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Miscellaneous - 21 ARDMORE COURT 4/30/2018
Date.. "ORTM TOWN OF NORTH ANDOVER Of t,�•o ��hOI ►� PERMIT FOR PLUMBIN This certifies that .. .............. ... r ...... ................. has permission to perform ............. .......... ............ plumbing in the buildings of . .... .......... at . C::�2 ... ; . i.. L rr-ti-a ....... orth Andover, Mass. or Fee ............ � PLU I INSPECTOR Check # `�� � , 7140 N 14 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, (MASSACHUSETTS Building New ❑ Renovation / rr Date a k,ners Name/.f 7�(. l�,Date ., Ar. Of Occupancy mount 2 Replacement �� Plans Submitted Yes ❑ ruTvmrmrMn No ❑ -�------------------' i il' t • ---------�.------ ---I ---.- ----MM N ��---------' .. • --------------E-----1 • --------------------' t 1 • .---------�.---.---' • .-...-..---.�..-----t • �. • 5-----------------.-1 Installing or type) -aft� ff Check one: Installing Company Name Certificate ��� � Corp. Address , r- Partner. V-er'&ZI94C,55',Z usiness 1clephone r11 F�-o Name of Licensed Plumber: Insurance Coverage: Indicate the type of Just] nce coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance tgnature I Owner ❑ ,Agent ❑ I hereby certify that all of the details and information 1 have submitted (o Bred) in above application ;ire t and accurate to the I o my knowledge and that all plumbing work and installations per ted t � r permit Issue or this ppli'cation will he in _.ompliance with ;ill p,rtinent provisions of the Iv'Lissachusctts State i b Cod , nd ,ha I.1? oI a C�neral .Laws. By. tgna ore c, rcenseI ILIMUCr Title Ty e of Plumbing License City/Town rcense um Do er Master ® I me; -man n � • APP ROVED for -rice USE ONLY�.�" ? Location c No. _ Date MORTM TOWN OF NORTH ANDOVER f p ` s Certificate of Occupancy $ i # r �sswcNusttA Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ CD Check # 'c© 24 !7465 8viding Inspec R The Commonwealth of Massachusetts OF ENCLOSED SPACE State Board of Building Regulations and TOWN OF NORTH ANDOVER Standards BUILDING DEPARTMENT Massachusetts State Building code Telephone (o32 -,-7o9:5 780 CMR APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OF OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING Building Permit Number: d � Date Issued: 1;7 -o) ac)®q Signature Signal=: Building Commission or of Buildings Date (000d n 13 zoning Information: 1.6 Buildine setback s 107 Water Supply 9M.O.L.C.40.4 § 54^) 1.5. d Public D Private Y no I � I� y Map and Parcel Number: Provides Required Provided 1.9 Sew Disposal System: Outside Flood zone Q Municipal On Site Disposal System 2.1 Owner of Record OF ENCLOSED SPACE '4.1 CtxL R e N0Vy e5 Not Applicable Q Name (Print) `��1-e D d'�. �v •mac- Address: 1(D C oc ocQhr i d e rz c! ve ✓ Signature Telephone (o32 -,-7o9:5 2.2 Anthorizea age. Name (Print V v 1 w �a V1Y, Address w 4 AS �C y, W tQ vv� ThA !p Signature � Telephone p (O l SECTION 3 CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,ODO CUBIC FEET OF ENCLOSED SPACE 3.1 Licensed Construction Supervisor: Not Applicable Q 700 VI 1 4 Licensed Construction pervisor: ILicense Number d `4 Expiration Dale 1151 zoo(q Addres 1 tilS lea l Q�td Z O Signature Telephone�Co 3.2 R.7 -9Q Home ' _44 ent Contractor: icte =-a Not Applicable Q et 4 {3U t Company Name, Registration Number Address LO (Ct x d fM Q(-7 -7 S- Expiration Date Z WO Signature Telephone icov,scu T1 JIM, e U 70 99 SECTION 4 WORKERS' COMPENSATION INSURANCE AFFIDAVIT 1M.G.L. c. 152 § 25C(6)1 Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes No SECTION 5 - PROFFESSIONAL DESIGN AND CONSTRU 10 SERVICES -FOR BUILDING AND STRUCTURES SUWECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116 CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE 5.1 Registered Architect: No Applicable Name (Registrant): Address Registration Number Signature Telephone Expiration Date 5.2 Registered Professional Engineer(s) Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name): Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 53 General Contractor Not Applicable 13 Company Name: Responsible in Charge of Construction Address Signature Telephone f SECTION 6 - DESCRIPTION OF PROPOSED WORK check allapplicable) New Construction Q I Existing Building Repairs U Alterations Addition 0 Accessory Bldg, [3 1 Demolition I Other [3 Specify Brief Description of Proposed: A-3 IA 1B Q Q SECTION 7 - USE GROUP AND CONSTRUCTION TYPE USE GROUP Check asapplicable) Inde endent Structural EngineeringStructural Peer Review Required Yes Q No Q CONSTRUCTION TYPE A Assembly A-1 A-4 A-2 A-5 A-3 IA 1B Q Q B Business 13 2A 2B 2C Q Q Q E Educational Q F Facto Q F-1 F-2 H High Hazard Q 3A 3B Q Q I Institutional Q I-1 1-2 I-3 M Mercantile 4 93 R Residential D R-1 R-2 R3 SA 5B Q Q S Storage Q S-1 S-2 U Utility Q Specify: M Mixed Use Q Specify: S Special Q Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS. ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Existing Hazard Index 780 CMR 34 Proposed Use Group: Proposed Hazard Index 780 CMR 34 SECTION 8 - Building Height and Area BUILDING AREA Existing ifapplicable) Proposed Number of Floors or stories include basement levels Floor Area per Floor Total Area Total Height ft SECTION 9 - STRUCTURAL PEER REVIEW 780 CMR 110.11 Inde endent Structural EngineeringStructural Peer Review Required Yes Q No Q SECTION 10a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, , As Owner of subject property hereby authori 7 W4GP., Zrzn to act on my behalf, in all matters relative to work authorized 6y this building permit application. -77 Si ature of er Date revised bldrorm/state JMU; SECTION 10b - OWNER/AUTHORIZED AGENT DECLARATION I, J T , as Owner/Authorized Agent hereby declare that the statements and information on the foregoi g application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Print Name Date SECTION 11 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be completed b permit applicant Official Use Only 1. Building �J o0o (a) Building Permit Fee Multiplier 2. Electrical (b) Estimated Total Cost of Construction from 6 0;?3 S, M 3. Plumbing Building Permit Fee (a)x(b) c�3 S -Q 4. Mechanical AC 5. Fire Protection 6. Total = 1+2+3+4+5 Check Number s' _. � JOHN T HAFFEY } 3 WILLIAMS ROAD WAYLAND, MA 01778 Acting Cc mis oner J/ "�'a�uw/zcu,eCla w arivrrwruue�cC�- of BOARD OF BUILDING REGULATIONS - License: CONSTRUCTION SUPERVISOR r Number: CS 033843 Birthdate: 03/15/1955 Expires: 03/15/2006 Tr. no: 18496 Restricted: 00 JOHN T HAFFEY } 3 WILLIAMS ROAD WAYLAND, MA 01778 Acting Cc mis oner C O 12O 4n UIt V � N Cn f9 CO •� N L b0 w Cd 4-) O C1 O 7d TZZ :r N C7 r.� M OQ N w ct C� e" cz U O UO a Cd U Cn Cd oo Cn 4-W O ~ o � V 7 n O U) cam, U c y o w m 1 o J �z e O p U o a N U I CD p Z oc w o > ILLI �'� Q-' w > - coo CL LL U) o o o a E � a .� .` m i _ (0 O 5, f— (6 ` uj a O in 'a C w w co o A coLUc w LL LL m E ., C T '0 M Location: \o" ljj ©od R t- ria e - City: Ivo :t-tn a v otoye r YkA Dhone # ❑ I am a homeowner performing all work myself. ❑ 1 am sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: T I i } 4 �v 1(cle r -s .Tr1 c— — Address:4 3 e TI (ci wr g o— City- "'d f Ytt) 1 7 Z 9- Dhone # SCS S 2p `1 l �0 8 Insurance co. y-ne) ` +v`^ policy# WC(�2' �T 13 �o a�P l2—is ❑ I am sole proprietor, general contractor, or homeowner•(clrole one) and have hired the contractors listed below who have the following workers' compensation policies: Company name: Address: City: Dhone #, Insurance co. policy # Company name: Address: ` City:Dhone # _�.....--_L... policy # Insurance co. - Failure to secure coverage as.'t@Quin. d u�def Sectlon;2.5A f.Mc3.L': years imprisonment as well a,s•aiyil penalUas in the. form of a ST01 this statement may be fonrrarded to the Oftice of Investigations of t I do hereby certify under the pains and penalties of pedury that the Print of criminal penalties'of a fine up to $1,500.00 and/or one $100.00 a day agalnst'nw I understand that at copy of 'nformaflon provided above Is true and correct. Date Phone # 50 S co Zo R t co s M dpYtot write in this area to becomple, ted by clay ovSm official . r The Commonwealth!ofsahtisetts De artment of lndhiccldents _ o flce of ln;vesflgatlons pennitlllcense # Washingfon:Street Boston, Massa 02111 E] Licensing Board Workers' Compensatioh Insurance Affidavit Location: \o" ljj ©od R t- ria e - City: Ivo :t-tn a v otoye r YkA Dhone # ❑ I am a homeowner performing all work myself. ❑ 1 am sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: T I i } 4 �v 1(cle r -s .Tr1 c— — Address:4 3 e TI (ci wr g o— City- "'d f Ytt) 1 7 Z 9- Dhone # SCS S 2p `1 l �0 8 Insurance co. y-ne) ` +v`^ policy# WC(�2' �T 13 �o a�P l2—is ❑ I am sole proprietor, general contractor, or homeowner•(clrole one) and have hired the contractors listed below who have the following workers' compensation policies: Company name: Address: City: Dhone #, Insurance co. policy # Company name: Address: ` City:Dhone # _�.....--_L... policy # Insurance co. - Failure to secure coverage as.'t@Quin. d u�def Sectlon;2.5A f.Mc3.L': years imprisonment as well a,s•aiyil penalUas in the. form of a ST01 this statement may be fonrrarded to the Oftice of Investigations of t I do hereby certify under the pains and penalties of pedury that the Print of criminal penalties'of a fine up to $1,500.00 and/or one $100.00 a day agalnst'nw I understand that at copy of 'nformaflon provided above Is true and correct. Date Phone # 50 S co Zo R t co s official use only dpYtot write in this area to becomple, ted by clay ovSm official . City oraown: pennitlllcense # ❑ Building Department E] Licensing Board ❑check If Immediate response is required [] 3electriien s Office. I] Health Department pontact person hone::# .(y�',J(�}�py(�'l T' 0 Other �Yl i .� '. 1 { +yY y I i /1 •Y y ,1,�,� 9 l•1 Ai% t"p >.r�Y� '2 t!' Nevi {'�, i ZJ 1• l Y 7 ,�tl/Y ("1 •/i Tl•, r .' f+•fH1{ = J. k, f` �y�l y�'�S ,.I s v !�5 '1 i+'1 ihG !(!t'�.h l,i {.:iFy�\�9 ! 1 djll rl�.t - •(�� �(yla�lr .. l� +�; .nal t� i r ` ` ;.v \�11.� •! �� :� b.,G�4A ,:h! 0'.kf��:1 ! 1 - d North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: —ICL u rniny-) , m o s s— -bc s,o© s0.1 (Location of Facility) ignature ff6Pefmit Applicant � 7-Z,zvo y Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 0 z O 0 ui am C Is a c O C •O a C O ` a t! ; N p C fir: dCL= 9 a= w a 00 w aai. V) as .S w nG c U w a a w Ow � axg, rx Q: w w x a: w rA cn cn ui am as cm h O O 'E m m CD Cl ID a H 3.0 CD m IS 0 C o a Q CID c �zCD 0 CL V y O c c cc h is CO)LLI LU W W W U) C Is c O C •O C O ` t! ; N p C fir: dCL= 9 a= tC O O CD O y = a Q Q: mC� �•: •.:mo 0 V 41t - CL y � : E S 6:mcm �i an; y E t Cos ckor ca Zia_cm : o a o 0= • o� m ` 'wyZ o �.; c a o C m `mc 3m=3 c 4-- :a --o y.�� aD COD C 4 - W as �us O C.3 d ca O� h _IQ •� O O = $ IL 9a 210 as cm h O O 'E m m CD Cl ID a H 3.0 CD m IS 0 C o a Q CID c �zCD 0 CL V y O c c cc h is CO)LLI LU W W W U) A oRT 0 Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that ....... has permission to perform .. .......... ......... plumbin2 in Oe buildings of ....... at . . .......... North Andover, Mass. Fe; --V- 40. Lic. N o. PLUMBING INSPECTOR Check # 6387 MASSACHUSETTS UNIFORM (Type or print) NORTH ANDOVER, MASSACHUSETTS B �lding Location[ l`J CD' New 1:3 Renovation 0 of CATION FOR PERMIT TO DO PLUMBING 1 Date Name L�C/GU�,[�/reD�_ Permit #-- Amount--L�� �iS ��cy Replacement F FIXTURES Plans Submitted Yes 0 No (Print or type) Check one: Certificate Installing Company Name /ii ,//LSCW rl Corp. Partner. , Finn/Co. Name of Licensed Plumber. 6ul LS o n w Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy r Other type of indemnity11 Bond ❑ Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 1:1 Agent I hereby certify that all of the details and information I ubmitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing wo�sachuse install 'ons rformed under P t Issued for this application will be in compliance with all pertinent provisions of the s S WPlu ng oqWnd Chapter 142 of the General Laws. By: Signature or Licensea Type of Plumbing License Title ti City/Town LIUiSe NumDer Master Journeyman APPROVED (OFFICE USE ONLY Lel 6369 Date ..... L`26' 0,(, ............ TOWN OF NORTH ANDOVER PERMIT FOR WIRING F. This certifies that ............... ...... /,7—. . ....... ..... .......... . has permission to perform .......... 7 0 1-0 .................................................... of ......... 4 wiring in the building ............................... .... ... �7 ..................... at ............ ....... , North Andover, Mass. Fee....., ...... Lic. No..!� ................. ... /2/ ......... ELECTRI 1 L i17 L INSPECTOR check # C 0 i Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. (cam aI rBOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 9 [Rev. 11/991 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) 2 Ardmore Court 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 ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Checked light, replaced bulb No. of Meters No. of Meters Completion ofthe 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- rnd. rnd. ❑ o. omergencyiging Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. 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 Totals: Number ... . ..... Tons * '' KW ....................... No. of Self -Contained Detection/Alerting 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:) (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 andpenalties of perjury, that the inform7*n this a plication is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 �) Licensee: Terrence J. Landers, Vice -President SignatureLIC. NO.: 9743 (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-686-3828 J Address: 1000 Osgood Street, North Andover, MA 01845 Alt. Tel. No.:_978-686-3829 i 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. E DERS CAL CO.,INC. Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE August 29, 2005 INVOICE # 050391 08/23/2005 RE: 2 Ardmore Court - Street Light Checked light, replaced customer's bulb Labor: TOTAL DUE THIS INVOICE: $ 65.00 $ 65.00 TERMS: Net Due Upon Receipt of Invoice 2.0% Per Month Finance Charge On Balances Over 30 Days THANK YOU 1000 OSGOOD STREET PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978) 682-1646 0 63,87 Date ... L d4 --Ob .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 6�t2 S '�&7Z ��7C Thiscertifies that ............................................................ ............................... has permission to perform ........ 7-0 .... ........ wiring in the building of ............ ........... IV461W at ..........tea . ........... . North Andover, Mass. e� Fe"...;?..:77= Lic. No.,........... ................ ELECTRICALINSPECrOR Check # Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 3F7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked r [Rev. 11/991 leave blank �e 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) 4 Ardmore Street 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 A/C Outlet rmmnletinn nfthe following, table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans s Total of Trsformers KVA Tran No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection andInitiating Devices No. of Ranges No. of Air Cond. Tons Tot No. of Alerting Devices No. of Waste Dis osers P Heat Pump Totals: Number Tons .. ... . . KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑ Other Connection No. of Dryers Y 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 ifdesired, 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.) Work to Start: Inspections to be requested in I certify, under the pains and penalties of perjury, that the info FIRM NAME: Landers Electrical Co., Inc. (Expiration Date) rice with MEC Rule 10, and upon completion. on this gpplip{ttion is true and complete. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signature/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. SANDERS ELECTRICAL CO.,INC i Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE June 30, 2005 INVOICE # 050296 07/06/05 Installed A/C Outlet @ 4 Ardmore Material & Labor: TOTAL DUE THIS INVOICE: $ 171.26 $ 171.26 TERMS: Net Due Upon Receipt of Invoice 2.0% Per Month Finance Charge On Balances Over 30 Days THANK YOU 1000 OSGOOD STREET PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978)1846 6356 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ................... / . . ........ has permission to perform ............. ./T . ................... wiring in the building of ........ ........... at ............ 5 A&M?j0A.F ................................. . North Andover, Mass. Fee.... ... Lic. No. ./.2 I .....................:/., . . . ............ . W"I E&CTRICAL INSPECTOR f Check # Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Go 3Si�' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 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) 5 Ardmore 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 new dishwasher 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- Elo. rnd. rnd. o Emergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers p Heat Pump Totals: Number I Tons I ......................... KW I ....................... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Sec ritNo of DevSteices 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 o. of Devics or Equivalent valent 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 certify, under the pains and penalties of perjury, that the informationAn this apglicgqon is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signature ' 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 Signature Telephone No. PERMIT FEE: $ 5.00 0 11 .,ENDERS (-ELECTRICAL CO.,INC. Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE September 22, 2005 INVOICE # 050425 09/13/2005 5 Ardmore - removed old dishwasher, installed new dishwasher Labor: $ 125.00 TOTAL DUE THIS INVOICE: $ 125.00 TERMS: Net Due Upon Receipt of Invoice 2.0% Per Month Finance Charge On Balances Over 30 Days THANK YOU 1000 OSGOOD STREET PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978) 682-1646 ...,- -•...-f' :e... ;.,... .. .a...�pr�-�f:.. .:..;h-,.�: °'a-..�ec`_:.. :�.� :.�`-�""'y4.._".a't`ra' .. . ,r -r ,.. ... - NOR7p pf ��ao ,e ,tiC O p ,SSAC14US� Date ... .`_ Z6— v 6 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 0 This certifies that� /i S &..... 7 .................... ............................................................. has permission to perform ........... C�c!.....�©... ....!.. .. . wiring in the building of ........ ©d ..�: `.L � /amt o at ....f.fttt�.........5 !'..... , = orth Andover, Mass. Fee..................... Lic. No. � J� ��1..... ELECTRICALINSPECTOR Check # Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked t/ [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) 15 Ardmore Street Owner or Tenant Wood Ridge Homes Telephone No. 978423-7867 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 ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installed A/C Outlet No. of Meters No. of Meters 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- [jo. rnd. grnd. o erg mency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. 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 Totals: I.Npy!ber I Tons J.KW ........... ....... No. of Self -Contained Detection/Alerting 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 Kms, 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:) (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 informal on this pp1' tion is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signature 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 t 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 TRICAL CO.,INC. Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE June 30, 2005 INVOICE # 050297 07/06/2005 Installed A/C Outlet, 15 Ardmore Material & Labor: $ 155.15 TOTAL DUE THIS INVOICE: $ 155.15 TERMS: Net Due Upon Receipt of Invoice 2.0% Per Month Finance Charge On Balances Over 30 Days THANK YOU 1000 OSGOOD STREET PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978) 682-1646 S x.:",:. f3! 7 / Date .....l.......Z b -! t No RTI, TOWN OF NORTH ANDOVER �F PERMIT FOR WIRING - ,SSACMUSE�''' `d 'd This certifies that L -/x b T2s has permission to perform ...................... �.......... t wiring in the building of ....... at .............�.. , North Andover, Mass. .................. Fee ... j _...• Lic. No. `5 .. 2�� ..................... .. LECTRICAL INSPECTOR l r f beck # M N Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. &3 7 7 Occupancy and Fee Checked [Rev. 11/991 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) 15 Ardmore 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: replaced 3 -way switch in hallway Completion o the ollowin table maybe 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- ❑ rnd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners 11 No. 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 Totals: I Number *** * Tons KW ........... No. of Self -Contained Detection/Alerting 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 Kms, 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 certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signatures 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 aizent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 5.00 DERS CAL CO.,INC. Wood Ridge Homes ATTN: Gary 10' Wood Ridge Drive No. Andover, MA 01845 INVOICE October 24, 2005 INVOICE # 050294 RECEIVED OCT 2 6 2005 07/13/2005 Replaced 3 -way switch in hallway, 15 Ardmore V I 100,0 OSGOOD STREET 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 PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978) 682-1646 6363 Date ... ............................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING zf -g S 777%.r .................... This certifies that ..................................................... has permission to perform ....... ............................................................. wiring in the building of ..........M ©p .. RfP ..... at ............f.0 ................................ . North Andover, Mass. ;P. Fee..-.. ...... N LIC. o. -�................. ELECTRICAL INSPECTOR U Check # Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. id 4�3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ` y [Rev. 11/991 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 C 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) 19 Adrmore Owner or Tenant Wood Ridge Homes Telephone No. 978-423-7867 �t Owner's Address 10 Wood Ridge Drive, North Andover, MA 01845 o Is this permit in conjunction with a building permit? Yes ❑ No X (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. 1 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: Replaced light switch in living room 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 AboveIn- Swimming Pool rnd. ❑ rnd. ❑ o. o mergency Lighting Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches I No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat PumpNumber Totals: *** * Tons ........... KW ........... No. of Self -Contained Detection/Alerting 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 certify, under the pains and penalties of perjury, that the information this 7 lication is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signatur LIC. NO.: 9743 (Ifapplicable, enter "exempt" in the license number line.) 7 Bus. Tel. No.: 978-686-3828 A,1dress: 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. SANDERS ELECTRICAL CO.,1NC. Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 October 24, 2005 INVOICE # 050454 09/26/2005 0 1000 OSGOOD STREET OCT 2 6 2005 INVOICE 19 Ardmore, Replaced Light Switch in Living Room Material & Labor: $ 67.05 TOTAL DUE THIS INVOICE: $ 67.05 TERMS: Net Due Upon Receipt of Invoice 2.0% Per Month Finance Charge On Balances Over 30 Days THANK YOU PO BOX 783 NORTH ANDOVER, MA 01845 TEL (978) 686-3828 FAX (978) 682-1646 NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'SSACMUSi w This certifies that..''�`�^ «'..%"+` ................ has permission to perform..:..:..: .:-........:...- plumbing in the buildings of .. ................ !..;. '_, .... . at ....i1«- ...� , North Andover, Mass. Feb -:?P...—' .. Lic. N.k: _ �' Z;' I* G INSPECTOR Check 766 t� i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 2 1 'L , refvw� fah New Renovation 13 (Print or type) Installing Company Name Address � of Replacement FIXTURES ; 2- i Date /41�7z Permit C. 7 - Amount L 5,4' Yes NoEl Check one: Certificate Corp. ❑ Partner. � ri-Fir Name of Licensed Plumber: Insurance Coverage: Indicate the type of msuranFe coverage by checking the appropriate box: Liability insurance policy !� Other type of indemnity ❑ Bond F1 Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature IOwner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in a application are true best of my knowledge and that all plumbing work and installations perforPe';n compliance with all pertinent provisions of the. Massachusetts State PI a By: igna ure M2MTensuci flumtler- Title T(y`pe of Plumbing License City/Town icense um er Master ❑ APPROVED (OFFICE USE ONLY Journeyman fraccurate to the )n will be in Laws.