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Home My WebLink AboutMiscellaneous - 27 GIBSON COURT 4/30/2018a -7 D - / I/L, ate..S.7 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Thiscertifies that ....................................................................................................................... has permission to perform ....... t� ... I- . -/ . " . 0 ............ . . ........................................... .... .......... ......................... plumbing in the buildings ... .. at ... ....... ........... (?--� .................... , North Andover, Mass. Fee�.% . . ........ Lic. No. ................................................................................. PLUMBING INSPECTOR Check # w MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK A A A CITY VIA D J ATE PERMIT#. L � -71. I %. IQ U500—� . r*11% -�',JOBSITE OWNERS NAME OWNER ADDRESS I TYPEOR OCCUPANCY -TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL)Q PRW 13 CLEARLY E] RENOVATION -13 REPLACEMENT!b�(, PLANS SUBMITTED: YES El NOE-1 i NEW APPLIANCES I --FLOORS - --+ BW 2 1 3 1 4 1 5 1 6 1 7 1 8 1 9 1 10 1 11 1 12 1 13 1 1-41 BOOSTER M5 DRYER EvIATUM 1-11 Date ... J1 .7/t N.... TOWN OF NORTH ANDOVER :RMIT FOR GAS INSTALLATION ............................................... ........ ...... .... ....... F has permission for gas installatjon ..... .. ...... .............................. in the buildings of ..... ". -�.' c/ -J ............ ........... .. 44c-�7� -26 North Andover, Mass. . ......................... . at ........ ............... Fee2P .. . ..... Lic. No. ..... ..................................................................... GASINSPECTOR Check# 20�- 161 13 ill �51 01 r. of MGL Ch. 142 YESJQ No � BOX BELOW Ej BOND 'age requIred by Chapter 142 of the ONE ONLY: OWNER El AGENT f. -I am We ang amumte to tho bes f my knovdi i complUmb Wth afl Pwfimt =on of ft PLUMBER-GASFITTER NAME LICENSE #U� WIGA W MP R��GF d� JP [�(JGF LPGI [j coRPoRAnoN[3# PARTNERSHIPEI# LLC COMPANY NAMEI -V W-4 DRESS CITY — ------ ATEE&AZIP j ST 5 DOIA �A This certifies that (5V 9411�$- Date.............. . ................................. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION has permission for gas installation ..... in the buildings of A.-kI>.D.0J ..... i .< at........ 2.(P ....... ...... Cl�- Fee.�.�. .. Lic. NoASIo..!�.S .... Check # � (A 1 %^j % ............................................................. .Csf— .......................... ........... . North Andover, Mass. ..................................................................... GASINSPECTOR Lb MASSACHUSETTS UNIFORM APPLICATION FOR A PER141T TO PERFIDRIVI UAS FITTINU VIUKK CITY dS�M/� DATE PERMIT# JOBSiTEADDRESS L-j:J'0wNER`S NAME G OWNER ADDRESS V -I( -kr n FAX, TYPE OR PRINT OCCUPANCYTYPE COMMERCIALFJJ AGATIONAL RESIDENTIAPk CLEARLY NEW: 0 RENOVATION47.] REPLACEMEN10kj PLANS SUBMITTED: YES [3 NO[] APPLIANCES I -, FLOORS -4 BSM 1 2 3 4 5 6 7 8 9 il) 11 12 13 14 BOILER BOOSTER CONVERSION BURNER I COOK STOVE =71 DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR Emil E, 7- 1 . . ....... GRILLE J INFRARED HEATER LABORATORY COCKS E -7i MAKEUPAiRUNIT OVEN POOL HEATER ROOM I SPACE HEATER I J ROOF TOP UNIT LL �__ I . . . . . TEST --- --- UNIT HEATER UNVENTED ROOM HEATER WATER HEAT R j OTHER --I== . . . . . . . . . . . . . I F—I F77A INSURANCE COVERAGE I have a current liability nsurance policy or Its substantial equivalent which meets the requirements of MGL. Ch. 142 YES Q416, P-1 I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF C�VCIIAGE ECK811GTT"E A'PRO'RIATE BOX BELOW 0 H R yp I BOND LIABILITY INSURANCE POLICY E NDEMNITY OWNSIVS INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit ap c o �alve t r qu rem n pil at! n Y-8 his 0 1 e t. CHECK ONE ONLY, OWNER Ej AGENT rj SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and Information I have submitted or entered regarding this application are tru �, and accurate to th b t f knowtedge and that all plumbing work and Installations parrormed under the permit Issued for this applicaflon Will be In comli a the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ry'Pr PLUMBER-GASFITTER NAME LICENSE SIGNATURE m P E-A F JP JGF LPGI [j CORPORATION D# PART R'cJ1PE_j1#[___ LLCj_ COMPANY NA E: ADDRESS CITY STATE P TEL Lb I 7fie Commonwealth ofMassqchusetis Department ofIndustrialAccidents 1 Congress Street, Suite 100 -Boston, MI 02114 2017 www.mass.gov1d1a Workers, Compensation Insurance Affidavit: Buffders/ContractorsfFIec#icians/Flumbers- TO B1 Gi FffzD wJTF(TEE PERM TTING AUTHOPJTY. Name (Busi.ues'g/Organization&dividual):. Address: e,- A Phone ff: Z2 V _Ct City/State/Zip: Areyou an employer? Checkthe app'riopriate box; Type of project (T,�quired): 1.01amaemployervith employees (fifflandlorpart-time).* 7. El Now constluction 2QJ,aftia. 'sole proprietor or partnership �nd have no employees working formein 8. Reniodelilig any capacity. [No workers' comp. insurance required] 9. Demolition 3.E] I am ahomenmer doing all work mYselt [No workers' comp. insurance required.] t 10 Building addition 4.0 1 am a homeowner a -ad will be hiring contractors to conduct all work on my property. NMI ensure that all contractors either have workers' comp ensation insurance or are sole I El Electrical repairs or additions proirietors with no em�loyees- li F1 Plumbing repairs or additions 5.FJ I am a general contrar tor and I have hired the sub- c ontractors listed on the attached she et. 13. FJ Roofrepairs ThesiG s�b C*ontractors ha�e en�ployee's and have workers" cozqp. msurance-� 14.El OtIfer 6Q We are a corparat�on andits officers have exercisedtheir right of 'exemption perMGL c. . I . 40 , '. 152, § 1(4), and we have not ppployees. [No workers' comp. insurance required.] *Any applicant that checks box #1 must also fill Out the section below showing theirworkers' compensation policy infbin�atiom Homeowners who snbr�it J�is af6davit indicating they are doing all work andthen hire outside contractors must submit anew affidavit indicating such. tContractors �hat checkthis box must -attached an additional sheet showing th� name of tho sub -contractors and state whether or not those entities have employees. Ifthe sub-cinr6c6s �a�� emplcy'eBs, %ey' rn' us*t provide their workeis' comp. policy iaumber. lam an employer t7iatispid-pidingwork-�,js'compensadon insuranceformy emplbyees.' Below is thepolicy andjobsite iqformation. Insurance Company Name Policy #- or 8 elf -ins, Lic. Expiration Date: Job Site Address: City/State/Zip: — Attach a copy of the workers' iompe1iqation-policy declaration page (showing the policyriumber and expiration date). Failure to S-CCUM Govdrage as required under MCM c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the forin of a STOP WORK ORDER and aflne of up to $250.00 a day against the violator. A copy of this statement may be forwarded to the Office. of Investigations ofthe DIA for insurance coverage verification. -7 I do hereby certify Phone #: that the informationprovided above u- t d re an correct Official use only. Do Izot write in this area, to he completed by city or town of fleial City or Town: Permit/License Issuing Authority (circle one): i 1. Board of Health 2. Building Department 3. CitylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: — Phone 1 018 2-8 .4 3 0 1 '13 L '61 Date aq..:5� ...... OF NORTH ANDOVER MIT FOR PLUMBING O\Vv—,e.'!. .............. ............................................ has permission to perform ... NV .... A .......... ............................. Se- L7 VV�D's plumbing in the buildings of .. .... ........ ...... �? . ..... ... .......... ................................. at .6 ...... ( -75� - -g t--� �(.'6 G P ................... .............................. . North Andover, Mass. kc%GFee.:�?().—... Lic. No . ................. 1--. .... ................................................................................. PLUMBING INSPECTOR Check # I Lei, F PERMIT# -A ALfMA. DATE ja� JOBSITE ADDRESS OWNERS NAME OWNER ADDRESS TEL FAX TYPE OR OCCUPMCYTYPE COMMERCIAL UCAnow RESIDENTIAL PRINT CLEARLY NEW- RENOVA11ON: REPLACEMENTT-PLANS SUBMITTED- YES NO OV, a T 1.11 1 L, Ll I " j L� x ft, j 0", 1 fk.,J I z 'T, DRINKING FOUNTAIN 0 165111 a] VZOT4 Z': ITCHEN SINK I UR—MCEIMOPSINK IN In WIWTJ'61� RYI.Ni n I 10 let IT, Uk I I ILI I W, 1! 1.11".". 1 WPJ—ERPIRNG INSURANCE COVERAGE: Lhave a current fietway ilw1farice policy or its substaritial equWaiwt wmch meds Me reqWlemwft of MGL CIL 142. YMU/NO 0 IF YOU CHECKED YEs. PLEASE INDICATE THE TypE OF COVERAGE By CHECMW THE AppROplpjATE BOX BELOW LIABIM11TWRANCEPOLICY OTHM -n?E OF IMEMNITY El BOM OWNERS INSURANCE VWUVER-. I am aware that the rmmm 0021 not have the irmurance coverage required by ChaPter 142 of the Massachuseft General Leas, and that nry signature an this permit appication wam this requirwient CHECK ONE ONLY: OWNER[] AGENT[] SIGNATURE OF OWNER ORAGENT �,,te, of my knovAedge and that all Plumbing wwrk and installations perlbrmed under the permit issued �r this apprmaWn will be Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBERS NAME hd4XJ1y\ LICENSE# P Mp B", ip CORPORATION # PARTNERSHIP # LLC # COMPANY NAME p5t.14 ADDRESS c"-.- 4ave-mi-EAA A7- zip TEL FAX CELL9]k—EMAIL Nwl moll -This certifies that has permission foi in the buildings of at.......... Fee ..... ;?K) ....... Lic. No. ..J56�� ... Date ... 2.. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION Check # U lover, Mass. ..................................................................... GASINSPECTOR IIUT411 Fral mm MASSACHUSETTS UNIFUMM Al-l-LIU141 IVIM ruM JA rr-f%IVJj I I W F-1-1XV %01�1v- CITY . MA DATE PERMIT # . . . . . . . JOBSITE ADDRESS OW EKS NAME TE��-7 OWNER ADDRESS __=FAX TYPE OR OCCUPANCYTYPE COMMERCIAL[] CATIONAL RESIDENTIAL PRINT CLF,ARLY NEW, RENOVATION, F.] REPLACEMENT. PLANSSUBMITTED: YES13 NO[] APPLIANCES I FLOORS -4 BSM- 1 2 3 4 6 * 6 7 8 9 '10 11 12 13 14 . BOILER � �-j BOOSTER . . . . . . . . . . . . .... CONVERSION BURNE COOKSTOVE ....... DIRECT VENT HEATER DRYER FIR5PL ACE J FRYOLATOR FURNACE GENERATOR _J GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT . . . . . . . OVEN POOL HEATER ROOM/ SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER LINVENTED ROOM HEATER WATER HEATER-—, OTHE . . . . . . . . . ............ I f I f INSURANCE COVERAGE I have a current liability nsurance policy or Its substantial equivalent which meets the requirements of MGL. Ch. 142 YES N 1,149YOU CHECKED YES, PLEASE INDICATE THE TYPE OF C�M�IAGE CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDE MNITY BOND OWNEWS INSURANCE WAIVER: I am aware that the licensee doe not bave the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application w—alves this requirement. CHECK ONE ONLY: OWNER E-3 AGENTF-11 SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and Information I have submitted or entered regarding this application are true and accurate to the best of my knovAedge and that all plumbing Nvork and Installarlons performed under the permit issued for this application Wit be In con-Aflanp Wth all Pertipent 'alon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. A�l PLUMBER-GASFITTER NAME SIGNATURE -CLAI _]LICENSE# MP [.--SVG--F F LPGI CORPORATION [J# PARTNERSHIPEJ #[ LLC [JO F COMPANY NAME: CITY ST ZIP. L FAX CE IL IIUT411 Fral mm �_ .. ,, . �ti Name Ae Commonwealth ofMassqchusefts -WalAccidents Department of Indius, 1 Congress Street, Suite 100 Boston, MA 02114-2017 Www.mass.gov1d1a Workers, Compensation Insurance Affidavit: BuUders/Contractors[JEI�CiTicians/Plumbers- TO BE F"D VnTE(TEE PERMTTING AUTHORITY. Address: City/State/Zip; Axeyou an employer? &te�kt& aplir.iopxiate box; Phone #: I.FlIamaernployerwith emPloYces(.Rdlandlorpart-time).' 2.01,a&-�a `sole proprietor or partnership �nd have no employees'Working formein any capacity. [No workers' comp. insurance required] 1E] I am a homeawmer doing all work myselt LNO workers' comp. insurance required.] t 4.rJ lam a homeowner andwill be hiring contractors to conduct all wark on my property. 1will ensure that all contractors either have workers' compensation insurance or are sole proirietors with no em�loyees. 5.rl I am a general contra.vtor and I have hiredthe sub -contractors listed on the attached sheet. These s�b-c'ontzaotors: ha4'e el�ploye�s and have w�rkers' con�p. insurance.t 6. n We area corporation and its officers have exercised their right of 'exemption perMGL 0. 152,§1(4),andwoh�v,-nQ.%'m'y'l'o' s.Wo yee -workers' comp. insurance required.] Type of project (Tqquired): 7. El Now construction 8. F1 Remodelhig 9. El Demolition 10 Building addition I I -E1 Electrical repairs or additions IiF] Plumbing repairs or additions 13. F1 Roof repairs 14. F1 Othbr *Any applicant that checks Box 41 must also fill out the section below showing their workers' compensation policy information. T Homeowners who subirik 1�is Adavit indicating they are doing all work and then him outside contractors must sUbmit a new affidavit indicating such. TContractors that check this box must -attached an additional sheet showing th� name of the sub -contractors and state whether or not those entities have employees. If the sub-co'n6d&s fia�� employ�es, %e� rimit proyide their work&s'cornp. policy laumber. IT am an employer that ispioviding work�rsl compensation insurancefor ny emplbyees.' Below is thepolicy andjob site iqformafion. // / . /� — - Insurance Company Policy# or Self -ins. Lic. Expiration Date: _ Job Site Address: City/Stateffip: Attach a copy of the workers' 6ompe:9qation-polley declaration page (showing the policy number and expiration date). Failure to secure coverage as required under MGL o. 152, §25A is a criminal violation punishable by a fine up to $1,500.00 and/or one-year imprisonnient, as well as civil penalties in the form of a STOP WORK ORDER and a flue of up to $250.00 a day against the violator. A copy of this statement may be forwarded to the Offica of Investigations ofthe DIA for insurance coverage verification. - __7 I do hereby certify u!� that the informationprovided above - t eandcorrect. Of flcial use only. Do not -write in this area, to he completed by city or town of -ficial. City or Town: PermitfLicense a issuing Authority (circle one): I 1. Board of Ifealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: 47 6366 P r1.0, Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING I This certifies that ............. ................... has permission to perform ....... 4?! 12 ................ wiring in the building of ...... at ....... — f�1615A?� .... rl',C ................... . North Andover, Mass. 4-4 Fee ... Lic. ...................... ELECTWICAL INSPECTOR A, Check # Commonwealth of Massachusetts Official Use Only 'Department of Fire Services Permit No. 19 [Rev. 11/99] BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (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 PRflVT IN INK OR TYPE A LL INFORW TION) Date: 6t/24/2006 City or Town of.- North Andover To the Inspector of Wires: By this application the undersigned gives notice of his �r—her intention to perform the electrical work described below t \ No. of Recessed Fixtures Location (Street & Number) 25 Gibson Court No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Owner or Tenant Wood Ridge Homes No. of Lighting Fixtures Telephone No. 978-423-7867 No. of Emergency Lighting Battery Units Owner's Address 10 Wood Ridge Drive, North Andover, MA 01845 No. of Oil Burners FIRE ALARMS Is this permit in conjunction with a building permit? Yes No X (Check Appropriate Box) No. of Detection and Initiating Devices Purpose of Building Residence Utility Authorization No. No. of Alerting Devices Existing Service Amps Volts Overhead Undgrd No. of Meters Tons I ..... ...... .. JKW ....................... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW New Service Amps Volts Overhead Undgrd No. of Meters Security Systems: No. of Devices or Equivalent Number of Feeders and Ampacity No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydro massage Bathtubs Location and Nature of Proposed Electrical Work: Installed 2 GFCI's OTHER: COMDletion ofthe followinv- table mav be waived hv the Imvnectnr of Wires - t \ 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 Ej In- grnd. grnd. El No. of Emergency 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 No. of Waste Disposers Heat Pump Totals: I Numberl *"** .............. Tons I ..... ...... .. JKW ....................... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local E] Municippl El Other Connection No. of Dry I ers 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. Hydro massage Bathtubs No. of Motors Total TIP Telecommunications Wiring: No. of DeviceR 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 F1 OTHER F1 (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 th e pains and penalties ofperjuty, th at th e information o a lication is true and complete. FIRM NAME: Landers Electrical Co., Inc. LIC. NO.:–A5912 Licensee: Terrence J. Landers, Vice -President Signaturef LIC. NO.: 9743 (Ifapplicable, enter "exempt" in the license number line) /,r- Bus. Tel. No.: 978-686-3828 Address: 1000 Osgood Street, North Andover, MA 01845 Alt. Tel. No.: 978-686-3 829 OWNER' S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally requiredbylaw. By my signature below, I hereby waive this requirement. I arnthe (checkone) El owner Flowner' t Owner/Agent LMMI Signature Telephone No. FE"IT FEE. $ 5. 00 Ak AA k �In DERS ELECTIRICAL CO.jNaC. Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE October 24, 2005 INVOICE # 050455 09/26/2005 25 Gibson Court Supplied and Installed 2 GFCI's Material & Labor: TOTAL DUE THIS INVOICE: RECEIVED OCT 2- 6 '2005 $ 97.81 $ 97.81 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 6351� 0 Date ...... I.— . 2— . 4 .. — .. .049 .... ... ... .. ....... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............... 4�P'Z-- . .............. has permission to perform ........ ............ wiring in the building of ........... ...... at ........ c9 & 6— C 7— jo ....................................................................... . North Andover, Mass. ...................... Fee ..................... Lic. No. �J ...... ELEbTRICAL INSPECTOR Check # 10 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. V R A BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev- 11/991 (leave blank� I 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 1 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) 26 Gibson Court Owher or Tenant Wood Ridge Homes - Telephone No. 978-423-7867 Owner's Address 10 Wood Ridge Drive, North Andover, MA 0 1845 Is this permit in conjunction with a building permit? Yes E] 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 F1 UndgrdEJ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewired gfci's in kitchen Comnletion ofthe following table mav be waived bv 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 o In- grnd. grnd. 0 No. of 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 and Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number I- *** I Tqq� JKW 1*"** . ....................... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local E] Municippl EJ 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 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:) (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 c ertify, u n der th e p a in s a n d p en a Ities of perju ry, th a I th e info rm a�d o �n, th is 1* tion is true and complete. FIRM NAME: Landers Electrical Co., Inc. 'J 77 LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signa ur -T&4&t� LIC. NO.: 9743 (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-686-3828 Address: 1000 Osgood Street, North Andover, MA 01845 Alt. Tel. No.: 97R-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) 1:1 owner El owner's agent. Owner/Agent Signature Telephone No. FEE. $ 5. 0 NDERS TRICAL COJNC Wood Ridge Homes ATTN: Gary 10 Wood Ridge Drive No. Andover, MA 01845 INVOICE September 14, 2005 INVOICE # 050432 09/08/2005 26 Gibson Court - outlet in kitchen not working Checked outlets, found miswired gfci receptacles. Rewired all gfci's to work properly Labor: $ 150.00 TOTAL DUE THIS INVOICE: $ 150.00 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 Date. (::��/!�A ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... �� /,( " r S PI I/-/ .. ....................... has permission for gas installation ...... P. ........... in the buildings of .... L,�,. �. t. I ....................... at f ........ NorthrAndover,. Mass. Fee.. �J ..... Lic. No.. ?.6 t. .1 . ........ 40 ... P... GASINSPECTOR Check # / V ) STI 7 N`SsAcHu-sym LMDRM APPMATON FoR PERNirr To Do Gm nTnNG (Type or print) Date NORTH ANDOVER,MASSACHUSETTS In df ,n I - BUildina Locations C New 11 Renovation 11 .SUB-BASEM ENT B A S E M E N T 1ST. F L 0 0 R IN D. F L 0 0 R 2RD. F L 0 0 R 4 T 1-1 F L 0 0 R 5 T H F L 0 0 R 6 T H F L 0 0 R 7 T H 8TH.� F L 0 0 R F L 0 0 R (,Print orlype) Name Address . ness Name of Licensed Plumber or Gas Fitter Owner's Name Permit # Amount $ Replacement Plans Submitted El Z Z 0 1-4 U .4 z F-4 w zw > OH z E> r.; ;9 z Ch k one: Certificate Installing Company Corp. Partner. INSURANCE COVERykGE Check one: I have a current liability Insurance Policy or it's substantial equivalent. Yes 13- No 13 If you have checked yes, please indicate the type coverage by checking the appropriate box, Liability insurance policy Other type of indemnity Bond o--- 1 13 13 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: Signature of Owner or Owner's Agent Owner Ai�ent 13 i hereby certify that all of the details and information I have SUbmitted (or entered) in above appli ' bcst o[niv knowled-e and thatall plumbing work and installations perfornit.-d 11FOL'I. !��n are true and accurate to the, Pp compliance withall Pertinent provisions ol' 'Itc Gas Code all or this al the NlassachUSCUS St, w 117 Bv: Title City/Town APPROVED (OFFICF USE ONLY) Si-natUrc ot Licensed Plumber Or Gas Fitter 1:3 PlUmber 4L.(� ell Gas Fitter L—ICCTISC iNLIMber aste 11`71-46tirneyrnan r 3GO/ 6 Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... ....... ............................ has permission to perform ........ a. ................................................ wiring in the building of ......... .......... at .............. ...... ....... / orth Andover, Mass Lic.No.4 ... ..................... ELECTRICAL INSPECTOR Check # 16 � ( Conunonw'da& BOARD OF FIRE PREVENTIONREGULATIONS Official Use Only Permit No. Occupancy and Fee Checked tev. 11/991 1,1_1" APPLICATION FOR PERMIT TO- PERFORM ELECT'RICAL WORK All work to be perl'omjcd in acicordancc with the M2sMchusct1s Eliectrical Code (MEQ. 527 CNIR 12.00 (PLEASE PRINT IN INK OR TYPE -ALL liVrOJI-VA TION) Onle: . Z_ City or Town of. Aj. Awol�-� To the Inspector o Wires: By this application the undersiul - - � -Y g icd gives noficc Of his Of hcr ilitentioll to perforni the electrical work described below. Location (Street & Number) Eizfiib�g!u e-4. e', Owner or Tenant U) 034 LL4 k -en 14gyl 9- CZ TelephoneNo. Owner's Address le - u. DOP. Is this permit III conjunction' with a building permit? Yes El No LrAV- 1, -(Clle*ck App'roprin(e Box) i,u . roose or Building-_ Re Sij -'tt44tq_k Wilily Authorization No, Existing Servi C c _ V,4 d Amps Volts Overhead Undgrd No. of illeters. Lew Servic.c 5jkjqP_ Anips Volts Overhead 0, Und-rd No. of Meters.' Number of Feeders and Anipacity Location and Nature of Proposed Electrical Work: r ... rd- f. It ....... _-L1_ Allach additional detail j(delired, or as required by the Ins . pector of Wres. INSUItAINCE CO1EPXGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless [lie 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 issuilig office. CHECK ON E� - INSURANCE E2/ BOND'E] OTHERE] (Specify:) Estimated Value of Elcclrical Work:' fTVI (Ex p, Aat Date) MIA tim le Y Ull cipal policy.) Work to Start:, Inspections to be requeste d in accordance with IVIEC Rule 10, and upon completion. I cei -tifj -, i t it tic Tilt e l7ains t 17,,j; allies qfperjury, Iltat Ih e h!/orm ation oil this application is trite air d complete. V I&MIL L'1A11VM:, 9- I-ec =K�, LIC. NO.: /:3�/ "011 .- — - Vi -A. Licensee: Signatu, e LIC NO --_-_F, -je) (1faliplicable.clacl, exempt fill/ licenseppusberfitte) Address: Bus. Tel. No' - Alt. Tel. No'.' 279 37.Z OWNER' PHNSARbA�NLCEWAIVER: I arnaware that the Licensee does not have th — WV requiredbylaw. By my signature below, I hereby %%raive thisrequircment. laint e liability insurance coverage normally Owner/Auent lie (Check- 011c) 0 owner 0 owner's agent. - t r, I .. S1,711a ure Telephone No. b - 1j,,RH1Tr-E-E-: S J-0-112SR—Jemaybe — iraived oy inspector orivires. No. of Recessed Fixtures NO. of Ceil.-Susp. (Paddle) Falls -lite No. of Total rransfarmers KVA No. of Lighting Outlets No. of I -lot Tubs Generators XVA No. of . Lighting Fixtures Swimming Pool Above E] Ili- 1 0 mergency ig I Ing griid._ grnd. 20- tte TJnils No. of Receptacle Outlets No. of Oil Burners FIRE ALARNIS No. of 7 Ones, ,No. or Switches No. of Gas Burners NO. 0 Detec io nd Initiating Devices No. of Ranges Total No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Punip, N - iber 1- !Ln 1_ I Tons No. self- )ntained 1--, Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating I<W Local C1 jklulilcip?l El Other Connection No. of Dryers Healing, Appliances KW ty SYs_t_e_n_u_-____� I o. of Water IN 0. of IN 0. No. OCDevices or Equivalent Heaters KAV Signs Unta Wiring - No. of &vices or Equiy2lent No. Hydromassage Bathtubs TCie mnju No. of Motors Total HP ication Wjrj�fig. No. of Devices or Ecitilyalent OTHER: Allach additional detail j(delired, or as required by the Ins . pector of Wres. INSUItAINCE CO1EPXGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless [lie 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 issuilig office. CHECK ON E� - INSURANCE E2/ BOND'E] OTHERE] (Specify:) Estimated Value of Elcclrical Work:' fTVI (Ex p, Aat Date) MIA tim le Y Ull cipal policy.) Work to Start:, Inspections to be requeste d in accordance with IVIEC Rule 10, and upon completion. I cei -tifj -, i t it tic Tilt e l7ains t 17,,j; allies qfperjury, Iltat Ih e h!/orm ation oil this application is trite air d complete. V I&MIL L'1A11VM:, 9- I-ec =K�, LIC. NO.: /:3�/ "011 .- — - Vi -A. Licensee: Signatu, e LIC NO --_-_F, -je) (1faliplicable.clacl, exempt fill/ licenseppusberfitte) Address: Bus. Tel. No' - Alt. Tel. No'.' 279 37.Z OWNER' PHNSARbA�NLCEWAIVER: I arnaware that the Licensee does not have th — WV requiredbylaw. By my signature below, I hereby %%raive thisrequircment. laint e liability insurance coverage normally Owner/Auent lie (Check- 011c) 0 owner 0 owner's agent. - t r, I .. S1,711a ure Telephone No. b - 1j,,RH1Tr-E-E-: S ';5y' - '71) Date. / ...... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'W This certifies that ......... ....................... has permission to perform .............. plumbing in the buildings of ... 4f� ........... at ................... North Andover, Mass. Fee.-..,�� Lic. No..'�/�-. ... ........ ....... PLUIdB'WG INSPECTOR Check # 5091 MASSACHUSEM UNUMMAPPUCATONFDRPERNUr TD DO GAS FfrnNG (Type or print) Date NORTH ANDOVER, MASSACHUSETTS #c2 Building Locations dfe )VonA e Permit # L5D91 Amount $ �S� Owner'sName tbo-�OdrelllonAey (D-016 New Renovation Replacement 17 Plans Submitted (Print or type LAN Plum L)(,X, Name Address -OL -To 2 Business Telephone -7 P- 1, ;7 3— Name of Licensed Plumber or Gas Fitter 11)z Check one: Certificate Installing Company Corp. Partner. Fimi/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Non If you have checked yes, please indicate the type coverage by checking the appropriate boP Liability insurance I policy Ex Other type of indemnity 13 Bond Owner ' s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: I'Signature of Owner or Owner's Agent Owner Agent I hereby certity that all ot the detajJs 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 installatiouf pe �Oedunder Permit Issued for this application will be in compliance with all pertinent provisions of the Massacl Xte 3 ea apter j42-atthe General Laws. 1APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber Gas Fitter License Number Master Journeyman rA rA 00 Z 9 rA z Cn z rA Z > z 44 0 8 0 W > I SUB -B A SEM ENT B A S E M E N T IST. F L 0 0 R 2ND. FLOOR 3RD. F L 0 0 R 4 T H F L 0 0 R 5 T H F L 0 0 R 6TH. F L 0 0 R 7TH. F L 0 0 R 8TH. F L 0 0 it (Print or type LAN Plum L)(,X, Name Address -OL -To 2 Business Telephone -7 P- 1, ;7 3— Name of Licensed Plumber or Gas Fitter 11)z Check one: Certificate Installing Company Corp. Partner. Fimi/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Non If you have checked yes, please indicate the type coverage by checking the appropriate boP Liability insurance I policy Ex Other type of indemnity 13 Bond Owner ' s Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: I'Signature of Owner or Owner's Agent Owner Agent I hereby certity that all ot the detajJs 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 installatiouf pe �Oedunder Permit Issued for this application will be in compliance with all pertinent provisions of the Massacl Xte 3 ea apter j42-atthe General Laws. 1APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber Gas Fitter License Number Master Journeyman