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Date ..... L:71.27n�.Z7:
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Ab /
Thiscertifies that .............................................................................................
has permission to perform ........ ..........................
wiring in the building of ........... L **"****"*****
at .......................................... ...............4n_ , North Andover, Mass
I'll
fee.V .... Lic. No....YS-�C7 ................
..........
ELECTRICAL INSPEC R
Check#
10587
l_on:moniveatth o` fflamaclu<detts
Permit No. 10-TY�-7� /
ly 2aparhnenl o�}�:re Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1;07]
(leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the N-lassachusetts Electrical CoV
\•IEC). 5'_7 CkIR 12.00
(PLEASE PRINT I.V IrVK OR TYPE 4LL 1A OR TIO:. - Date: � , 61/
City -or Town of: ,4 Cd i/et� /x'!14 To the Inspector of Wires:
By this application the undersigned gives.noticeo 1 is or her intention to perform the electrical work described below.
Location (Street & Number)-]� Z /- � IP. AA 4 J-400- 1 -
Owner or Tenant Vj 01 Y �rllOwner's Address 1 7 Z �y�
Is this �ermit id conjunction with a building permit?
Purpose of Building
Existing Service ' amps / Volts
New Sen ice Amps / Volts
1s Number of Feeders and Arnpacity
Location and Nature of Proposed Electrical Work:
Yes ❑ No
Tel
(Check Approprt'att sok)
Utility Authorization No.
Overhead ❑ Undgrd ❑
Overhead ❑ Undgrd ❑
No. of NIeters
No. of }Ieters'
No. of Recessed Luminaires
- �, ,�..�••...F
No. of Ceil.-Susp. (Paddle) Fans
. •cu U, u,r ,ruuec]ur 01 »p WEE.
No. of . Total
Transformers KVA J
No. of Luminaire Outlets
No. of Hot Tubs
Generators KV'A
No. of Luminaires
Swimming Pool above ❑ In-
❑
�JI
r o. of mergency lg ltlllg-
-
grnd. arnd.
Battery Units
No. of Receptacle Outlets
No. of Oil Burners _
FIRE ALARNIS No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and. -
Initiating Devices
No. of Ranges
No. of Air Cond. TotaTons l
No. of Alerting Devices f
No. of Waste Disposers
Heat Pum Number Tons KW
........................................
No. of Self -Contained t
No, of DishwashersMunicipal.
Totals: _
Space/A'rea Heafipb KW, .
Detection/Alerting Devices
Local ❑ Connection ❑ Other
No. of Dryers
Heating Appliances KW
Security ystems:* /
No. Devices I
No. of Water
No. of No. of
of or E trivalent
Heaters KW
Signs Ballasts
Data Wirina:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of MotorsTotal. HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
9
q rracn aaamonat aetmt V aesrrea, or as required by the inspector of Wires.
Estimated Value of Electrical Work: % / (When required by municipal policy.)
Work to Start: f Inspections -to be requested in accordance with NEC Rule 10, and upon completion.
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 ❑ (Specify:) Self Insured
1 certify, under the pains and penalties of perjury, that the ' ormation on this application is true and complete. _
FIRM NAME: ADT Security Services LIC. NO.:
Licensee: Mark A. Brophy: Signatue LIC. NO.: C-45
Rfapplicdble, enter •'exempt" in the license number lil7e.) Bus. Tel. No.: 603-594-5928
Address: 18 Clinton Drive Hollis NH Alt. Tel. No.:
*Per M.G.L. c. 147, s. 57-61, security work requires Department of Publ ic Safety "S" License: Lic. No. 00953
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) [I owner [I owner's agent.
Owner/Agent `
Signature Telephone No. PEkVIT FEE: S Y_,57—
Ye s
_,57—
W1
.: -... X71 I _11-71 AImo-....111.1 Gl.i I' �
;: __ LL
A;R:EGISTERED SYSTEM CONTRACTbP.,::�.
-- _. _ _ . .. _ _ .._1.•...
ISSUES THEABOVELICENSE TO:
A D7 SECURIT-Y, SERVICES, 'JNG:.;
- h:4RK::? . BROPHY:',.SR f
''4.1OiUNIVERSITY.-AVE:' '•`` •' :::�N'
M A°:. 0 2.0 9,0
EST.W00 D r:
,4 4°5 C• 07/31/13 _`..:849174:': :.
• • •
b Then Oal7ctl alan¢Aa Pe
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Keep top for receipt and change of address notification.
OPS-CAl C. SlJ-10f09.10t62009LICENSEFORMI
/,� •�e��t��Lnnu�ea.�.Cf• c��/I%�a,>vac�.�ateCGi
DEPARTMENT OF PUBLIC SAFETY
S - License
=F = r
Number' SS CO 000953
Expires: 02107/2013 Tr. no: 195.0
S -License: ADT
j
MARK A BROPHY SR
410 UNIVERSITY AVE �j� %% — DIG SAFE CALL CENTER: (888) 344-7233
WESTWOOD. NIA 02090 Commissioner /
Date%... � ... .... .
TM a!
41
o� °. a° TOWN OF NORTH /ANDOVER
• PERMIT FOR 'GAS )INSTALLATION
This certifies that .........................
has permission for gas installation- �.... :..........
in the buildings of .. : � :' ............................... .
at . ; ..,C -� 4-' ? v'' _. �- ....... North Andover, Mass.
Fee? '. `P.. Lic.-S* *IN*
v!/�''� c ........ .
GAS INSPECT43fi
Check #
691,6
G
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
N ANDOVER ,Mass. Date 10/19 2009 Permit#
Building Location 172 BRIDLE PATH
Owner's Name KEVIN M. MERLI
Owner Tel# 978-314-1184 OR 978-686-3029 Type of Occupancy RESIDENTIAL
New 7 Renovation❑ Replacement ❑ Plan Submitted: Ye[] No[]
FIXTURES
Installing Company Name Eastern Propane & Oil, Inc
Address
131 Water Street
Danvers, MA 01923
Business Telephone # 800-322-6628
Name of Licensed Plumber or Gas Fitter
",e; /v
Check one: Certificate
Corporation
❑Partnership
❑Firm/Co.
INSURANCE COVERAGE:
I have a cures, liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yesl ✓ I No ❑
If you have c ecked Vis, please indicate the type coverage by checking the appropriate box.
A liability insurance policy F]Othertype 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:
Owner 11Aaent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above a
knowledge and that all plumbing work and installations performed under the permit ed for
ertinent provisions of the Massachusetts
By
Title
City/Town
APPROVED (OFFICE USE ONLY)
State Gas Code and Chapter 142 of the Geral L,
are true and accurate to the best of my
ration will be in compliance with all
Type cense:
lumb Signature of Licensed Plumbe7°or Gas Fitter
• Gas fitter
• -Master License Number V 4
•
-Journeyman
0
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
NORTH ANDOVER Mass. Date 4/17 19 98 Permit # 0
Building Location 172 Bridle Path Owner's Name Merli
Type of Occupancy Residential
New ❑ Renovation ❑ Replacement N Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name Heritage Htg. &Plg. Co. Inc.
Address_ 35 Pleasant Street
Stoneham, Ma 02180
Business Telephone- 617-438-7776
Name of Licensed Plumber Gordon Switzer
Check one:
IX Corporation
[] Partnership
F1 Firm/Co.
Certificate
714
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked Vis, please indicate the type coverage by checking the appropriate box.
A liability insurance policy IN 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:
Owner ❑ Agent ❑
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 the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and, Chapter 142 of theal Laws.
By
Title Signa ure censed Plum er
City/Town _
Type of License: Master [g Journeyman ❑
APPROVED (OFFICE USE ONLY) License Number 8322
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Installing Company Name Heritage Htg. &Plg. Co. Inc.
Address_ 35 Pleasant Street
Stoneham, Ma 02180
Business Telephone- 617-438-7776
Name of Licensed Plumber Gordon Switzer
Check one:
IX Corporation
[] Partnership
F1 Firm/Co.
Certificate
714
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked Vis, please indicate the type coverage by checking the appropriate box.
A liability insurance policy IN 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:
Owner ❑ Agent ❑
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 the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and, Chapter 142 of theal Laws.
By
Title Signa ure censed Plum er
City/Town _
Type of License: Master [g Journeyman ❑
APPROVED (OFFICE USE ONLY) License Number 8322
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Date.—;7
. ... ..
..........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
r -(-' ( /?,-), ( 'r r
This certifies that ....... 4-) .. ............... ;�-n ............
....................
has permission to perform ..... -.14 . ..................... .
..........................
wiril-eg in the building of ................................................................
617, of
L-
at... ................. ... ..... ....................... — North Andove -Mass!'
33c ;_ />,�
Fee ... ...... L ........ ....... ... . .. . . .. ...... 'd,�
.. . ...... ic. No.4 . . .......
ELECTRICAL INsrk=
Check # v >�
461-0
699
Date./ 5. .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that�%R.1. / � �. .... � . ......................
has permission to perform ... Flo ...........................
plumbing in the buildings of ..& !:�/ 1 ..................... ^'
...
at .. �%:% �.. A/.a. �. d G ... PW -11,?....... . , North Andover, Mases
Fee . ) Lic. No.. S'.3. L. Z. .......
- N
UMBING INSPECfGA
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
J
A
Commonwealth of Massachusetts official Use Only
Permit No.
Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [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 MR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: 71,31,63
City or Town of: /yl /jam To the Inspector ofWires:
By this application the undersigned gives notpre of his orher int^on to Perform 9r9 electrical work described below.
Location (Street & Nu r) p(
Owner or TenantTelephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building 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
1 Location and Nature of Proposed Electrical Work: Installation of Security system/_4A/4
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- 1:1o.
rnd. rnd.
o mergency ig ing
Battery Units -
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. -of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pump
I.Numb
Tons
I KW
No. of Self -Contained
Totals:
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances Kms,
Security Systems:
No. of Devices or E uivalent
No. of WaterK`,�,
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. hydromassage Bathtubs
:`;r,. of Motors Total HP
Telecommunications Wiring:
No. of Devices or E uivalent
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 ❑ BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
Estimated Value of Electrical Work: — (When required by municipal policy.)
Work to Start: Inspections 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: ces LIC. NO.: I r 11(,
Licensee: John -'S. Bassett Signature LIC. NO.: 1533C
(If applicable, enter "exempt" in the license number line) Bus. Tel. No..• 603 594 5928
Address Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Li*see see 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 agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $