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INSURERS. u) MORTGAGE INSPECTION PLAN
LOCATED IN
,T THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS
IDE, & REAR SETBACK ONLY) OF North Andover N 0 R T H A N D O V E R
UCTED, OR ARE EXEMPT FROM VIOLATION ENFORCEMENT AC11ON UNDER MASS. G.L.
.PTER 40A, SECTION 7, UNLESS OINERWISE NOTED. MASSACHUSETTS
Zone X out
RTIFY THAT THIS PROPERTY IS not LOCATED IN THE ESTABLISHED FLOOD
" COMMUNITY PANEL NO.: 250098 0006C DATE: 6-2-93 DEED --7
BOOK
-___-� " .7Z
Y IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED - "
LATEST DEED OF RECORD. PAGE
lILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED CERT. NO. _
PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. - - - —
ATION IS BASED ON THE LOCATION OF SURVEY MARKERS OF OTHERS, AND DOES NOT PLAN BK. —.__.______ PAGE
PROPERTY SURVEY. VERIFICATION OF SURVEY MARKERS USED TS, AS SHOWN,
)MPLISHED ONLY BY AN ACCURATE, INS'T'RUMENT SURVEY. D ` F' OT DEPICTED PLAN #
ERTIFICATION TO BE USED FOR MORTGAGE P C . 0October 24, 2002
,
OFFSETS AS SHOWN ARE NOT 1.0 BH�? � scAL1=:
USED FOR THE ESTABLISHMENT OF PROPER N IG oUF;; .' .Y
IAMFS W. 8O1-IGIOUKAS
i �voqr
R.L.S. #9529
BRADFORD
ENGINEERING CO.
P.O. BOX 1244
HAVERHILL MA. 01831
TFL. (918) 373-2396
rf 0, .
4-1
ot.
o!
2-3
3 c I — -2 0 — —3, c—)
INSURERS. u) MORTGAGE INSPECTION PLAN
LOCATED IN
,T THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS
IDE, & REAR SETBACK ONLY) OF North Andover N 0 R T H A N D O V E R
UCTED, OR ARE EXEMPT FROM VIOLATION ENFORCEMENT AC11ON UNDER MASS. G.L.
.PTER 40A, SECTION 7, UNLESS OINERWISE NOTED. MASSACHUSETTS
Zone X out
RTIFY THAT THIS PROPERTY IS not LOCATED IN THE ESTABLISHED FLOOD
" COMMUNITY PANEL NO.: 250098 0006C DATE: 6-2-93 DEED --7
BOOK
-___-� " .7Z
Y IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED - "
LATEST DEED OF RECORD. PAGE
lILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY LINE IT IS ADVISED CERT. NO. _
PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. - - - —
ATION IS BASED ON THE LOCATION OF SURVEY MARKERS OF OTHERS, AND DOES NOT PLAN BK. —.__.______ PAGE
PROPERTY SURVEY. VERIFICATION OF SURVEY MARKERS USED TS, AS SHOWN,
)MPLISHED ONLY BY AN ACCURATE, INS'T'RUMENT SURVEY. D ` F' OT DEPICTED PLAN #
ERTIFICATION TO BE USED FOR MORTGAGE P C . 0October 24, 2002
,
OFFSETS AS SHOWN ARE NOT 1.0 BH�? � scAL1=:
USED FOR THE ESTABLISHMENT OF PROPER N IG oUF;; .' .Y
IAMFS W. 8O1-IGIOUKAS
i �voqr
R.L.S. #9529
BRADFORD
ENGINEERING CO.
P.O. BOX 1244
HAVERHILL MA. 01831
TFL. (918) 373-2396
IV
Date ........ : ...............
..........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....... ........................ : ......... r.f ..............................
has permission to performt ..... ...... -,
......................
wiring in the building of ............................................................
at ............................:..................../ ............................. . North Andover, Mass.
Fee �I. ............. Lic. No./y. ......... 41 ....... J, '7
.... . ..... ..............................
ELECTRICAL INSPECTOR
Check # -?-'
co
Commonwealth of Ma
Department of Fire
BOARD OF FIRE PR
APPLICATION FOR PSI
All work to be performed in a
(PLEASE PRINT IN INK OR TYPE ALL
City or Town of: �r
By this application the undersigned gives not
Location (Street & Number)
Iachusetts Official Use 0nl
services Permit No.
REGULATIONS Occupancy and Fee Checked
[Rev. 11/99] leave blank
,IT TO PERFORM ELECTRICAL WORK
e with the Massachusetts Electrical Code (MEY), 527 MR 12.00
IRMATION) Date: 17- Z5 1 0 1-1
To the Inspector of Wires:
his or her intention to perform the electrical work described below.
tisk � 5-�- .
Owner or Tenant ^J U Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No �1 (Check Appropriate Box)
Purpose of Building Utility Authorization No. '2-2- T5 2 O
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service I -,n Amps � ?-o / z.•., t, Volts Overhead 9`— Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Al r
No. of Recessed Fixtures
.....
No. of Ceil.-Susp. (Paddle) Fans
NEL n�u oe warvea o the inspector o Wires.
No. oT 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 mergency ig ing
Batte Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
No, o Detection an
Initiatin Devices
No. of Ranges
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pumpumber
Totals:
Tons
KW
...............
No. oSelf-Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑Other
Connection
No. of Dryers
No. of Water KW
Heaters
Heating Appliances KW
No. o No. o
Signs Ballasts
Sec ri yof of -Devices or Equivalent
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 ifdesirert; or as required by the Insp ,cto, of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work inay issue ,toss
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalenL. The
undersigned certifies that such cover is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) AJ6V-Po\V- F r6GA, Estimated Value of Electrical Work: 1' (� (When required by municipal policy.) (Expiration At�oo
Work to Start: ti Z 0 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: J,p,, �,
Licensee: 5 C,.•-,8—
(If
,—(If applicable, enter "exempt" in the license number line)
Address: `Loq L�\.zt" S'k . lv\c*
OWNER'S INSURANCE WAIVER: I am aware tl
Signature
required by law. By my signature below, I hereby waive this requirement. I am the (check one
Owner/Agent
Signature Telenhone Nn. IPE
LIC. NO.:
LIC. NO.:V-tcj 12-7 IA
Bus. Tel. No.:
Alt. Tel. No.:kot-)--)_1`I- 20 2 S
insurance coverage normally
Commonwealth of Ma
Department of Fire
BOARD OF FIRE PREVENT
APPLICATION FOR E�RAll work to be performed in a
(PLEASE PRINT IN INK OR TYPE ALL F
City or Town oh or
By this application the undersigned gives notice
Iehusetts Official Use On
N/Ce3 Permit No.
REGULATIONS Occupancy and Fee Checked
[Rev. 11/99] leave blank
IT TO PERFORM ELECTRICAL WORK
with the Massachusetts Electrical Code (ME ), 527,R 12.00
"WTION) Date: \ Z� Z� � I
To the Inspector of Wires:
is or her intention to perform the electrical work deccrihPri hPlnw
Location (Street & Number) S-`:\ ;�, -�-
Owner or Tenant laTelephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No Q"1 (Check Appropriate Boa)
Purpose of Building Utility Authorization No. 'ZZ T.5, Z Q
Existing Service Amps / Volts Overbead ❑ Undgrd ❑ No. of Meters
New Service "Ln Amps z,, b Volts Overhead [ Undgrd ❑ No. of Meters _L
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: `,` L
No. of Recessed Fixtures
•••� 10110WIFIx
No. of Ceil.-Susp. (Paddle) Fans
suule may ae watvea Dy the inspector of Wires.
NO---0TTotal
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above ❑ In- E]o,
rnd. rnd.
o mergency Lighting
Blaea Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. oI Detecdon an
Devices
No. of Ranges
T6iInitiatin
No. of Air Cond. Tons l
No. of Alerting Devices
No. of Waste Disposers
eat Pumpumber„
Totals:
.ons„
o, o e - ontame
Detection/Alertin Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ untc'pa ❑ Other
Connection
No. of Dryers
No. o Water KW
Heaters
Heating Appliances KW
o. o o• o
Signs Ballasts
SecurityNof-Devices s or Equivalent
Data Wiring:
No. of Devices er Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Te ecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail iJ desired or as required by the Insp, •cto of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalem. 'i'he
undersigned certifies that such cover is in force, and has exhibited proof of same to the permit issuing office,
fce,
CHECK ONE: INSURANCE BOND ❑OTHER ❑ (Speci - V-,-- "
f`) , ,^
Estimated Value of Electrical Work: iI `. 1 (� (When required by municipal policy.) (Expiration D' te)
Work to Start: Z 2,� I wi inspections toto-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: ,S- V---a--S ,A VA— Mo 1,. d— LIC. NO.:
Liceusee: Sr, "A— Signature �.,� <<t�` LIC. NO.: kl� --1 IA
(If applicable, enter "exempt" in the license number line) Bus. Tel. No.:
Address: Zoq .ee_\Y' l� . Mak ^.w Alt. Tel. No.:
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 agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: S ��