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HomeMy WebLinkAboutMiscellaneous - 266 MAIN STREET 4/30/2018 (2)N_ O_ A N Q O O N g a 0 0� 101, TOWN OF NORTH ANDOVER PERMIT FOR WIRING O�A This certifies that ............... �e—! ........ ;� ; ........................... has permission to perform . avrl .................................... wiring in the building of .... .. ............................................................. at ...... t-�. .............. . North Andover, Mass. Fee- ..... ...... Lic. No. -/ . . ...... J ';�� ............. ....... �/ ..... ... ... ........ ELECTRICAL INSPECTOR 7 - Check # 7227 1 10 RE ,J4 (r N Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. - .�!2 .2 1 Occupancy and Fee Checked , -36— kip BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 52 J CMR 12.00 (PLEA SE FPJNT IN INK OR TYPE ALL INFORMA TION) Date: D7 City or Town of: NORTH ANDOVER To the Inspc&r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) C,2 6 (0 S 71� Owner or Tenant JO&VM42 Telephone No. F91J, -?,TS 11711 Owner's Address —S.4n 12 , Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building Z ;L..,4 Utility Authorization No. Existing Service Amps / / Volts Overhead 0 Undgrd 0 No. of Meters New Service — Amps Volts Overhead Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Cr-emedw-at?- 7:2A�vstred szw.)�cH J'AZ )?Acx &Own OZ -5E Mf'7-6/*L-rd�-, A,*I? .2 70 V ' RAIM10,4M Completion nfthp fn1lowing, tablo m-1 h� 1-1 . —4 h th, 1--t— -I'Wi— No. of Recessed Lu minaires No. of Ceil.-Susp. (Paddle) Fans �—y No -Total Ti-ansformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above o In- Swimming Pool grnd. Lgrnd. El No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS JNo. of Zones No. of Switches No. of Gas Burners No. of D tection and Initiatin2 Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number. 1 11 . 1. Tons I KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local El Mun'c'P!il 0 Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water Heaters KW No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP 'I elecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail �f desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: &,? L, /0!2 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COOVERACE: 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 [:1 OTHEREJ (Specify:) Icertify, under thepains andpenalties ofperjury, thatthe information on this application is true andcomplete. FIRM NAME: j&fpJe,/ LIC. NO.:/7pDpA Licensee: Signature LIC. NO.:17-Aa a (If applicable, enter "exempt - in the license number line.) Bus. Tel. No. Address: Pig ZTO *71 getw"Aig /y7J9 my4l Alt. Tel. No.1976 4 2 1 g:16 r, I *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. 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 E] owner's agent. Owner/Agent Signature Telephone No. FPERMIT FEE. $ e-,:,. 6 3 ,-) 7- a 7 �� Ylg-6-f py� . LN I IF AW A A Datel .... A� ... �.).7 ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... )-'/ .......... f, ........... I ........................................................... has permission to perform ..... ....................... wiring in the building of .................... ................................................................ at ......................... . North.,Amdover, Mass. ........... Fee Lic. No/Am.4,.....�( .... :22z ................................ ELEcrRICAL INSPE Check # :734 7213 9 No. of Recessed Luminaires No. of Ceill.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above o In- . of Emergency Lighting Le grnd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners No- of Detection and 4 — Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons No. of Waste Disposers Heat Pump Number. I Tons I KW.... of Self -Contained Totals: I ... Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW LocaIE:1 Municippi El Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Eauivalent IOTHER: I Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Pen -nit No. Z�1_3 Occupancy and Fee Checked I [Rev. 9/051 (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 (PLEA SE PPJNT IN INK OR TYPE ALL INFORMA TION) Date: C� 1113 017 City or Town of. NORTH ANDOVER To the In -spec r o 'res: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 0.2 to L, M &% 0 §J�, Owner or Tenant 19� A 401=a _oR,4 L I V 1 Telephone No.911f,,�,Crs, s-7/1 Owner's Address 5,L"e, Is this permit in conjunction with a building permit? Yes No UR (Check Appropriate Box) Purpose of Building L _/ 6km ;I— I - Existing Service Amps Volts Overhead LJ New Service Amps Number of Feeders and Ampacity Volts Overhead 1:1 Utility Authorization No. Undgrd Undgrd No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: . "61 /,.'!? hT,,,ry I "LtJ e IT Completion of the followinR table mav be waived bv the Inspector of Wires. Attach additional detail �f desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 1.2 1 J-1 Inspections to be requested in accordance with M EC 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: INSURANCEN BOND [—] OTHER [_1 (Specify:) I certify, under thepains andpenalties ofperjuty, that the information on this application is true and complete. FIRM NAME: LIC. NO.: 170oa. A Licensee: 5AI22 el Signature LIC. NO.: 119p A (If applicable, enter "exempt " in the license number line.) Bus. Tel. No.: Address: Pl"W( 4=7 1�,-AnAN9! 424 i0oS6!2 Alt. Tel. No.:!774 -# 74 1 *Security System C;r�ira_ctor Lic'einse req�ired for thIs Work; -if applicable, enter the license number here: 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) 0 owner E] owner's agent. Owner/Agent Signature Telephone No. FPERMIT FEE. a Datl�-37'�:2'9 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that r �4 ................................. has permission to perform ....... e ............. plumbing in the buildings of'/.�.,, ............................. a t:�—'/' h� ............ , North Andover, Mass. Fee�&,. Lic. No. 4-1-1 ............ PLUM,131W'INSPECTOR Check #,O'�F2 64U 8 4 MASSACHUSETTS UNIFORM APPLICA (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location d(Ol yba-g-j �-" y- 0% (VO RrJ �) 'N -UE� Type of New 1:1 Renovationm Replacement FIXTURES PERMIT TO DO PLUMBING ?/)q )0 Date Permit # Amount Plans Submitted Yes No . 11 1:1 (Print or type) Check one: Certificate e-:�r'34'A ?IRMAA011- Corp. Installing Company Name \ Address C'a ckw�-p Partner. Businesslelephone q 4:;:- Firm/Co. Name of Licensed Plumber: N Q Y\C�' Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond Insurance Waiver: L the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have sulbgautted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and inrsation ed under Permit Issued for this application will be in se compliance with all pertinent provisions of the Massach, setts ing Code and Chapter 142 of the General Laws. 9 By: M—griature Of LICenseariumDer Tvne ot Plumbing License Title j ( I U- City/Town ense lNumDer Master Journeyman APPROVED (OFFICE USE ONLY Location No. ,�> I- Date [I-J(Dj T" TOWN OF NORTH ANDOVER Certificate of Occupancy $ CHU Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # Building Inspector V TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICAT12�*, TO CONSTRUCT I REPAIR, RENOVAT�; OR DEMOLISH A ONE OR TWO FAMILY DWELLING '51 WO"'"', "W NOW 01 WIN BUILDING PERM[IT NUMBER. ISSUED: 1 —3 1 SIGNATURE: AA Ak( Building Comnussioner/IRE�Etor of Buildings Date — — — aMt-ILIVIN I-01LIZ JUNVUKTULAILWA 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning Di;—Uic—t Proposed Use 1.4 Property Dimensions: Lot Area (sf) Frontage (ft) 1.6 WELDING SETBACKS (ft) Front Yard . Side Yard Rear Yard Required No—vide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 54) Public 0 private D zone 1.5. Flood Zone Juformation: — Outside Flood Zone 0 1.8 SeweMe Disposal System: municipal 0 On Site Disposal System D SECTION 2 - PROPERTY OWNERSEE[P/AUTHORIZED AGENT 'TKwner o Record -)1,A.j3,A,cA 50SfJS4*AN,, Name (Print) Address for Service 5E — t. r) Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable 0 License Number Expiration Date 3.2 Registe.iod Home Improvement Contractor Not Applicable 0 Company Name Registration Number Address Expiration Date Signature Telephone "D M X z 0 M --7 —0 0 z M 90 0 ic M z G) SECTION 4 - WORKERS COMPENSATION (NLG.L C 152 § 25c(6) 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 ....... 0 No ....... 0 �ECTION 5 DescriiDtion of Provosed Work (check an aDollcable) New Construction 0 1 Existing Building 0 1 Repair(s) k I Alterations(s) 0 1 Addition 0 Accessory Bldg. 0 1 Demolition 0 1 Other 0 Specify Description of Proposed Work: V V i /YT C) uo M4" C� wooac-q 6,4A" -f . SRCTT01q 6 - RS9ATFD CONSTRUCTION COSTS I Item Estimated Cost (Dollar) to be Completed by permit applicant `0 z -- 0,Nt.,AkE V I Building 0V (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) Check Niunber SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, aQ �er/A zed Agent of subject property Hereby authorize to act on "al', in all n1WAqs relative to work authorized by this building pennit application. 6 A- &, // JG2na—t­ur&'U bmrner' -' ' " ' - ' Date I 'SECTION 7b OWNERIAUTHORIZED AGENT DECLARATION I 1, as Owner/Authon'zed Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name of Owner/. Date NO. OF STORIES SIZE BASENIENT OR SLAB ST ND SIZE OF FLOOR TINMERS 1 2 3M SPAN DMENSIONS OF SILLS DMENSIONS OF POSTS DEMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHINVEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE D. `Robert Nicetta Building Commissioner (978) 688-9545 '978) 688-9542 Fax Please print DATE - JOB LOCATION C-.;)- (0 Number "HOMEOWNER 71 OA� Name PRESENT MAILING ADDRESS City Town Building Department 27 Charfes Street .. North Andover, MA. 0184,5 HOMEOW 4ER UCENSE EXEMPTION vv� 4, � Aj Street Address It , t I . C(,) Y ;) \-0 q6 t_) C:) Home Phone State Map lot Oil Work Phonsm' Zip Code The current exemption for "homeowners" was Qxtended to include owner -occupied dwellings of two units or less and to allow such hibmteowners to engage an individual The hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5. 1 Y DEFINITION OF HOMEWOWNER:: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a . one or two family dwelling, attached or detached structures ac cessory. to such use 'and/or farm structures. A person who constructs more than one . home in a two-year period shall not beconsidered a homeowner. The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned "homeowner" certiffes that h8/she understands the Town of No- Andover Building Department minimum inspection procedures and requirements and that he/she �will comply with said procedures -and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL f C)+U I Town of North Andover Building Department 27 Charles Stmet North Andover, Massachusetts 0 1845 (978) 688-9545 Fax. (978) 688-9542 DEBRIS DISPOSAL FORM 0 0 Arm 0 In accordance with the provisions. of MGL c 40 s 54, and a condition of Building permit-# — the debris resulting from the work shall.be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, sl 56a. The debris will be disposed of in /at: S, 2 0 Facility Signature of Applicant Date NO ' TE: A demolition permit from the Town of.North Andover must be obtained for th"I project through the Office of the Building Inspector. is Cl) m m I) m m m C/) m U) 0 m 1= CO2 CD M:z CO2 CD C) '0 CL C'J CD CL. CO2 CD CD CD CL r.r "C CD CD CD ww P. CD co) CD CL t= CO2 co CD a - CO) 10 CD z CD CD =r -1 cc 0 Y. CA dc mcp C', CD 0 CD Cl) CO C2 rn CA C2 06 C-) CD �* = z =r -O c-4 a) -- CA CD CL CL M -0. CO2 0 CA CD —4 4:. -4 -0 CD =r cD CD a ;; 0 Z C-3 C's 0 CD =57aj CL c = =r: CD rA. : :mom CD 0 CD n. 0 C=2 ow co z cn cn 0 C�I SCD M Ce 30 5* CD, IJU C* CD kcn t C2 cn CA :p 4T cn C* Z CD CD cn 0 7V cn Rj Irl T C) z W 171 :V �j PO 0 t I C) 2 m 0 03 n :r 9' 5 g, 0 cn a �:l r)* C/) -.< (D 0 r.L to 0 > ti. m rA r _e 41 0 0 onq 0 49i (D ol Location (Aj "S I No. Date TOWN OF NORTH ANDOVER �01 Certificate of Occupancy $ S Building/Frame Permit Fee $ 6w4v Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # y(�2 7 7 Buildiri'g inspector TOWN OF NORTH ANDOVER I BUILDING DEPARTMENT APPLICATION BUELDING PERNUT NUNMER: SIGNA I SECTION I- SITE INFORMATION I OR DEMOLISH A ONE OR TWO FAMILY DWELLING DATE ISSUED: // of Buildines Date 1.1 Property Address: C� (0 (0 A,4a On 1.2 Assessors Map and Parcel C7 q&,, Map Number Number: C)0'9�6 Parcel Number NOar 1.3 Zoning Information: Zoning Diai ict Proposed Use 2.2 Owner of Record: 1.4 Property Dimensions: Lot Area (sf) Fr-tage (ft) 1.6 BUILDING SETBACKS (ft) Address for Service: Signature Telephone Front Yard Side Yard SECTION 3 - CONSTRUCTION SERVICES Rear Yard Required Provide Required Provided ReqWred Provided Not Applicable 0 1.7 Water Supply M.G.L.C.40. 54) 1.5. Public 0 Private 0 Zone Flood Zone Information: Outside Flood Zone 0 1.9 Municipal Sewerage Disposal System: 0 OnSiteDisposal System 0 SECTION 2 - PROPERTY OWNERSHM/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 Licensed Constniction Supervisor:. License Number Address Signature Telephone Expiration Date 3.2 Registered Home Improvement Contractor 1(2 Not Applicable 0 7 - Company Name,, 7 - Registration Number Add Expiration D4e Telephone I SECTION 4 - WOREERS COMPENSATION (MG.L C 152 § 25c(6) I 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 ....... 0 No ....... 0 SECTION 5 Description o Proposed Work (check applicable) New Construction 0 Existing Building 0 Repair(s) 0 Alterations(s) 0 1 Addition 0 Accessory Bldg. 0 Demolition 0 Other 0 Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical (HVAC) 5 Fire Protection 6 Total (1+2+3+4+5) 0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIELDING PERMIT I, I as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information or(the foregoing application are true and accurate, to the best of my knowledge and belief Prijd!tame f . 2-!'e-6:fJ , t- – Signature of Owner/A ent Date I NO. OF STORIES SIZE BASENENT OR SLAB SIZE OF FLOOR TITVMERS I ST 2ND 3RD SPAN DINENSIONS OF SILLS DMIENSIONS OF POSTS DINIENSIONS OF GrRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUUDING CONNECTED TO NATURAL GAS LINE U I/ Ift Cl) m m m m m m CD m C/) 0 m Cos 0) W M CO) CD a = COD CD 0 06 CD CL CD C2 CD dc CD CL cr =r "C CD 5.40. Er CD 0 CD CD copi CD C:L t= CO2 C) = = I CD C2 CO) 10 CD CD CD 0 I cn cn n cn tz cn 2 z cn -4 2 0 CD I cz CO co Lo 0 CA 9 c im grl"o -0, =r -4 W w cr 4c coo r*" 0 It CO :* 0 = CD CD — 0 CA C2 CL C-) -4 9 Cl) m -0 = — z =rlo - COD CA. .4 BE a =r CL -P CL cp �a 0 CL =r 0 CD Cola) C,* CD CD ICU 2 0 CD CO2 V CL CD CD co n=: 0 CD CL -1 a -3 46 Co.) COD: CL CL C. ID U2 fl) X CD CA CAQ: C', cl) C, C-3 CD =r CD 0 COS CC.D, =r CD CD =4AP Cl) w ="CD so ACCRIC C --J C.) (Ai CD M tj cn 0 0 p;- cn A F :j M -x V r- ;oz c: M ,,j 0 00 z n ;z 8 11 s cp �a 0 CL C) 0 Owl 0 9 0 W. t tj It I N2 r4 -1 5 r 1. 41 - Date ...... ?11.71 ... TOWN OF NORTH ANDOVER 0 0� PERMIT FOR WIRING 0 Se T" f k 6 v, -t Thiscertifies that .... T ......... .............................. . ................................. r 5rlhh�p has permission to per . d ..... .... ... . ................. form ........ le— /��, wiring in the building of ...... 1961c?.w ..... ................................. at ...... ..... JYI.!�:&-tAl� .... I ' ... - - ) N It Andover as ....... ............. ... F :.!�O ... L ee..:Z) ic. No. ........ .............. X ........ ....... RICAL INSPECTOR Check # ( 5 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 7BE COAMOWEALTH OFAUS-"alUSETIS Office Use only T DZYMATAR�NTOFPUBLIC&4= Permit No. - r 3 A LY)ARDOFFD?EPREVEMONREGUA770AN527(M]2-00 Occupancy & Fees Checked TI0NF0RPFJ?NflTT0FERF0RM==CA'L WORK ALL WORK TO BE PERFORNED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cmR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below Location (Street & Number) Owner or Tenant Owner's Address -1�3 AIAJ /0 To the Inspector of Wires: F7— PARCEL z)at1,e4 Is this permit . in conjunction with a building permit: Yes= No F71 (Check Appropriate zati Purpose of Building on No. Existing Service 900 Amps--;�(/O/ / 2o Volts Overhead r771 Underground No. of Meters L ---J New Service YOO Amps a Y01 / Z 0 Volts Overhead r -M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical WorkC lw&a e zoo w 777,11ce 1v llvo,4 77,-74 e, 9F 7 7q c, "IeIA-ld 7 No. of Lighting Outlets No. of Hot Tubs No. offransformers Total KVA ,No. of Lighting Fixtures Swimming Pool Above [7 Below r7 Generators KVA ground around No. of Receptacle Outicts No. ofOil Burncrs No. of Emergency Lighting Battery Units No. of Switch Outlets '2— No. of Gas Bumcrs rM- ALARNIS No. of Zones No. of Ranges No. of Air Cond. 3 Total I? Xz- Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municip . al r7 Other No. of Dryars Heating Devices KW Connections No. of Water Heaters KW No. of No. of a Siam Bailasis No. Hydro Niassage Tubs No. ofMotors 3' Total HP A OTHER - AM I NO 11 "14, M i . WC Lk.�22-7,r�h�ll �7;e-a�lze '�Jseae,ri'tw, Na, a: * dis EtmabdV&kmdE1o=aW(zk Rcugh C 'rt, // — Fmal — 0 0 V79 — &6 — J ZA Ly V/ 2`4 Alt. Tei 11ki 2 9 / — 956 7220 ciram= -' OMMW Telephone NAIA�Y��- �PERMITFEd' 7 Date. . N2 i,,. -,z c. ,aORT#1 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 40, ACHUS This certifies that .... x� /7 ...................... has permission to perform ..... PC' ............ plumbing in the buildings of ... 1,�zl�.,� 7/ .................. at. North Andover, Mass. P ........... Fee.��.-�. Lic. No..0 0 . ...... PLUMBING INS ECTOR WHITE: Applicant CANARY: Building Dept, PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DaPLUMMING (Type or print) NORTH ANDOVER, MASSACHUS= Date ,5� Owners Name c;E Perm --"— Building it# 34=/,3 Amount V 10 New 01--- RenovationEl Replacement 6--�Plans Submitted Yes El No MTTTRES Check one: Certificate (Print or type) 51, 1-7"- /�a /) "r /� Corp. Installing Company Name — 11 Ad 11-17 111'at, �?j 1:1 Pwtner. 11nd- I ---- Business Televhone 4 2 X- /11 9: [3Fkm/Co. Name ofLicensed Plumber AIZ,41-� Insurance Coverage: Indicate the typ urance coverage by checking tile appropriate bor- Liability insurance policy ff �-� Other type of indemnity n Bond igned, have been made aware that the licensee of this application does noi have any one of the above insurance Waiver L the unders' three misurance Signanire Owner Agent D I hereby cm&y 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 instdlations performed under Permit Issued for this application will be in ach=S.n of the General Laws. compliance vnth all pertinent provisions of the Mass !!!!:L gj#e �awn,42 By- Z-apatum-orLicensW Tlumbar T��e offlumbing License Title / 0 C -L/ City/Town =Icense Nurnocr Master Er Journeyman 11 APPROVED (oma UsE ONLY A Location C7 No. - ") V (0 Date C--22�� -el-� TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ 14 Foundation Permit Fee $ Other Permit Fee $ Connection Fee $ Sewer Water Connection Fee $ TOTAL $ �Tq A5 Building l6spector 02/26/98 10:32 25.00 PQID Div. 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Scott Teleplioii� (978) 688-9531 Direclor FAX (978) 688-9542 CONTROL CONSTRUCTION - SECTION 116.0 M.S.B.C. CERTIFICATE OF ENGINEERING/ARCHITECTURE BUILDING INSPECTOR TOWN OF NORTH ANDOVER 120 MAI[N STREET NORTH ANDOVER MA 0 1845 GENTLEMEN: HEREBY CERTIFY THAT THE BUILDING CONSTRUCTED AT DOES CONFORM IN ALL RESPECTS TOTHE MASSACHUSETTS STATE BUILDING CODE AND APPLICABLE FEDERAL REGUALTIONS FOR THE FOLLOWING: AUTHORIZED SIGNATURE: a�g& DATE: REGISTRATION: NOTE: ENGINEER "WET STAMP" MUST BE AFFIXED TO THIS FORM BOARD OF APPEALS 688-9541 BUILDINGS688-9545 CONSERVATION688-9530 14EALTH688-9540 PLANNING 688-95' ) 5 146 MAIN ST. 1-20 MAIN ST. 30 SCHOOL, ST. 30 SCHOOL ST. 30 SCHOOL STI 4 C2 Cos C7 C) CD CD 06 CD CL cop) >C= -0 CD CD CL cr =r CD CD 0 CD w w I a. s CD CO) CD CL C2 COD CD S7 CA 10 CD C7 CD 4c CD e-. 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Public Works Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. 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(D 0 CD — .* CL (D m m -k U) m w Z CL ,n (D o m (D = m -11 -n o (D P* 2) 00 q Cr CD L 0 CL M 91) 0 00 M 0-1 * > 3 CL 0 co 0 M 4:b M F* CL > m M m Z C) Fn 0-4 > m M -j m o M -0 m zo IS ama m 4ont 95r. Z > i z C 0 C-) Cl) m -n 0 m :E m :0 M M 20 z 0 0 z :X) Cl) F Z Fj5 C/5 Z c M 0 0 5; C/) co z < > Fn- cn t� oolot m - tA 0 a 0 o mm 01 cz 03 '-4 %D W 0 CD in, ATENT FOR RENT, INC. 125 Commercial Circle, Dedham, MA 02026 Phone:(781) 326-6360 Fax:(781) 326-1656 RENTAL AGREEMENT ATENT FOR RENT, INC. (ATENT) agrees to rent to (CUSTOMER): Kenneth W. Van Blarcorn the following items at the quoted price on the reserved date of: Saturday October 3, 1998 Page 1 CUSTOMER: Kenneth W. Van Blarcom Auctioneers & Appraisers 63 Eliot Street Natick, MA 01760 508-6 53-7017 SITE: Field Hodges House Order* 3478 Ordered or Revised on: SetUP By. Friday, October 2, 1998 SetUp Time. Wed -Fri 266 Main St. TakeDown By, Tuesday, October 6, 1998 North Andover, 01845 TakeDown Time'. Mon-Tue Method Of Payment Event Auction FAX Cash Vehicle Acc 5 0 - HoFw. Card Surface: Grass Tax * Check P.O.** Quantity Description Unit Labor Unit Rental/Sales Item Total 1 40' x 80' white Victorian tent with white 800.00 800.00 sidewalls included. 1 Delivery and installation totalling 1,600.00. 800.00 800.00 Note: The tents will be adjoining. We will need to bring 60' of rain gutters. 30' x 60' white frame tent with white 600.00 600.00 sidewalls included. Delivery and installation totalling 1, 140.00. 540.00 540.00 Note: If you would like to go with two frame tents, to keep the stake line out of the 30'x6O' the price of the 40' x 80' frame tent is 2000.00. Estimated Permit Costs: Permit 50.00, 175.00 175.00 filling fee 15.00, and a 3 hour running fee at 37.50 per hour. Note: This is just an estimate. If I can do the permit by mail it will be at a lower cost. 25 8' long tables, delivered and picked up folded 8.00 200.00 ACCEPTANCE SIGNED: I have read and I agree to the terms and conditions on both sides of this contract. Atent For Rent, Representative Date Customer — Date TERMS AND CONDITIONS, ARE CONTINUED ON REVERSE SIDE OF PAGE 1. ACCEPTANCE TERMS - This purchase order constitutes the offer of ATENT FOR RENT, INC. (hereinafter "ATENT") to the CUSTOMER identified on the face hereof and shall become a binding contract on the terms and conditions set forth herein when accepted by the ATENT. ATENT reserves the right to revoke this order at any time prior to acceptance by CUSTOMER. Acceptance of this offer must be made on its exact terms ATENT FOR RENT, INC. 125 Commercial Circle, Dedham, MA 02026 Phone:(781) 326-6360 Fax:(781) 326-1656 RENTAL AGREEMENT ATENT FOR RENT, INC. (ATENT) agrees to rent to (CUSTOMER): Kenneth W. Van Blarcom the following items at the quoted price on the reserved date of: Saturday October 3, 1998 Page 2 CUSTOMER: Kenneth W. Van Blarcom Order# 3478 and stacked 200 Blue Samsonite chairs. delivered and picked 1.00 200.00 up folded and stacked Subtotal 3315.00 Nontaxable Amount 1515.00 Thmak you for volng ATanT for Rant, dac. Taxable Amount 1800.00 Thank you for your down payment of 1457.50, which Sales Tax 90.00 Total Order 3,405.00 we received on 09/19/98. Retain the yellow copy of Amount Paid 1457.50 the revised rental agreement as your receipt. We Balance Due 1,947.50 will bill you for the balance due, plus all contract Down Payment 1457.50 additions to be payable 30 days from the function Remainder of Bal. Due 1,947.50 date. We will call you on Tuesday September 29, Security Deposit 1998, to confirm a set up date. Mass sales tax is not charged on the labor portion of eachinstaleld item. ACCEPTANCE SIGNED: I have read and I agree to the terms and conditions on both sides of this contract. Atent For Rent, Representative Date Customer Date TERMS AND CONDITIONS, ARE CONTINUED ON FE—VERSE SIDE OF PAGE 1. ACCEPTANCE TERMS - This purchase order constitutes the offer of ATENT FOR RENT, INC. (hereinafter "ATENT") to the CUSTOMER identified on the face hereof and shall become a binding contract on the terms and conditions set forth herein when accepted by the ATENT. ATENT reserves the right to revoke this order at any time prior to acceptance by CUSTOMER. Acceptance of this offer must be made on its exact terms f 67 upphpTy A,�� P, -L .;.istric-,ed Tot OC, ely,4,41 a 9-29-1998 2--4-24M FPOt,,f ATENT FDR' RENT INC 6?7 221S ISSG P. 2 SEP 24 '98 08:35 R E MPLOWEY IN5 Z12 Poll -lei ........ ... --------- CAT tmofbolm 71 7. . ... .. 2f7c AS A tAAMR ��OF 105iiM016�4 y, � o I -rMj& CERTlrv%q%,- � WidN 'T"E CUMFIcATE NO F"Q"' tjAjWjLy TU*VRANCA PIOCY, OiNvY AND CONFGPts TA19 0EKTiFICATE VIOES NOT � UMNID, EMNO OR pxonpiw,�;v XzKwk*r pff TH9 POLP Me IWLOW. A E MST *Vqxcu scm dbt COMPAH195 AV-P%MWING 0—ovr-Rpluk— Vap", MA 02026 pgovloffma, WA5XZjVTcX .7"dkhNCX CMVAM A SASTER14 (;A3I7AJVrT fmmm= co"Fal" 1?fc OL*~Y 9 125 CWFANY rwrim, ma 0 ..— . — —,. . ..... .... :77, 7 8� KA BEEN js3uErjT0TtiEF4SfJR9VNAMFV AI30VEj:(>R . POLICY PERIOD TMF THIS jes'OF IN-SURA14CE LISTEr. T TO WHICH ;tJMCiNT WITH RESPEG CONVTION Of CONTFtACT OR OTHER VX Rms, TERM OR I$ SU13JECT TO ALL THE 715 CHNO ANY jkF INDir.ATED. N0TWMH$TAN QUIpMMENT. � THE pOUCIpS DE$CFtjl3Et) HERON 9 CERMFICATE MAY BE v"UED OR MAY PERTAK TMF- INSURANCEAFFORDED MAy HAVE VEF ptEMOgID sy P"D cLAIMS, EK CLU45QNS A" GONDMONS OF PO UCIES. LNVIV 4r 'NOWN -SUCH . roucy tort"V* p0tjCf EXPWATION ymcp1mo^m6ft POLA" WUM"R DAW Q"w"*NV) DATE IIAMIDONY) GENERDAL AQXWRe&f�"t 140AL (21ENEFIAL U*4kLq'ry PEPPONAL & ADY %NJURY 1;iAk" MAM F7 CXCUR 0WHM'S LCCWPW'Vgpr% OAOT FIRE DAMOOE (Am Ont MEP exP VVW 011c GOMWNED SING(A WWr ANY AUyO 6001kY iN JUPY A.LOWNEVAUMS %f3S/99 �pw Ohio A ve 401033xa x pp—tclownt) p4k.OMRD AVTm propfin)'r DAMAGE -7- GARAM QwLny OTHER TWM AUTO ANY AUTO -gAcw pruc�qgw. s. UMB%UA fORM crrm" Tmm uw(m"A PC~ 7UV�Ry Uvls m .--yft0"PffNM"G"AV-P 2/15/$o A/16/tv EACH AdC�ClUeNT nwLovm LWOUT1 .06 #j7b14 7^LA9F- rT THE Woc4row .7 INCI — .— -- 9Mc,10VFp: -1. at; fj, *0 0 ATM" post SWNT, 0C. 223 cm papslAx, Dora" "A VzQlas SHOULD Agy PGLICQS SE j;,*QgLtA6 bfFCAW THE Z~wox DATE "mew. Tpw IOUNG COWA"y WILk ORWAVM To HOMED TO THS LXFT� 3.0 D&V% W#NTMPI HOTCle To THE Cj!FMpjQATg pic;Wto OUT VA"M TO MAIL *AeN HOTICe SHALL W00" 1'40 OSLM&lran Or' 6""'ITT of AHT Kjob UPON _ML CVM -A--, ITT AWW" 09/29/98 14:41 TX/RX NO.1834 P.002 0 0