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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that ) .........................................................................................
has permission to perform ...... ...... ........ ..........
wiring in the building ofZ'2,-K'��' . _12 ..................................................
at .......... OA.�. ... ....... dil. .... 41� ...................... . North Andover, Mass.
Fee—,,0 . ....... Lic. 09.1 C.- M-- ICAL INSPEcrOR .......
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
04E Lamnlanturn It11 of E(55c7ChU5E1f5
01111" Use Only
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\/ DepanincAt of Public. Safety V
PermZgeaveblinkI
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Occui fee Checked ;
5 : r'i e. .
/90
:.• •-rel:.�,'. •,:�
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Alt work to be performed in accordance with the 1-tassachusens Electrical Code. 527 GuR 12:00 Q
(PLEASE PRINT IN INK OR TYPE ALL INFOR. T(ON)
Date_26)
�i
To the Inspector o(r Wires: .
Goy or Town of .O_
The undersigned applies for a permit to Arfoim the electrical work d cribcd below.
Location (Street & Number) 0210
Owner or Tenant
IS: 0,VY1 �-
Owners Address
Is this permit in conjunction with a building permit: Yes No
(Check Appropriate Box)
Purpose of Building Utility Authorization
No.
Existing Service Amps r Volts Overhead
❑ Undgrd ❑ No. of Meters -
❑ ❑ No. of Meters
New Service r VC!u Overhead
Undgrd
Number of Feeders and Ampacity
bata
r eVw kfl�
Location and Nature of Proposed Electrical Work `
1
TOTAL
No. of liahting Outlets No. of Ho! 7uh<
No. of Transformers KVA
4bn�e In-
' El ❑
Generators KVA .
No. of Lighting Fixtures swimming Pool Md. ernd.
No. or Emergency lighting
No. of Receptacle Oude(s No. or Oil Burners
Bitter-,, Units
No. of Switch Outlets No. of Gas Burners
FIRE ALARMS No. of Zones
10(il
No. of Detection and
No. of Ranges ,No. or' Air Conditioners Tons
Initiating Devices
Hcat fowl rota!
No. of Sounding Devices
No. of Disposals No. of Pumos Torii KW
No. of Self Contained
De(ectior✓SoundinS Devices
No. of Dishwashers SoacelArea Heatinv. KVVMunicipal
.
❑Other
local❑ Connection
No. of Dryers Heating Devices KW
No. cr No. of
Low Voltage
No. of Water Heaters K`+V Sign< Ballasts
Wiring
No. Hydro Massage Tubs No. of .Motors Total HP
YTHER:
INSURANCE COVERAGE: Pursuant to the requirements of-Massachusties General Laws 1/
1 have a current Liability Insurance Policy' including Completed Operations Coverage or its substantial equivalent. YE0 - : have submitted valid proof
of same to this office. YESX NO n
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCEBOND ❑ OTHER❑ (Please Specify) s^ 1 /f
blob
06
(Ex nation Date)
Estimated Value of Elecuicaall Work
�S}
Work to Sun 3'a (/ 9 / Inspection Dale Requested: Rough 1 Final
SigneQ under Ihe.ppeenalties of perjury:
FIRM NAME 1 1 t A_f_I C LIC. NO.
elf
Ucenice A �t. i) r rl ( Signa(ureUC. NO.
Address E u—r e Bus. Tel. No.
Alt. Tcl. No. ^ . r`•i<?
OWNER'S [NSURANCE WAIVER: lam aware (ha((hc Licensee does no( have the insurance coverage or its substantial equivalent as required by Mass- fiusetut.
.General Laws, and that my signature on this permit application waives (his requirement, Owner Agent (Please check one)
Telephone No. PERMIT FEE S a06
(Signature of Owner or Agentl
Location 4:5V6 wwlc-lez Y
,�No. (3 qj Date 1 91/
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
33'17 08/23/99 13:36
Building Inspector
45.00 PAID
Div. Public Works
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
C
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
33'17 08/23/99 13:36
Building Inspector
45.00 PAID
Div. Public Works
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HOME IMPROVEMENT CONTRACTOR
Registration 123355
Type -. DBA __ -..j
Expiration 02/04/01
I_ F.L: DESCHENES�CONSTRUCTION
FRED, -L.- DESCHENES __..3
I_ � eaj Y S.: MAIN ST` "s
-
j;_ ADMINISTRATOR_ .. BRADFORD .MA 01835 :�
(z ✓rte -����� �����?�---- - - - -- - - - - - . _ _ _. ,— __ - -.- _ _ ..`
_ i RestricteG Tc: v6
DEPARTMENT OF PUBLIC SAFETY
33048
CONSTRUCTION SUPERVISOR LICENSE 33 - 'done
Nue,ber: �, : Ex 'res: Birthdate, lA - Masoi?r•v snip
P
C�-x�Ub51t5 --09/27/1999 39/27/1458 1S - 1 i ? :,.,._'y "oms
'I.
Rntr iS ''G Failure i.0 ,,oc,.,see a CJ'"''` c !-tis
ss , edition of
Massachusetts State M ildinq Code
fPEO L OESCHNES i is cause for revocation of this license.
�rM+w� bO1 S MAIN ST
BRAOFOR0 MA 81835
I
i
Town of North Andover f ,ORT1,
OFFICE OF qOO
, L
COMMUNTTY DEVELOPMENT AND SERVICES 0 . »'
s
27 Charles Street
North Andover, Massachusetts 01345 '' 4°° • ° °. �5
WIi.LIAM J. SCOTT �SSACNu`-`j
Director
(978)688-9531 Fax(978)683-954?
In accordance with the pro isions of MGL c 40 S 54, a condition of Building
Permit��
Number t is that the debris resulting from this work shall be disposed
of in a prop rly licensed solid waste disposal facility as defined by MGL c 11, S
150 A.
The debris will be disposed of in:
1 ci % 5 oralGOV- kl
(Location of-1=ac,lity)
Signature of Permit Applicant
7 6i
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector
,7
� F
BOARD Of -- KALT S 688-9541 B11ILDING 683-9545 CONSERVATION 688-9530 HE.A T H 683-9540 PLANNING 688-9535
N2 4069
Date.,2-. 7
TOWN OF NORTH ANDOVER
PERMIT FOR P LUMBING.
This certifies that ..... C-
has permission to perform 5?. e�� .............
plumbing in the buildings of 5��. I. e.-1 ....................
,North Andover, Mass.
Fee. 3.-� Lic. No. J. (-).C?.
PLUMBING INS O�R
WHITE: icant 3fMARY00ilding Dept. PINK: Treasurer.
07/09/99 13MI"
9i
A
UZ
MASSACHUSETTS UNIFORM APPLICATI Ik Inti PLUMBING
4 (Print orrlType)
(J�l�� 1I�C1t OJPJ— . Mass. Date 19 Pe it # t10 �I
��^
onoZL U hP/'
V-(vName-
D-4
ame D J e ,' ✓i C'
Y Qbd Type of Occupancy �` �,�
New ❑ Renovation Replacement ❑ Plans Submitted: Yes ❑ No ❑
P
FIXTURES
Ir g�yF iNc Check one: Certificate
A MAFFEI PLUMBING, INC. eCorporation
198 High St., Ipswich, MA 01938 O Partnership
— TEL (978) 356-1122 • FAX (978) 356-8722
B ❑ Firm/Co.
Name of Licensed Plumberr� RC crr 145-
INSURANCE
C
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 9 — No ❑
If you have checked ves, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 133' Other type of indemnity ❑ Bond O
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 ❑
1 hereby certify that all of the details and information I have submitted (or entered)
knowledge and that all plumbing work and installations performed under the perm
pertinent provisions of the Massachusetts State ktg Code and Chapter 14 c
By Signature of U sed P ber
Title
Type of Ucen ' ast
%r4An0 FFICE USE ONLY) License Number 100,57
risers ogvdefor this
application cation ware true n I be inte to the best of compliancewith all
the ,3eperai Lawn. R
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BASEMENT
1ST FLOOR
2ND FLOOR
r
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3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Ir g�yF iNc Check one: Certificate
A MAFFEI PLUMBING, INC. eCorporation
198 High St., Ipswich, MA 01938 O Partnership
— TEL (978) 356-1122 • FAX (978) 356-8722
B ❑ Firm/Co.
Name of Licensed Plumberr� RC crr 145-
INSURANCE
C
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 9 — No ❑
If you have checked ves, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 133' Other type of indemnity ❑ Bond O
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 ❑
1 hereby certify that all of the details and information I have submitted (or entered)
knowledge and that all plumbing work and installations performed under the perm
pertinent provisions of the Massachusetts State ktg Code and Chapter 14 c
By Signature of U sed P ber
Title
Type of Ucen ' ast
%r4An0 FFICE USE ONLY) License Number 100,57
risers ogvdefor this
application cation ware true n I be inte to the best of compliancewith all
the ,3eperai Lawn. R
Journeyman ❑
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