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HomeMy WebLinkAboutMiscellaneous - 33 CRICKET LANE 4/30/2018 (3)(01, 0 Date lcl.....I'V .... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ........................... This certifies that 4�� 4 /.....— 1 Y has permission to perform., .......... .......... 4 ........ . ..................... ....... wiring in the building of ...... ......................................................... � k ',P - North Andover, Mass. at ................... .......... ... . .......... Fee ..................... Lic. No. .. ........ ........... —:7, ELECTRICAL IMPEcrOR Check # �1435�Ml 5461") r Commonwealth of Massachu Department of Fire Service BOARD OF FIRE PREVENTION REGI// APPLICATION FOR PERMIT TO/, All work to be performed in accordance with the a (PLEASE PRINT IN INK OR TYYE ALL INFORUATI 'N, City or Town of.- By f:By this application the undersigned gives notic of his or"+her int( Location (Street & Number, Owner or Tenant �; 1 -A vW 17, 4 Owner's Address Is this permit in conjunction with a Building permit? Purpose of Building Existing Service Amps / Volts New Service Amps 1 Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system ;eftsl Official Use Only - Permit No.7L S/ Occupancy and Fee Checked ATIONS [Rev. 11/991 (leave blank) ERFORM ELECTRICAL WORK achusetts Electrical Code (MEC), 527 CMR 12.00 Date: /0-L - � � 7' L--' To the Inspector of Wir s: itioyl to perform the electrical work described below Telephone No. Yes.. ❑ ., _ No. (Check Appropriate Box) Utility A thorization No. Overhead ❑ Undgrd ❑ No. of Meters _ Overhead ❑ Undgrd ❑ No. of Meters ...__.._J L-1-- r----- - 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 ❑ In- ❑ rnd. rnd. 1 0. o mergency ig mg Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals:Detection/AlertinLy Number Tons KW.No. of Self -Contained Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Telecommunications Wiring: No. of Devices or E uivalent OTHER: nuacn aaamonat aerau tr aesirea, or as requlrea oy 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 ❑ BOND ❑ OTHER ❑ (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 the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services 12 riAtAn , LIC. NO.: 1 r Licensee: �Ohll S. Bassett Signature LIC. NO.: 1533C (If applicable, enter "exempt" in the license number line) Bus. Tel. No.:Loi Sq�$ Address: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Lid9hsee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ MASSACHUSETTS UNIFORM APFUCATICN FCR PERMIT TO DO PLUMBING (Print or Types 14� %3 J-3 d' NORTH ANDOVER. Maas. Data BuddingPermit * - ,2- Location L4 a r l c e� �dist c Owner's Name v New ❑ Renovation ❑ Replacament Plans Submitted: Yes ❑ No ❑ PIXTUAE3 LA Cv i X Check ane: Installing Company Name L7lumbw r ; a•4 ,,,, ❑ Corp, Address (,'A ,r,,r 4f S -,7" ❑ Partnership r -t C "F 9tf4,1 ptA. or 9 v v ❑ Firm/Co. Business Te!ephcne 6 Sy Z -z- Name Name d Licensed Plumber __Pe'} -e,, -I_ 1-,t..,,� INSURANCE COVERAGE: C.. ecx one I have a current Ilabllty Insurance policy cr Rs tubstantta! egLkV%Ier L Yes 0/ No ❑ It you have checked �Lej, pfesse lndlcata the type ccverage by c`tacking the appropriate box A IlablRy Insurance policy Gam' Cther type d inden-�njy ❑ Bend ❑ CartXlcata OWNER'S INSURANCE WAIVER: I am aware that the Iic:nses dc+es not hate the Insurance coverage required by Chapter 142 & the Mass. General taws, and that my signature on this permit Appiicatlon watves this requirement. Check one: &qnatuto of Owner of Owner s gent Owner ❑ Agent F_] 1 hereby cortlty that aA of the detafis and'nformatlon t haw rubc-Ated far onieredl in abase aagacatfon are true and acc at* to the bast cf rry Inew4dge and that sA ptumbinq wet and InsWatlons under the partrA Issued for tNa apprfe.ation wit be in =mpiancs *Wh 0 perilnent provisions of the Massachusarts Slate F%=6i'+q Cacv ano Chapter J4;_cf tho Genesi A rTU,'ED (CfF)CE USE ONt_`n rutue a sed o.c thensa Number oZ 2 s-/ S Type o1 PtumbJnq Ucanso: Master ❑ Journeyman Ua-,— si w w ►- w = w < w r • z M i t < V se z p = w A. J • r M = t' V r r < a _ z !� O ar < ar a at < ar49 `. ar a1 t V < Y Z F• f O = 3t< a f' 1l L a p �" = s r >r L 16 a[ a r 3 t i o a, 2 j R O i-IJ6 • i s s O s U x o n .+ s a i ,us-ssMT. awtasrrs�T I 1 �aT rLoor, IND FLOOR 11 I I ( 1 ( I I I I 3AD 11LO0It 4TH FLOoa STH Fi aax aTH fLOoR I I I I -I 1 i l l i l l i l 11 i I I ITH PLOOR aTH FL0Q4 LA Cv i X Check ane: Installing Company Name L7lumbw r ; a•4 ,,,, ❑ Corp, Address (,'A ,r,,r 4f S -,7" ❑ Partnership r -t C "F 9tf4,1 ptA. or 9 v v ❑ Firm/Co. Business Te!ephcne 6 Sy Z -z- Name Name d Licensed Plumber __Pe'} -e,, -I_ 1-,t..,,� INSURANCE COVERAGE: C.. ecx one I have a current Ilabllty Insurance policy cr Rs tubstantta! egLkV%Ier L Yes 0/ No ❑ It you have checked �Lej, pfesse lndlcata the type ccverage by c`tacking the appropriate box A IlablRy Insurance policy Gam' Cther type d inden-�njy ❑ Bend ❑ CartXlcata OWNER'S INSURANCE WAIVER: I am aware that the Iic:nses dc+es not hate the Insurance coverage required by Chapter 142 & the Mass. General taws, and that my signature on this permit Appiicatlon watves this requirement. Check one: &qnatuto of Owner of Owner s gent Owner ❑ Agent F_] 1 hereby cortlty that aA of the detafis and'nformatlon t haw rubc-Ated far onieredl in abase aagacatfon are true and acc at* to the bast cf rry Inew4dge and that sA ptumbinq wet and InsWatlons under the partrA Issued for tNa apprfe.ation wit be in =mpiancs *Wh 0 perilnent provisions of the Massachusarts Slate F%=6i'+q Cacv ano Chapter J4;_cf tho Genesi A rTU,'ED (CfF)CE USE ONt_`n rutue a sed o.c thensa Number oZ 2 s-/ S Type o1 PtumbJnq Ucanso: Master ❑ Journeyman Ua-,— Date c2.: /,1.:. ` 1.- 2615 NORTH TOWN OF NORTH ANDOVER MOO PERMIT FOR PLUMBING ,SSACMUS� 7 This certifies that .... /� b t `?� �. .�.................. . has permission to perform ....�'f k! 14.1 P , S, . , . _ .... , . . plumbing in the buildings of .. Wfi ............. at ...y.. r�i7 ....... , North Andover, Mass. Fee sU .' .. Lic. No.. . ..... - %....... . PLUMBING INSPECTOR 42/13/x, 12:42 54°00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File T N� 2u77 110 Date................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........................ �_._.. has permission to perform ................ L' :...................................... �. wiring in the building of ...........:.......�...1......................... ........... at ..:.......... .....:.. ....... r.... .................. , North Andover, Mass Fee.�................ Lic. No ............................................ ::........................ ELECTRICAL INSPECTOR Check # 16-23 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer O:Etce Use 0141r _a Tne Commonwealth of Massachusetts -09 zip Dcpartmcnf of Public Safety F &sC.panc) i tee O�eekea_ BOARD OF FIRE PREVENTION R-GULAnONS S27 CMR 1'—'00 3/90�v`-- .(leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK /UI work to be performed'ln accordance with the Mauaehucetu Electrical Code. 527 CPR 12:0/0 (£LEASE PRINT IN INK OR TYPE ALL ItiFOP.MATION) Date 1/2,0 / 6 own City or of Nor -+k 6\8pJ 2i' To the•In:peccor of Wires: The undersi ned applies for a , (�- C PP permit to perform the electrical work described Delo. Location (Screec 6 Number) 414 lar (—(c L.Q.X �(A e_ �g Owner or Tenant � Owner's Address_ _ Is this permit in conjunction with a building permit: Ye: ❑ No © (Check Appropriate Box) Purpose of Buildingre c� (��1� CQ Utility Authorizacion'NO. Existing Service Amps / Voles Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ l umber_of_Feeders and Impacity, LoCaCion and Nature of Proposed Electrical Work (Y1S`f �C L bO CIV (� n Q-kk\ ? r-)nt P t Ote 4, -Q- r ,nn„ t Cvk v, n r , No. d of Lighting Outlets No. of Hot Iubs . local No. of Transformers i."VA No. of Lighting Fixtures g g Above Swimving Pool grnd. In- ❑ grnd. ❑ IGenerators KVA No. of Receptacle outlets No. of Oil Burners No. of Emergency Lighting Battery links No. of Switch Outlets No. of Cas Burners FIRE ALAR213 No. of Zones No. of Detection and Iniciating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Munici Connec?_ional ❑Ocher No. o` Ranges Total No. of Air Cond. tons No. of Disposals No. of Heat Total Total Pumps Toni k1: No. of Dishwashers Space/Area Heacing par No. of Dryers Heating Devices kW No. of Water Heaters kwi-No , of No. of ns Ballasts Low Voltage WirinrNo. Hydro Massage Tub . of Motors Total HP I OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massacfiusetcs General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES[3 NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSGPANCEUZI— BOND ❑ OTHER ❑ (Please Specify) Estimated Value 4pf Ele crical Work S Work to Start Inspection Dace Requested: Rough Signed under the penalties of perjury: FIkM NAM. F.T.F. .TRlrt(`MA , TUC , Licensee Peter Manzelli II Signature /L Addccssgq Main c4 -coati r.r..,.Lc__� ... Expiration bate! Final t An, LIC. NO.A16199 Z� LIC. NO. - Alt. Tel. No. OWNER'S INSUP tiJNCE WAIVER:, I am aware that the Licensee docs not have the insurance coverage or its sub- scancial equivalent as required by Massachusects General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check. one) Telephone No. PERMIT FEE S - t00 -,N2 2U76 11 Th 0 Date — (–/, - ......................... ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING . 1 -1 1 This certifies that ....................... . . ................ has permission to perform ............................................. ...................... wiring in the building of ....... ...... I ......... ......................................................... at......... ........... I .............. ............... . North Andover, Mass. Fee .... .......... Lic. NO ..A... ....... ............ .. . Check # /Q),)"') WHITE: Applicant CANARY: Building Dept. PINK: Treasurer L J I 'o::tee 1184 014)1 a-_ The Commonwealth of Massachusetts Ole Dcporrmcn( of Public Sofcty P r t,capaK)'i ice a-eeked oI• BOARD OF FIRE PREVENTION RECULAnONS 527 CMR 111"M 3/90 .(Icace slant) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK NI work to be performed In •eeordancc .rich the Mauachutcru Elccirical Codc. S27 CN.RR 12:00 (rMNSE PRINT IN NK yyO��R TYPE ALL RiFORHATION) Date �" J City or own LN kj—) nkD Z�— To the'In.pector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Sera Owner or Tenan O.ner's Addres Is chis permit in conjunction with a building permit: Yes ❑ NO ❑ (check Appropriate Box) Purpose of Building Utility Authorization,NO. Existing Service Amps / Volts Overhead ❑ UndgrdE❑ No. of Meters New Service Amps / Voles Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed EEleccriccal, Work ill �Q ?�� CK4—`R6-1► �eCf`1 r No. of Lighting Outlecs No. of Hot Tubs No. of Transformers Total }.'vA No. of Lighting Fixtures g g � Above Swimming Pool grnd. In- ❑ grnd. ❑ 'Generators KVA No. of Receptacle Outlecs — 81Battery No. of Oil Burners INo. of Emergency Lighting Units No. of Switch Outlets No. of Cas Burners FIRE ALAR`13 No. of Zones No. of Detection and Iniciacing Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local 11ConnecNunici?'ional ❑Other No. o: Ranges g local No. of Air Cond. tons No. of Heat Total 'local Pumps Toni l.'1: No. of Disposals No. of Dishwashers Space/Area Heacing KW No. of Dryers Heacing Devices KW No. of Water Heaters },'W No, of No. of Signs Ballasts Low Voltage Wirine No. Hydro Massage Tubs No. of Kocors Total HP _ I OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Hassacfiusetcs General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSI;PMICE � BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Ele trical Work S;{— Work to Scare Inspection Dace Requested: Signed under the penalties of perjury: FI1l1 NAt(% F.T.F. .TRlii(`MAN, TN( Licensee Peter Manzelli II Signature Addre55gq Main 4Z4 -roma r.T..L�__� Rough Expiration Lace) Final a LIC. NO.A16199 LIC. NO. Alt. Tel. No. OWNER'S INSUR&NCE WAIVER:, I an aware that the Licensee does noc have the insurance coverage or its sub- scancial equivalent as required by Hassachusects General Laws, and chat my signature on this permit application waives this requirement. Owner Agent (Please check. one) Telephone No. PER.`!IT FEE S L 0 s OQ No 4t 7' This certifies that Date. 7 - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Chas permission to perform ........... ..................... }dumbing in the buildings of ................................. 4 at ................. -1/ -------------- North Andover, Mass. Fee2�: Lic. No./ ...0 ............. ......... PLUMBING INSPECTOR Check At WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location �� Cr�� =e LA., owners Name ,,J�1 j� ��r`�4 Aj,.i permit # Amount Type of Occupancy New Renovation Replacement Mr Plans Submitted Yes M___ No FIXTURES (Print or type) Check one: Installing Company Name — �. /S%. �. Ly,4 A/ ❑ Corp: Lj Partner. Firm/Co. Name ofLicensed Plumber: �Av;� ; L v04 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ��� Other type of indemnity ( Bond ❑ Certificate Insurance Waiver. I, the undersigned, have been made aware that the licensee ofthis application does not have any one of the above three insurance 2i 1 t jgnature 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 belt 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 Massa us _�,e lumbin�,CodS*q,�hapter 142 of the General Laws. Title City/Town APPROVED (OFFICE USE ONLY Type of Plumbing License /o9,�S� icense Number Master Joumeyman ❑ 34U8 Date..................... NpRTM TOWN OF NORTH ANDOVER pf4�.ao ,e1ti0 FO D PERMIT FOR GAS INSTALLATION ♦ s ♦ t i SSACHUSEt h W �%'. �� Tthis certifies that. .,... � ................ . has permission for gas installation . ........................... in the buildings of . ........... at ......`......... North Andover, Mass. w Fee' ...... Lic.:` �!"'� .:`. :........ . GAS INSPECTOR /J WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING or print) tvvxIH ANDOVER, MASSACHUSETTS Building Locations 4/l/ P' r. `!',CJ— .- Al Date Permit 9 34 � d Amount S c� ) fps. Owner's Name i New ❑ Renovation ❑ Replacement Plans Submitted ❑ (Print or type)n Check one: Certificate Installing Company Name �• /7 • 5-t L VA �� �• ❑ Corp. Name of Licensed Plumber or Gas Fitter �cB��D �, r: t/4 ❑ Partner ❑ - FirmiCo. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes �'� No ❑ Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Qiwner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 of the Vlass. General Laws, and that my signature on this permit application waives this requirement. of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and intormation 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 per -formed under Permit Issued for this application will be in compliance with all pertinent provisions of the -Ivlassachusey tareCude and Cha_pter 1i? of the General Laws. By: Title Cltv/Town 4PPR01v"ED (()FPicE; usF-m+i.Y) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber A0 CJS ❑ Gas Fitter icense i-4umoer '^ i faster >•-1 Journeyman .r ;.T (Print or type)n Check one: Certificate Installing Company Name �• /7 • 5-t L VA �� �• ❑ Corp. Name of Licensed Plumber or Gas Fitter �cB��D �, r: t/4 ❑ Partner ❑ - FirmiCo. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes �'� No ❑ Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Qiwner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 of the Vlass. General Laws, and that my signature on this permit application waives this requirement. of Owner or Owner's Agent Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and intormation 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 per -formed under Permit Issued for this application will be in compliance with all pertinent provisions of the -Ivlassachusey tareCude and Cha_pter 1i? of the General Laws. By: Title Cltv/Town 4PPR01v"ED (()FPicE; usF-m+i.Y) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber A0 CJS ❑ Gas Fitter icense i-4umoer '^ i faster >•-1 Journeyman Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING /-� to E &Z-�c r'Pvz'C e - Thiscertifies that ............................................................................................. has permission to perform ........c--..... .!S . ..................... wiring in the building of ..................... �c e . ................................ at .......... q .... 4.1. ..... C... /. ..... 4.111 .............. .. J�orth Andover, Mass. oa Fee ... Lic. No. 10 7. :57��-/? ......... ............ L-iN; PE ELECTRICAL SPE Check# 3F& 1 7463 Commonwealth of Massachusetts Department of Fire Services r` BOARD OF FIRE PREVENTION REGULATIONS Official Use zoo 7 Permit No. /' -gw-3 Occupancy and Fee Checked [Rev. 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: 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) Owner or Tenant ,4 L.o k Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes Rr No ❑ (Check Appropriate Box) /�04t& Purpose of BuildingSW,/ft,#j flk'7-W &4-1�Nz S'Utility Authorization No. A 14 Existing Service Amps / Volts 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: CZ� Conlnletion ofthe fnllnwin0 tnhlo vnmi ho ")"Awd h„ tho 1— ... t— of Wi— No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of otal Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Above In Swimming Pool rnd. rnd. ❑ o. o 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. o Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number I Tons I KW. o elf -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. o No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER:Ort (7 12 Attach addifional detail if desTired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 6 7 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C RA E: 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//e'n`alties ofperjury, that the information on this application is true and complete. FIRM NAME: - K • P. 4@t -:M (C t N C ° J /--) ic) LIC. NO.: Licensee: LIC. NO.: 16 7 SJ - (If applicable,enter "exempt" in the license nn giber line.) Bus. Tel. No.: Address: t Y� )h11�, NzCd f� 3d Alt. Tel. No.: *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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Location No. a Date 5 —j TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee TOTAL Check # // 5 q - 1 4. t. ; 9 f Building Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUAWhK: _.._ DATE ISSUED: a O SIGNATURE: &C Building Commissioner/InEeEfor of Buildings Date CT /'T7A1�T 1 CiTT TATTAT1l mT��r ua:.a.. l Xvkl a- 'Jalic All V161VU-K 11611\ 1.1 Property Address:1.2 V-14 C (� C IC C-1- Le. ✓, L Assessors Map and Parcel /0 1 Map Number Number: &/ Parcel Number n I c, ; 1 _ �]_ _ 1 O ✓ ` \J (orm'ation: c% 1.3 Zoning Inf Zoning District Proposed Use Signature Telephone 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Name Print Address for Service: Front Yard Side Yard Rear Yard Required Provide Required Provided Provided t o Codi License Number i Daey i _Leored 1.7 Water Supply M.G.L.C.40. Public ❑ Private ❑ 54) ZOIIe 1.5. Flood Zone Information: Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ aJv,t;ii%Iv z - rJKurEK1 Y UW-NEKSffW/AU'1HORIZED AGENT 2.1 Owner of Record Name (Print) Address for Service c% 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 ❑ u� r M0TYI�f Licensed Const�n Su rviso C S � ( r— Address jYl Il.�i Gy; Ce Signature" ? Telephone o Codi License Number i Daey i Expira 3.2 Registered Hoe Imp ' e ent Contractor Not Applicable ❑ 5--+rc. h S Rbc Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (N.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this ab in the denial of the issuance of the building permit. Si ned affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work fLcheck 811 a I1cable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SF.CTTON 6 - F.STTMATF.n CnNCTRTTf TTON VnvTC will result r I Item Estimated Cost (Dollar) to i Completed b ermit a licant i$3 S a g E.lb1� 7'LI ' ��r �' �.,Y �.3 -- i7 k UJ7.Gz.Om3 g : _ _ z .n, 1. Building (a) Building Permit Fee Multiplier . , .. 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 5 Check Number DEQ l11V1V /8 V WLVEK A�11tiVKILAl1VA 1 V BE C:VN WLE�' ll� D WHEN OWNERS AGENT 09 CONTRACTOR APPLIES FOR BUILDING PERMIT (alpl; !' , as Owner/Authorized Agent of subject property Hereby authorize i to act on My behalf, in all natters 01dive o ork authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Signature of Owner/Agent Date r 9 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Si ned affidavit Attached Yes .......❑ No ....... 0 SECTION 5 Description of Proposed Work check au a llcable New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s), 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: I SECTION 6 - FCTTMATRD CnNCTR1TCT10N CnCTC I Item Estimated Cost (Dollar) to be$ Completed by permit applicant r e OCIA T11Mm" 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total' Cost of Construction 3 Plumbing Building Permit fee tel X tbl �G 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number ar.%,iiVl11 /a Vw114r.IIAVlnvi(iGAllVl\ 1V Dh %_V1V1rLE1EL WMiN OWNERS AGENT O CONTI ACTOR,APPLIES FOR BUILDING PERMIT L /' as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all n afters el ive o ork 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 on the foregoing application are true and accurate, to the best of my knowledge and belief y Town of North Andover NORTH . O Building Department o Z. 27 Charles Street 4 North Andover Massachusetts 01845 Z (978) 688-9545 Fax (978) 688-9542 0 A to L K. -0 'r 0 PPa`y.(5 DEBRIS DISPOSAL FORM 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, s150a. The debris will be disposed of in /at: Facility location Signat�e- of Applicizat y �G Date I NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Office of Investigations Boston, Mass. 62111 Workers' Compensation Insurance Affidavit Please Print Name: Location: Phone am a homeowner performing all work myself. aI am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job - Company nameCe�-�`� o� fOze,�oC� Address Company name- Address City: Phone # Insurance Co Policy # Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one years' imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of ($100.00) a day against me. t understand that a copy of this 9tement may be fordarded to the Office of Investigations of the DIA for coverage verification. 1 do herby certify under the plinsJand Signature Print that the information provided above is bue and correct Official use only do not write in this area to be completed by city or town official' ❑Check if immediate response is required Building Dept Contact person__ Phone #. FORM WORKMAN'S COMPENSATION 7,� 0l 0 Building Dept E] Licensing Board El Selectman's Office E] Health Department F� Other - BOARD OF BUILDING REGULATIONS `_- License: CONSTRUCTION SUPERVISOR Number• CS 067585 Birthdate: '12/06/1967 Expires: 12/06/2001 Tr. no: 11810 Restricted To: 1 G TIMOTHY B JOYCE 89 FERNDALE ST MANCHESTER, NH 03103 Administrator �nii Lna►uium 13 ON U AJ A MATTER OF TRFUR Dovgn-Ducatt InBurance Agy I Rl0{tR�IG OA UPON THE CERTIFICATE HOLDER.RDID YTHIS CERPOLTIFICATE TE DOES NOT ANFjD, � 7 $asex Street I....-._ THE t I NE617-391-8778 I COWANIES AFFORDING COVERAGE .... I :. 1 -------------------------•--•------...... 1 �� I.COMPANY LETTER[ A ZURICH INSURANC=E COMPANY ! MELI COMPANY-LMIR H ZURICH INSURANCE -COWANy - -- ..... � S I COMPANY--- -- C--• -----------------------------------------------------� LETTER • I------------------------------------ i COMPANY LETTER D i �IY6RAGIS COMPANY 1,117119-----------------------------------------............................. THIS IS TO CERTIFY TEAT��QpLICIES OF INSURANCE LIS RD BELOW HAVE BEEN ISSUED TO THE INSURID NAND ABOVE POR THE POLICY ' PERIOD INDICATED. MMINSTANDINC ANY I1pOIRmNT TRIM OR CONDITION OF ANY CONTIACT OR OTHER DOCUMENT WITH RESPECT TO AHICH THIS C1RTIF1CAATB MAY 11 ISSUED 01 Mll1 PIITAIk THE INSURANCE: AFFORDED BY THE POLICIIS DESCRIBED HIRIIN IS SUBJECT TO i ALL TRIMS, 11CLUSIOR AND CONDITIONS Of SUCH POLiCtIS. LIMITS SHOWN :"Y HAVE BERN REDUCIO BY PAID CLAIMS. .....---------------------------•----------------- i ....-- - - ---- ---------------------1-----,..-.--------------------i LTI TYPE Of INSURANCE POLICY NUMBER �- POLICY IFF POLICY DATEIX? ' ALL LIMITS IN THOUSANDS -GBNBNAL -LIABILITY �'------------------ ------ -�--- - -- ....�....--•-------•GENERAL AGGREGATE -'100000 I -- I-----------1 j) COMMERCIAL GEN LIABILITY I SCP37097590 08/29/00 � 9/29/01 i PRODS_COMP/OPS-AGG:-� 100000 () (J CLAIMS MADE (j 4CC. PERS_ ---------I-----------I i ADVG. 1NJURY1100000 I J J PROBE'S S CONTRACTORSEACH OCCURRENCI 12000001 PROTECTIVE I i---------------------i.----------1 J j 1 I j FIRE DAMAGE iI i I ZANY ONE FIRE) 150000 1 1 ! i MEDICAL BZPIMSB --------- -----1----------------•------•--1------------------------ - I------....... I-------------i_(ANY ONE PERSON) i 1000 -------------- -- Ai.R'Ol�ldHILB LIAB j � CSL I- - -------------------------------F ANY AUTO I I I BODILY INJURY ALL ONNAD AUTOS DUAUTOS _(PER _PERSON) HIRED AMS ,1V___________ NO081BODILY INJURY GAUGE LIAIlY (DR ACCIDIMT__) ____._.....I -- -----.......... �----------- I �.. .......----.---- - --- I----- _ I ; PROPERTY _ _ i TICFjLLL-MILITY 1 ...-------•----------- I•-_-------I------------- I EACH OCC 'AGGRICA?EA -- i -_ ItEIRRllu FO1N!-..........- .. ..............•;---- .... .. i ---...----...- ----------------�.............-j'STA..... '--- ..:......---....-I WOW=' COW I TC180009548 08/29/00 08/29/01 � EACH CC 1 E?Q ' LI I I DISEA ..SE-POLICY L1MI� I ..1....----._ i- -- • I•- DISEASE-EACH BMPLO 11 .- ----------_._-„ 1----------- ---I - -----I OTHER i i I --------------••---••-------------•-............................ _.............. ............... ------ D1lNCRIPT[ON OF OP1R11T1ON5/LOCATIONS/YIEfC115/SPICIAL ITEMS ------------- -- - - - --I 1 I CUTIFICATB HOLDHR<===::r:c::s:::::::::s::::::::::) CANCELLATION SHOULD ANY OF THE ABOVE DISCRIOU POLICIES BE CANCELLED BIFORB THE BX- DARATION AAIB NOTICE TO i' ICI CA00AYY PILI. BNDBAVDIl TO NAIL 19 9l'ONtN MALI. DAYS WRITTEN NOTICE TO TIE C1IRT1F1IQHOLDIR NAMED TO THE LIFT BUT = FAILURE TO MAIL SUCH NOTICE SHALL IM E NO OBLIGATION OR LIABILITY OF i • HA - ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATRIS. MIRID RIPRISENTATIVE ......., .... , - • ---- AU� 0 z E, 06 Wcl) a v o a ° p A ° -� z Epi C7 0. z Cd a u W x U v, � 0 �, z w A w ° z o v o o 0 0� c ` O H VO V .Q CL. C O AQbm C O Q e y 4D CF L CL ID • : �. I h C 1 �16.. M o u CM Em c �m L co 3 J � m� C m 4 Wm m CLCJ N O m CtC O Q a== V y O Call. co ao = O : O _,,, 301 d I -- N +r y mom~ W cE yEd •OOOO.. �d =.W�.+ C •mA gO .H ds.Z W w �Oo COD ,:eO-S CL= O h=OW OmN_rAmamm0ccCyOmhhc CD �911-, O v cm 0 ._ CIO m m CL 3� moo L cc 0 d a tmcc ca O �cc D c Z CD C3 y R C — C ■ C C. CO3 0 W U) Cn ItW w irw U) 6 Location No. 410 Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 50 Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee Water Connection Fee TOTAL 02/13/%12:34 95 IS 0 0- 32.50 PAID Building Inspector Div. Public Works PE19311T N.O. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ✓ PAGE 1 MAP K40. 6 '� LOT NO. Zf 2 RECORD OF OWNERSHIP :DATE (BOOK :PAGE ZONE I SUB DIV. LOT NO. LOCATION ` PURPOSE OF BUILDING / OWNER'S NAME 1/ t\ • Aa ,C- �— NO. OF STORIES SI OWNER'S ADDRESS-IT�MG�i� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME C�,UyjrA C3lJ d��+ SPAN --- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATIO IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4' PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR b DATE FILED SIGNATURE OF OWNER OR AUTHORIZED FEE 9 PERMIT GRANTED 2- 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST ? O a Cr EST. BLDG. COST PERS . FT. �/ V EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPECTOR OWNER TEL. # CONTR. TEL. # CONTR.LIC.# H.I.C. 11 J6u BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE PINE HARDW D 3 1 2 13 CONCRETE BL'K. BRICK OR STONE PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN, B M AREA _ 1/1 1/1 1/1 FIN. ATTIC AREA _ NO B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ Hl� 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING _ CONCRETE EARTH HARD\!J'D COMMCN ASPH. TILE VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME ERIC N MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE GAMBRELMANSARD I I HIP BATH (3 FIX.) TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd _ 10 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. d Co 0 J E G O w co O MW w O Z C w 0 w Q a Q LLLL u ? z C � ? E U L z z .✓. LL z U H U a= w O w > cn G w w a z Q s m O w ct w G w W w ca z (n Q v v)E uj I O z C3 c O c c� w o = :oy z:m CD tj v C7 a.� z cc R O L o 1 o � m(f� y r f Ea r a'c m o :_. m N 2 Cf) C = O O O C1 Q .ate C N y I /1 ce c m y.., CO O N z 2 y O C Em U a v m ~ rte^ • y Ci > � � v J = o¢ Qct 5 z co p m ^.� Vo N � Z p • O � c ao c H my y C .O = Ci CD =ca Cs C N d CJS C m CD .L-.. o D c ,r •� •CA Qt O C O O +�'co .N OCL cm Z r. LLJ C.) y_ CD O _ CO OL N .� F- L .p-. d •_.. m � Co 0 E co L O b Z C 0 O � CA O :a ® co — co • E W W C7 `O CD r co 'O O Q p � O Q CL �¢ r- y O Cc CZ C.3 J 'O C z coci U O C-) y _ .0 CO2 y 0 OEPARTNENT OF PU8LIC SAFETY ;;ONSTRUCTION SUPERVISOR LICENSE ,tiuooer: Expires: Birthdate: CS 043575 06/19/1997 06/19/1939 Restricted To: 00 ANDREW A Saw 8 STONE POST RO 1f59`3 SAl}N, tdN 03079 HOME IMPROVEMENT CONTRACTOR 7b Registration 108386 Type - PRIVATE CORPORATION Expiration 08/18/96 Curran Construction Co. Inc, I Andrew A. Schwab G�`47j &One Post Rd ADMINISTRATOR Calc I e NH 03079 I 4' CURRAN CONSTRUCTION CO., INC. OCTOBER 18, 1995 KAREN HAAS & JOHN AMES 44 CRICKET LANE NO. ANDOVER, MASS. 01845 DEAR KAREN & JOHN: THE FOLLOWING IS A REVISED AND FINAL BILLING FOR THE WORK AT YOUR MASTER BEDROOM AND BATH AND IS A REVISION OF OUR SEPTEMBER 26, 1995 BILLING-. BALANCE SHOWN AT 9-26-95 = $6,177.21 LIGHTING ADDITON ERROR = ($ 50.00) CREDIT FOR BIFOLD DOOR = ($ 250.00) TILE ALLOWANCE GIVEN $260 SHOULD HAVE BEEN 220 SQ. FT. @ $3.25 = 715.00 = ($ 455.00) CREDIT FOR MISC & ELECTRTICAL = 100.00 FINAL BALANCE DUE AND PAYABLE = $ 53,322.21 IF WE CAN BE OF ASISTANCE IN ANY WAY, PLEASE GIVE ME A CALL. I WILL FORWARD THE DETAILED ELECTRICAL BILL IN THE NEXT FEW DAYS. SINCRERELY YOURS, C CONSTRUC ON CO. INC. ANDREW A. SCHWAB GENERAL MANAGER s 8 Stone Post Road, Salem, NH 03079 Phone (603) 894-6902 FAX (603) 894-6341 of Tums =�ncy °"" �_ t � __. (1S E�LIII�ILQII111Yc�� gr��Office Use ice, �. ^ �y� A .- • .._ cf Vuh is £mf au dt Fee Ctteciced - peeve' blat�it) I `r..: BOARD OF FIRE PREVeMON REGUU IONS S27 CUR 1200 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL "WOR -All work to be 'perfomied in ac=rdance with the Massacnusetts Electrical Code. S27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date " or Town of NORTH ANDOVER ' To the Inspector of Wires: The udersigned applies for a permit to perto}r3n t! Yethe electricat work described below. n . ♦ s rte? Location (Street & Number) / Owner or Tenant -� &� \ Ak.,, Owner's Address 4 Lt Li`_t (uf 4. Ly Is this permit in conjunction with at Building rerrnit: Yes No r (Check Appropriate Box) Purocse of Building t-(a�c Utility Authorization No. Existing SerAce "-GU Amps Vcits Overread Uncgrna [I No. of Meters New Service Amps _! Volts Cverread r UndgrndI No. of Meters Numoer of Feeders and Ampacity Location and Nature of Proposed E:ectncat Wenc 1 No. at oral No. at Linn;tng Cut:ets No. acs KVA No. ar L.gnt:ng = mures n Generators KVA No. of Emergency Lignting No. of Recectac:e Cutlets No. at Cit Burners I Sattery Units No. at Switch Cutlets No. cr ?as Somers F;R.E ALARMS No. of Zones -otai No. at Catection ane No. at Ranges ; No. o. Air Cana. ;rs Initiating Cevices No. at Cisccsais -eat ctai Nc•ct =_—=s .o -s -c:ai C:! No. vSouneing Cevices No. o. Sad Containec No. of Cisrwasners _aace,Area-__nrrc Ca:ec::cniSouncing Cevices j No. of Cryers �ea::-g =awces C:! Munic:oai r— I L=cai — Other i Connec::on _. i NO. at No. at Law Vcitage No. at Water Heaters KW I Signs 9a:las;s I Winnc No. Hycro Massage Tuos ! No. cr '.rotors atat n- C7'HE';: (46 i.V,6 INSURANCE CCVERAGE: Pursuant to the recu:rerrer!:s c Massacn_sers ;er.eral Laws I nave a current Uaoiiity Insurance Pair/ :nc:_c:rg Cc—_.e=.ec Ccera::crs Coverage or its sucs:anttal ecuivatent. YES = NO _ nave sty^mtttee valid proof at same to :1'.e C f ce. Yn= = NO = :t .-cu nave cnecxee "E_. :cease inetcate 'Me type of coverage My criecxing the aoproonate Max. INSURANCE = BONO = OTHER = ,Please Scec:'-.t (Enotranon Oatei Estimated Value of Etectncal Work S Worx to Start Insaecccn --ata Fiecues:ec: Rougn Final Signea unser the Penalties of penury: FIRM NAME UC. NO. Licensee S:gnarure UC. NO. Sus. lei. No. ACCPe33 Alt. :ei. No. CWNER'S INSURANCE WAIVER: I am aware trial -n e L:cersee aces rct t+ave *Me insurance ceverage or its suostantial ecuivalent as re- cuirea ny Massachusetts General Laws. ano that s:gnature on s.,s ;:errnit aopitcation waives this reautrement. Own Agent (Pease ec:l€ ong► •(\ :e+eonone No. Gey 3)') PERMIT Fac jS4nalure at Owner or Agents :�SoS M P t ahs g11M IIII Mzz1± III 5cZLnMztt5 9r �tfTIIr"..:IL�Z of 3111hal: —A=ft'q SOASO OF RE FRc i Leri M RE3ULATIMS VJR 1110 011tce use ONy Permit No. C=panc/ A Fee 01eclwd { ?1°d (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in ac, rrdanca wim tate Massachusetts :ec: csi Cede. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE AL INFCRIMAMCN) Oate -9- -11-iG ,c -* or Town of NORTH ANrQV='-R To the Inspector of wires: The udersigned appiies 'or a permit to rerjorrn une eiec:ncat work described Below. Lccation (Street 3 Number)CZL/ -� 7- Cwner or Tenantp/r�� Cwrter's Address Si9�E - Is this permit in =njunc:icn with a ouiicir.g perrntt: Yes _ No _ (Check Accrcortate QCx) Fur-csa a, .uiicir.c S'� ��t�E F����ri Utility Autrcrization No, Existing Service Amps ' `/c::_ Cverneac _ uric_ •-c ! Ne%v race Amps `Ices C•ierr.e__ Nc. of Meters No. of Meters Numcer v=eecers ar.a Amcac::y ii -�.CS% 'Tez2/1G�'/'7 ZfL6�4CM ,RSD Nc. _. __ ::rg - .tots c. _. ==s Nc. _.'ansicrrners a No. w'—gr—mg = xtures Sw•r-r-+ng =_ot;` e_ _n _ I Gar.eratcrs KV:. No. cr Emergency : gating Nc. :r ____:acts :ut:ets `ie..:. _:: °L;.-ers = ..err Units Nc. _• Swimn Cunets Ne..:. Sas No. _. ^anges `1c. _. .:r ._r_. =rs 14C. --t :isccsais Ne._ P..;rn a=s -=rs C.ci I Na. :r :isnwasners S=ace:Area Na. a Zrvers ...ea=.-.:= =evices f.•f I :L�IP.Ms No. cf 7:nes Nc. .. _ aan arta j inaiat:ng Cavices 1 i No.:. _cursing .evices No. cr Seit Containec I-eteCt:onrScuncing Devices 1 Munic=t connection No. :r No. I _':v vcitage '.nater -seaters _=..as:s •.vinnc j No. -•.eta `.tassacs acs No.:. . c._. _ .- -- I i C --E=. iNs�;PANCc "^. =�:.Gc. Ptasuant :a :.no recu:rernencs = :tassacnsa=5 ;ar.erai Laws I nave a ct:rrent ..acuiry Insurance p=ile.; -nc*%;a:ng C_-- etee ==er-a=ens Coverage cr ;:s sucs:antial eeuivaient. YE -'t ; NO nave sue urea vane =._ot at same :a :rte C:'Eca. YES %C = .t ycu nave cnecxec `.'e.3 ;tease ricicate CnB type at coverage .y :necxtng the accrccnate :ox. INSUPANCS Oe 3CNO = 01,14EP = .Please==ec:`!t _ tE:airanan Ca:et s::rratea Yaitjo at Stecwtcat •N= 5 l�o'aco :Icnt :o Star'. lnsaec=on =a:a=cug^ ;+nal S;gaea uncer -.no ?erait:es at perjury: cA .��. ' LIC. Nc. "336a.T =�P..t NAME �/' . L cense• f3/!�E?/ E y-a.�-e L:C. NO. Bus. :at. No. _S'T.h'?-99 e,,6 Accress �'r//l7LF �T rf/i9t/ /Yl'Q Att. :et. No. CwNEA'S INSl1PA1VCc WAIVE.Ft: t am aware a:aS Se _ce^ses ices -ct "ave :no insurance coverage or its suostanuai eautvatent as re- euirea oy massaeriuseas General laws. ano mat .-y =n =.:s =er-:t accucatren waives tats reeuirertsent. Owner Agent .Please cnecx ones i5gnanus of Cwner ar .Amit -*jecncre No. PSAMIT F== 3 r .. q fes, Date ... CZ/ .. J1� 281 This certifies that ............... TOWN OF NORTH ANDOVER PERMIT FOR WIRING has permission to perform.........:...;/............................................... wiringin the building of................................................................................... ata. ....q............�[[�� ..,,...... �-.i .............. . North Andover, Mass. Fee.... j .� . !... Lic. No../// ................................................................ ELECTRICAL INSPECTOR 02/26/% 11:19 15.00 :PAl.1DW>iITE: A"licant CANARY: BuildiK: Tr rer GO Date 6 f" _ �89 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......................................... ... ...0 �. �.. . �!!.�..... ...... has permission to perform ..........i�1..........�C... ................... wiring �in/the building of..........�r....i......................................................... '? l.. A r. �. kt....... L at ..................... W ........................ ,North Andover, Mass. Fee .... �:i.� ..J... Lic. No.r....!..4'.............................................................. ELECTRICAL INSPECTOR y i yf 002113/% 12.34 ` 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File �0 Date / . j .......... N2 .... ... .. TOWN OF NORTH ANDOVER jo PERMIT FOR WIRING This certifies that ........................................... --��'.-.—�xZ. .............. 74/— lt4 has permission to perform cc ION . M wiring in the building of ... . ................................ ...................................... �- at . ............ ............. . North Andover, Massy Fee..................... Lic. No . ............. ............................. A**L" I* N*'S*P'*E* L*-* M** * R** WHITE: Applicant CANARY: Building Dept. PINK: Treasurer oltt�e use only TAFC0 �I014�TE4LTHOFMASSACfI 8E77`S.' / DEPARTAfiDNT0FPUBLIC&4FM Permit No. BOARD 0FMEPREVEM0NRWMT10A SS27CMR 120� Occupancy & Fees Checked ..� APPUCATIONFOR PERW TO MERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL _ Ll c1'� Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) t+ L+ C-V(tLr cA- Lal Owner or Tenant wCJ Owner's Address -Sq-,-c this permit in conjunction with a building permit: Yes M No [:0 (Check Appropriate Box) Purpose of Building 1-10 N- L Utility Authorization No. Existing Service Amps�Volts Overhead 1:3 Underground Q No. of Meters New Service Amps Volts Overhead M Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work G FM -Cov Po146 }v ( 0111 N(Urc�, No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 0 ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total 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 Municipal r-0-1 Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER lnstraroeCovgage RerY6�thetegtritartiats�GataalLaws Ihaveaounwl-abtldyhmrd=PbbcymddirgCompi a ComagcoritssubstffMoAnvalat YES M NO M 1hawabnttedvalidptoofofmmiDthe0ffim YES r7 NO r7 lf}wha%edta WYES,*ffie! dic*thetypecfwmaWbydrdkingthe NK44ANCE M BOND OIFIER Work ib start hspec dm D* Reid Sgned ur&Tx Rnalbes ofpsltsy. ftfflesp* Expiatim D* Es un&d VakcdHechical Wodc $ � • J FIRM NAME Lioa�ee Stgrratine i Llo=lsb BwimTel.NQ File! / L==No. Address — Alt. Tel. Na OWNER'S INSURANCEWAIVER, I amm=tAthelJ=mdum not etheituvrwwwmWorhsstkAvtiale4nakrtasm4mredbyM GenedLaws andthatmysi mancnthepemitappflcabmvm'%tsfhism merTlat (Please check one) Owner a Agent S -y 0 Telephone No. � 3 3°� PERMIT FEE $ � ,