HomeMy WebLinkAboutMiscellaneous - 30 WRIGHT AVENUE 4/30/2018r� m qM 0 Crawford Crawford & Company 1001 Summit Blvd. Atlanta, GA 30319 PH 1-800-221-3509 4/18/2015 Town of North Andover 1600 Osgood Street North Andover, MA 01845 Re: Insured: Claim Number: Policy Number: Our File: Date of Loss: Type of Loss: Location of Loss: AARON ALLEN and NICOLE ALLEN KCAM07 BGBPSV 6776- 2/28/2015 Water Damage 30 WRIGHT AVE NORTH ANDOVER, MA 01845 Insurance Company: Mapfre Insurance To Whom It May Concern: Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, David Evensen Claim Representative CC: City/Town Fire Dept, City/Town Health Dept This certifies that'` . �!�... �- . . �`I..� .................. has permission to perform. vv� 441.14 ........... plumbin in the buildings of ... �. -P� ........................ at .. V! .. w�' North Andover Mass. Fee I a.C� Lic. No. ('10. 1,.%/?��� ,ri"�; ..... ... PLUMBING INSPECTOR Check # oZ� i MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK s qw- CITY vw n a,,e/4 MA DATE 2-I [�-_/ PERMIT# �7 JOBSITEADDRESS 3a GU r h,t. P_U e_ OWNER'S NA POWNER ADDRESS SGf _ _ . - TEL FAX O TYPE OR OCCUPANCY TYPE COMMERCIAL E] EDUCATIONAL RESIDENTIAL [' PRINT CLEARLY NEW: I RENOVATION: Z' REPLACEMENT: F-71 PLANS SUBMITTED: YES [I NO FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE f _ _ ' iL DEDICATED SPECIAL WASTE SYSTEM -_ - - - - - - DEDICATED GAS/OIL/SAND SYSTEM DEDICATED -GREASE SYSTEM DEDICATED GRAY WATER SYSTEM I DEDICATED WATER RECYCLE SYSTEM I DISHWASHER -- __1__ DRINKING FOUNTAIN I FOOD DISPOSER FLOOR/ AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET- _. _ _ - URINAL 1WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES 2rNO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THEAPPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY E OTHER TYPE OF INDEMNITY ® BOND. OWNER'S 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 application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT El 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 knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com Tfiance with a In n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Gt PLUMBER'S NAME I f ` LICENSE # SIGNATURE MP® JP0 CORPORATION El # PARTNERSHIP[# LLC®# COMPANY NAME UL i ADDRESS Agl CITY STATE ZIP (,/ '] TEL SO FAX CELL S ," EMAIL_ M -� '� �. C� � Division of Professional Licensure: License Search 0 V The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > Check A Professional License By the Division of Professional Licensure LICENSEE Name:ANTHONY M. PALDINO 11. TEWKSBURY, MA fd1:Yr` :i1�;ilt Licensing Board: PLUMBERS l3 GASFITTERS License Type: JOURNEYMAN PLUMBER License Number: 24516 Status: CURRENT Expiration Date: 5/1/2014 Issue Date: 4/16/1996 Exam Date: 3/9/1996 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional licensure web server on Monday, February 04, 2013 at 8:41:26 AM. © 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... REFERENCES & RELATED INFO Disclaimer Regarding Website License Searches Enforcement Process Glossary Glossary of License Status Codes More... Site Policies Contact Us http://license.reg. state.ma.uslpubLiclpubLicenseQ. asp?board_code=PL&type class=_J&Iic... 2/4/2013 W Al- MAS A.... ' PLIJE ERS AND GAS'%TTER e. •• Lift L} ASA JOURNEY AN...�l�t@ E ' .• •. ' °T�Sl�ES ThiE �BO�l� uCEN•SE'Fb: •' • .:.;..,• r' .tiN;TFCCiIY hl PALDIPlQ 11' °43: CV P9 SIT R.OA1D :, '- This certifies that .. ! n I J6!n'` y .. !', < l)/!_ O has permission for gas installation ... in the buildings of ............................... . ,o at �� .'?....... , North Andover, Mass. . f" / Fee ,/t? f . � � Lic. No. Z � L.. �` ....... .' :. 4....... .. . GAS INSPECTOR Check # Z M v 4 ` MaN."i nom,_ G TYPE OR PRINT CLEARLY MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY ) r h Qe,d () v e A �j MA DATE 2aL PERMIT # JOBSITE ADDRESS d W ri_g c Q U e DOWNER'S NAM r n ® J61 OWNER ADDRESS _ Gt vvti L ; TE I� (o� (� - �j 3 cj f 8 17 J'FAX OCCUPANCY TYPE COMMERCIAL ] EDUCATIONAL NEW: [ RENOVATION: -21K REPLACEMENT: [I APPLIANCES 1 FLOORS— BSM BOILER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER RESIDENTIAL PLANS SUBMITTED: YES 5E] NO] M�®®w INSURANCE COVERAGE I have a current Iiabili insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES R NO El I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITYINSURANCE POLICY OTHER TYPE INDEMNITY© BOND OWNER'S 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 application waives this requirement. CHECK ONE ONLY: OWNER [j AGENT ❑ 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 knowledge and that all plumbing work and installations performed under the permit issued for this applicatLwillbein compliance with al ertinen ro�the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Z12 6 LICENSE #IGNATURE MPEI MGF JP ZJGF LPG ® CORPORATION E]# PARTNERSHIP 0#= LLC [--]# COMPANY NAME. -I ULT,VK fid.% _ ,ADDRESSI `/3 w4 vn C'f /'i A� CITY bu STATE tZIP FAX I CELL EMAIL CA n 3 Division of Professional Licensure: License Search The Official Website of the Office of Consumer Affairs and Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > Check A Professional License By the Division of Professional Licensure LICENSEE Name:ANTHONY M. PALDINO11. TEWKSBURY, MA Licensing Board: PLUMBERS £t GASFITTERS License Type: JOURNEYMAN PLUMBER License Number: 24516 Status: CURRENT Expiration Date: 5/1/2014 Issue Date: 4/16/1996 Exam Date: 3/9/1996 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Monday, February 04, 2013 at 8:41:26 AM. © 2007-2011 Commonwealth of Massachusetts Page 1 of 1 Mass.Gov ONLINE SERVICES Check a License Locate a Licensed Professional Online Address Change Contact the Agency More... REFERENCES & RELATED INFO Disclaimer Regarding Website License Searches Enforcement Process Glossary Glossary of License Status Codes More Site Policies Contact Us http://license.reg. state.ma.uslpubLiclpubLicenseQ.asp?board_code=PL&type_class=_J&Iic... 2/4/2013 . VIAS A.... PLU: E6RS ANDA TTf.R .: li l [ AS .4 JOURNEY, Ali... "TtSUES THE AI?OVE LICENSE ►.' ;Qt�T�tCwNY M PALDIN(l ZI ROAD MA 0187 e :.. V This certifies that ..... M.4 c-. q1. i -. 5.. 7?r!,� ......... has permission to perform .... ............. wiring in the building of ...... ..................... at ..... 3 .F . W. e �. ,!/7 .. . /A(� ..... /Vorth Andover, Mass. oa Fee Lic. No ......7-1.. . �1 ....... ...... ... ELECTRICAL INSPECTOR J Check libu-; "� n o Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (I C), 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: '41(�l City or Town of: NORTH ANDOVER To the Opector If Wires: By this application the undersigned gives notice of his or her intentioVo perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address , Is this permit in conjunction with a building permit? Yes Purpose of Building.=.:/W/L y Existing Service ,2w Amps 120 /242Volts Overhead Telephone No. No ❑ (Check Appropriate Box) Utility Authorization No. l-1 New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters--Z- Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:/jC j�-,�/ �C/►D�� Comnletion ofthe followinw tahle may he wnivod by the 1n.cnortnr nfWiroc No. of Recessed Luminaires %/ No. of Ceil: Susp. (Paddle) Fanso. Q of Tota Transformers V KVA No. of Luminaire Outlets No. of Hot Tubs Generators O KVA No. of LuminairesSwimming Pool Above ElIn- d. nd. C3o. o Emergency tg ng Q Batte Units No. of Receptacle Outlets /a No. of Oil Burners O FIRE ALARMS No. of Zoneso / No: of SwitchesNo. 6 of Gas Burners o. o etection an InitiatingDevices O No. of Ranges g � otal No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers, Heat Pump I Totals: Number Tons ...._......... KW "'"' """""'"" No. of elf -Contained Detection/Alerting Devices No. of Dishwashers Z Space/Area Heating KW 0 Local ❑ Municipal Connection ❑Other No. of Dryers /� C1 Heating Appliances O KW Security ystems: No. of Devices or Equivalent No. ofater KW Heaters No. o o, o signs Ballasts Data Wiring: No. of Devices or Equivalent y No. Hydromassage Bathtubs No. of Motors Total HP a ecommunications inng• No. of Devices or Equivalent OTHER: cc� , Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value A le al Work: 2\50 _ (When required by municipal policy.) Work to Start: % / Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANC CO RAGE: 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 BOND ❑ OTHER ❑ (Specify:) I certify, under thepains andtpenalties ofperjury, that the information on this application is true and complete. FIRM NAME ZI NCL / "//lCl�V'N1S �L L c rclC „J_,---1 LIC. NO.: 212174 Licensee.Z,-7/VCZ /14/1,�C IA4VI.(' Signature LIC. NO.: (If applicabl _Mac Innis Electric "ber line.) Bus. Tel. No. Address: ti Locust street Alt. Tel. No.• *Per M.G.] :Middleton, .ata 01949 •equires Department of Public Safety "S" License: Lic. No OWNER'S �,.�.,..�...., ...__ _ _ _n 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. $ Signature Telephone No. ,a 0 w Februat:v--7, Mi". Aaron Allen i 30 Wright Ave North Andover, MA 0 845 RE: Design o,.f-- New Kitchen Header Dear Mr. Allen, ANTHONYP. MANZI r REGISTERED PROFESSIONAL ENGINEER (603)475-1394 ipmanzi@comcast.net SPECIALIZING IN RESIDENTIAL & COMMERCIAL STRUCTURAL ENGINEERING Thank you for the opportunity to provide you with structural engineering services. As you requested, we have preformed the analysis required to size your new kitchen header. In providing the size recommendation we have used the following information. 1. The new header will span a maximum of 10' - 8". 2. The design incorporates a 5.5 psf ground snow load as recommended by the 8th edition of the Massachusetts State Building Code. 3. The design'also incorporates an attic live load of 10 psf, a second floor live load of 30 psf, a roof dead load of 15 psf and an attic and floor dead load of 10 psf. 4. The design also meets a live load deflection criteria of L/360•. Based on the above, we recommend the following: 1. Header should consist of a minimum of 4 - 1 3/4" x 9 1/2" Versa -Lam 2.0,3100 LVLs. 2. LVLs should be bolted together with 1/2" diameter A307 through bolts or better. Bolts should be a minimum of 24" on center, staggered. 3. End posts shall consist of a minimum of 3 - 2 x 8's nailed together with 2 rows of staggered 10d nails @'6" on center. 4. Posts shall be blocked solid to foundation below. Manzi Engineering scope of services is limited to the design of the header as noted above. Thank you again and should you have any questions ,,rj&p't hesitate to call. OF'��'�+► �I Very tru §4 P, ��•� Anthonyo Civil P o w '� Z/7 /19 y *V. w. . ® Boise Cascade b Quadruple 1-314" x 9-112" VERSA -LAM® 2.0 3100 SP BC CALCO Design Report - US Build 1926 Job Name: ALLEN AARON Address: City, State, Zip: , Customer: Code reports: ESR -1040 Connection Diagram 1-1 b�— ids a minimum = 2" c = 5-1/2" b minimum = 2-1/2"d = 24" Dry 11 span I No cantilevers 10/12 slope 08-00-00 OCS File Name: ALLEN AARON Description: Designs\FB02 Specifier: Designer: Company: Misc: Beams 7 inches wide will be assumed to be either top -loaded only, or equally loaded from each side. Bolts are assumed to be Grade A307 or Grade 2 or higher. Member has no side loads. Connectors are: 1/2 in. Staggered Through Bolt -e�o wpsAr __ ( jf4 ( Page 2 of 2 U ,:?�4yv.e,ic,cr Designs1171302 Tuesday, February 05, 2013 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALC@, BC FRAMERG , AJSTM, ALLJOIST@ , BC RIM BOARD TM^, BCIS , BOISE GLULAMTM, SIMPLE FRAMING SYSTEMS, VERSA -LAMS, VERSA -RIM PLUS@ , VERSA -RIMS, VERSA -STRAND@, VERSA -STUD@ are trademarks of Boise Cascade Wood Products L.L.C. ®Boise Cascade Quadruple 1-314" x 9-112" VERSA -LAM® 2.0 3100 SP DesignsT1302 Dry 11 span I No cantilevers 10/12 slope Tuesday, February 05, 2013 BC CALCO Design Report - US 08-00-00 OCS Build 1926 File Name: ALLEN AARON Job Name: ALLEN AARON Description: Designs\FB02 Address: Specifier: City, State, Zip: , Designer: Customer: Company: Code reports: ESR -1040 Misc: 11-00-00 BO 61 Total of Horizontal Design Spans = 11-00-00 Reaction Summary (Down / Uplift) ( lbs ) Bearing Live Dead Snow Wind Roof Live BO 1,760/0 3,238/0 5,445/0 B1 1,760/0 3,238/0 5,445/0 Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. Minimum bearing length for BO is 1-5/8". Minimum bearing length for 131 is 1-5/8". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Calculations assume member is fully laterally braced. Design based on Dry Service Condition. Snow Wind Roof Live OCS 115% 160% 125% 08-00-00 45 14-00-00 n/a 45 08-00-00 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALCO, BC FRAMER@ , AJSTM, ALLJOISTO , BC RIM BOARD TM, BCIO , BOISE GLULAMT" SIMPLE FRAMING SYSTEMO , VERSA -LAM@, VERSA -RIM PLUS@ , VERSA-RIMO, VERSA -STRAND@, VERSA-STUDO are trademarks of Boise Cascade Wood Products L.L.C. Live Dead Load Summary Tag Description Load Type Ref. Start _End 100% 90% 1 Standard Load Unf. Area (Ib/ft^2) L 00-00-00 11-00-00 40 20 2 Unf. Area (Ib/ft^2) L 00-00-00 11-00-00 15 3 OUT SIDE WALL Unf. Lin. (Ib/ft) L 00-00-00 11-00-00 0 80 4 ADD FLOOR LOA... Unf. Area (Ib/ft"2) L 00-00-00 11-00-00 15 Controls Summary Value %Allowable Duration Case Location Pos. Moment 23,878 ft -lbs 74.4% 115% 2 05-06-00 End Shear 7,318 lbs 50.4% 115% 2 00-10-06 Total Load Defl. L/254 (0.52") 94.5% n/a 2 05-06-00 Live Load Defl. L/405 (0.326") 88.9% n/a 5 05-06-00 Max Defl. 0.52" 52% n/a 2 05-06-00 Span / Depth 13.9 n/a n/a 0 00-00-00 Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. Minimum bearing length for BO is 1-5/8". Minimum bearing length for 131 is 1-5/8". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Calculations assume member is fully laterally braced. Design based on Dry Service Condition. Snow Wind Roof Live OCS 115% 160% 125% 08-00-00 45 14-00-00 n/a 45 08-00-00 Disclosure Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for particular application. Output here based on building code -accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with current Installation Guide and applicable building codes. To obtain Installation Guide or ask questions, please call (800)232-0788 before installation. BC CALCO, BC FRAMER@ , AJSTM, ALLJOISTO , BC RIM BOARD TM, BCIO , BOISE GLULAMT" SIMPLE FRAMING SYSTEMO , VERSA -LAM@, VERSA -RIM PLUS@ , VERSA-RIMO, VERSA -STRAND@, VERSA-STUDO are trademarks of Boise Cascade Wood Products L.L.C. Date ........ f:72a'..-.r--7... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that................ ........ � / ................................ has permission to perform ....... ............ wiring in the building of .......................4Z.1 -c- n ................................... ..... at ........34AIYAE..A� ............... North Andover, Mass. Fee.5-0.4—... Lic. Noj.f.,3.,.34,'� ......... ELEcrRICAL INSPE R Check # 7652 pocll_� Dk- r,e,ccd &-l-C I-tOt-,D-7 ft, 3 - i -Z" Azl Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Permit No. '7&1 -5 -2 - Occupancy and Fee Checked 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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: j/— p City or Town of: ///, �I��. ; , ` To the Inspector gf'Wires: By this application the undersigned aiveg notice of his or her intention to perform the electrical work described beIlo� Location (Street & Number) 3a - � - A IWIN qi4'T Owner or Tenant 1 h& yJ All% // , Telephone No. Owner's Address , ,e-� L. Is this permit in conjunction with a building permit? Yes ©— O ❑ (Check Appropriate Box) Purpose of Building A/ / Utility Authorization No. Existing Service A ps / V 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: C'mmnletinn nftho fnllnwi— tnhlo A. A-1— 1 ---- Ira No. of Recessed Luminaires 3 No. of Ceil: Susp. (Paddle) Fans o• o otal Transformers KVA No. of Luminaire Outlets Z_ No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. o. o Emergency Lighting Battery Units No. of Receptacle Outlets Z Z No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection an InitiatingDevices No. of Ranges No. of Air Cond. TotalNo. Tonnss of AlertingDevices No. of Waste Disposers eat Pump Totals: Number Tons KW of Self -Contained Detection/Alerting Devicestp No. of Dishwashers Space/Area Heating KW Local EJ unicWl ❑ Other Connection No. of Dryers Heating Appliances KW Security ystems: No. of Devices or E uivalent No. o ea KW Heaters o. o No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Te ecommun�cations irmg: Na- of Devices or Eq uivalent OTHER: Attach additional detail if desired. or as reyuie•ed by the Inspector oJJ fres. Estimated Value of Electrical Work: ,7 (When required by municipal policy.) Work to Start: 1 7 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAG 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: -., IC. NO.: r f Licensee: i/ � , ; A 't 41 C, � � Signature � LIC. NO.: . -o s (If applicable, et r -exempt - in the license number line.) !� Address: Bus. �e �o.: GYi --4,1&V � Alt. Tel. No.: *Security System Contractor License required for this work; if4pplicable, enter the license number here: OWNER'S INSURANCE WAIVER: 1 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 —7 Signature Telephone No. [PERMIT FEE: $ Date .... /0- ?-,1/- 0 -7 .. ...................... 0 - TOWN OF NORTH ANDOVER PERMIT FOR WIRING. NO -7 This certifies that ..................... . .... ......... ................. has permission to perform ................ C904v��� ... wiring in the building of ........... 444.e .... . . ............................................... at ......... -3.0 .... tVA.!'?k7— -'-44 * 64e— -*****/'2 North Andover, Mass. Fee ... Lic. No. ff3'314 ......... . ...... ......... A1,4 ELECTRICAL INSPECTOR Check # -14--9 9-7f 7 7748 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked tev. 1/071 (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: 2 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) 3 G�✓� i y �7`' 6f .L Owner or Tenant o y e Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes- ❑ No (Check Appropriate Box) Purpose of Building;W, Ac- < Utility Authorization No.,3 Existing Service A s / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 2,c -d Amps 2x--, / ay_. e" Volts Overhead g--'_Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:4.�_ tir✓, G Completion of the followin¢ tahle rnnv by umivM by tho /ncnortnr of Wii No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o. o of Transformers KVA No. of Luminaire Outlets No, of Hot Tubs Generators KVA No. of Luminaires Swimming Pool ove M n- ❑ rnd. rad. o. o mergency ig ng Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o, oDetection an Initiating Devices No. of Ranges No. of Air Cond. Toons No. of Alerting Devices No. of Waste Disposers eat Pump Totals: Num P I Fous I o. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KWSecurity Steins. No. of Devices or Equivalent No. o atero, Heaters KWData o o. o Si ns Ballasts Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP elecommunicationsWiring* No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector oj'Win Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start,/t, _O_ 7 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANC CE OVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unles 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 OND ❑ OTHER ❑ (Specify:) I certify, tinder the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME:f% LIC. NO.: q 3 Licensee: ,� /' Signature LIC. NO.: 3 3 (If applicable, ert 'r "e.rermpt min the license number line.) Bus. Tel. No.: E:7 — of i Address: Alt. Tel. No.: 71 *Per M.G.L c. 147, s. 57-61, security work requires Departm ` of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does tact have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. 1 am the (check ones ❑ owner ❑ owner's agent Owner/Agent Signature Telephone No. FPERMIT FEE: $ Date r,. TOWN OF NORTH °N DOVER PERMITS FOR LUMBING This certifies that ."5 has permission to perform . C !nw Fleer. .5 ...ovrr, plumbing in the buildings of Mr."?... !q lex--- .......... . at 77... ?! ......... North Andover, Mass. Fee -T7.... Lie. No/.ry/ . �. PLUMBING INSPECTOR Check # � 4917 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS e � >� /� 11er� Date ©`l Id 157 Building Location .30 w r, � ,ki f'r U Owners Name fy� Permit # Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES (Print or type) Check one: Certificate Installing Company Name �^ )4G AJ! ff l(5��•ci S 11toip, Address ay? 1 re ST S o y [] Partner. Business Telephone -- 9 7e e? 2 <<y.3 Firm/Co. Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box Liability insurance policy Other type of indemnity 11 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 Agent I hereby certify 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 installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts.State Plumbing Code apd Chapter 142 of the General Laws. r By: Signanife or Licenseaum er Type of Plumbing License Title City/Town icense Number MasterJourneyman APPROVED (OFFICE USE ONLY