 ROUGH XXX DES 3/26/2012 XXX PJM 10294 1/25/2012 25 ROUGH XXX PJM 4/17/2012 XXX PJM 10294, 1/17/2012 . 47 ROUGH XXX DES 2/23/2012 XXX PJM 10294 , 10/21/2011 SERV. TRENCH XXX PJM ;110294 12/13/2011, SERV 4 METERS XXX PJM 10294 - , i L� � 1 • µo t � i '77 n CERTIFICATE OF USE & OCCUPANCY j TOWN OF NORTH ANDOVER I I Building Permit Number 8252010 Date: April 27, 2011 THIS CERTIFIES THAT 1 THE BUILDING.LOCATED ON 37Cochichewick Drive, North Andover, MA 01845 Campion Hall MAYBE OCCUPIED AS unit IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS-A S MAY i APPLY. --- - 6ui !� s Cert ,o! aadsul P r �— $ aad i!wJad Jay10 �— $ unod iwled uo!taP sro+rir $ aad 1. ti� eur,s� $ aad }lww Jad a �eJdl6u!P!!ns - -»``•;`. Aouedn030 t Fee: 100.00 NMOL MlYON Receipt: 24100 a3A0aNd HIVON .40 1 oN r a�eo U0!1g001 Or �, fy'�"j` -' r�ORTH - F own of And 0 W411t:..&,4 I &.-1- 0 , = o dower, Mass., CAKE COCHICHEWICK V oRATED PP��'1� v S BOARD OF HEALTH Food/Kitchen .PERMIT T D Septic System BUILDING INSPECTOR /. THIS CERTIFIES THAT � . C� ..... : ......................................................J, Fo undaton, hasp ermission to erect......... �` .......................... buildings on ......�............... to be occupied.as............. . ..... ./ ......... .....................%:` Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in in �/� 10 f2% 4��> �� this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSP OR VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST TS Rough .... Service BUILDING INS Final Occupancy Pernit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. _Smoke`Det -- - - - - - SEE REVERSE-SIDE- - - - - - - 'F 'lo GENERAL BUILDING NOTES/CHECKLIST-NOT LIMITED TO ITEMS BELOW V/V l� POST ALL LOT NUMBERS,ADDRESS, AND PERMIT(COPY 0K)..or no inspections INSPECTIONS: (Minimum) Excavation , Footing, Foundation, Frame, Insulation, Final. FOOTINGS: Continuous Full 2x4 Keyway Continuous strip footings for interior columns ,' n FOUNDATION: Rebar as required Anchor bolts or straps ` Damproofing Foundation drain-pipe/stone/fabric filter/cover and outlet connectiLlipe"fie I FRAME:Fireblock-over girls/plates between floor joist Penetrations for plumbing, heat, elec, etc. Walls at stair stringers. Windbrace corners and center bearing partitions.Size ridge to provide full bearing at rafter cuts.Hip and Valley rafters-watch bearing at walls. Ridge&Hip-Provide proper connections.Cathedral roof rafters provide proper connections and use"Hurricplate. Stair stringers-watch cuts and heal support. Joist hangers-fully nailed w/hanger nails. Sill plates 2-2X6(1 PT)w/sill seal. Girls-solid brick or steel plate bearing at foundations "air space at sides in foundation pockets. I c) Lateral bracing at ends. Certified calculations. required for Beams/LVL's Trusses. Solid bearing support for Headers/Beams etc. Check headroom clearances-stairways, under beams2 Attic Access. (min. 22x30 w/3'headroom above). Z1 f � i �f� l�� (fir 17 Crawl space access. (min. 18x24). Bath exhaust fans to have metal duct to exterior(not in soffit). -I— vyt 411 -7)"_S_' Firecode S/R wood frame of"0"clearance fireplaces&stoves Pro, Window Schedule or Every Habitable Room Must Have: f Natural light equal to 8%of floor area. / of required glazing shall be openable. owl Bedrooms required min. 20x24 egress window or door. Vent attic spaces-"proper vent", soffit and required ridge vents. Firecode under stairs if used for storage FIREPLACES: Separate permit required. ��'"` Inspections at Footing-Smoke Chamber-Finish '7 ok 3, /2> t/ Smooth parging, clean joints,8"solid @ combust. � � — DECKS: Lag to house, provide flashing. Rails min. 36" high, Baluster max space 5"on center. , Over 8'above grade, use 6x6 posts w/lateral bracing. Lag all posts and rails. i Pier footings down 48", Conc. pad at stair base. FINISH: Handrails returned to wall/newall post. 3 1 /,p� L Guardrails required alongside open cellar stairs. Exterior grading complete. , Certificate or occupancy required prior to occupying structure. Temporary Stairs required for inspection. Re-inspection fee- $30.00(Be Ready). -� - Certificate of occupancy requited prior to occupying stnuct re. vvl i y ,rJ I WILLIAM BALKUS ASSOSCIATES AAC[HrFiM TEL. 978 887 3351 WBAARCHITECTS .COM TIN SOUTH MAIN STREET TOPSFID MA 019B3 WMBALKUSASSOC@M—Q0M MEMORANDUM T0: MR. GERALD BROWN FROM: WILLIAM BALKUS DATE: MAY 24,2012 SUBJECT: CAMPION HALL CONDOMINUMS,SUMMER HOUSE UNITS 11, 15,17,AND 19.CENTENIAL HOUSE UNITS 21,23,25,AND 27. BUILDING TYPE:VB USE GROUP: R-3 I have reviewed the completed work done on the above listed units,and to the best of my ability, I would say that the work meets the original design concept and the requirements of the Massachusetts State Building Code. Respect ly Y s, v�� IV fl roti �v William Balkus No n 4452 0 TpsfreId, q��F!OF MPS I i l Siegel Associates, Inc. Consulting Structural Engineers ! www.siegelassociates.com 634 Commonwealth Avenue October 11, 2011 Newton Centre,MA 02459 617.244.1612 tel 6 Mr. Gerald Brown 17.244.1732 fax Inspector of Buildings 1600 Osgood Street North Andover,MA 01845 Re: Structural Framing Affidavit Campion Hall—Summer House 11-19 Cochichewick Drive North Andover,MA 01845 Dear Mr. Brown, Siegel ge Associates Inc. was retained b Rob Bramhall Architects MA to perform structural Y � consulting services on the above-referenced project. Specifically, we reviewed the proposed architectural design drawings, performed structural calculations, and produced structural framing plans. Additionally, we inspected the site during construction and provided verbal and written direction to the general contractor. Our final inspection was done on October 11, 2011. On the basis of this work, I certify that to the best of my knowledge, information, and belief, the structural work associated with the above-referenced project complies with our original design,with approved field modifications,with the structural provisions of the Massachusetts State Building Code 780 CMR-7, and with accepted structural practice. Please feel free to call if you have any further questions about the structural work on this project. Very truly yours, SIEGEL ASSOCIATES, INC uS STEVEN IAUL ivyg-�fi, yr..gYg'�I..nn p�}.J�WW 14 ♦) f 1 t SteveHSiegel, incipal