HomeMy WebLinkAboutMiscellaneous - 380 SUMMER STREET 4/30/2018MetLife Auto & Home®
Homeowner Operations Field Claim Office
Attention: Claims
P.O. Box 6040
Scranton, PA 18505
(800) 854-6011
Im
November 2, 2017
North Andover Building Inspection
1600 Osgood St, Suite 2035
North Andover, MA 01845
Our Customer:
Claim Number:
Date of Loss:
James Scalisi
JDH2O079 04
October 29, 2017
Dear North Andover Building Inspection:
Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has
been estimated to have caused damage to the dwelling or other structures that will exceed one thousand
dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property =_
as provided by M.G.L. 139 § 313, or if there is an intent to initiate proceedings to perfect such a lien.
Loss Location: 380 Summer St, North Andover, MA
Sincerely,
Homeowner Catastrophe Team
Metropolitan Property and Casualty Insurance Company
Claim Adjuster
(800) 854-6011 Ext. 7440
Fax: (855) 411-6689 =_
Email: MetlifeCatTeam@metlife.com
MetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates, Warwick, RI.
MPL MA-REGDEPT Printed in U.S.A 0698
No 2041
Date ... 7'
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ��9 ... �� 2 ��' C'� . _��
........ 7................. ...............
has permission to perform . ���' Ct t.! To...
wiring in the building of l�?2 ....� ./. � � �Er�t........................................
at ..... �7 .............. ,North Andover, Mass.
,Fee.. .�.....""::.. Lic. NoaS � ......... ..... ..........................6.................
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
y i9partI ent of Public —Aafety
J BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only
Permit No.
Occupancy &Fee Checked T
3/90 (leave blank) o
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12 )00
(PLEASE PRINT IN INK OR TYPE AL IN ORMATION) Date /Z
City or Town of _ �_� To the Inspector of Wires:
The udersigned applies for a permit to perform a electrical work described below.
Location (Street & Number) 3E0 )),n rnt2
Or -
Owner or Tenant
Owner's Address /uhq
Is this permit in conjunction with a building pe it: Yes ❑ No (Check Appropriate Box)
Purpose of Building i l Utility Authorization No.
Existing Service Amps Volts verhead ❑ Undgrnd ❑
New Service Amps Volts Overhead ❑ Undgrnd ❑
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
'-' - A <1 - -
No. of Meters
No. of Meters
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES iX NO G I
have submitted valid proof of same to the Office. YES K NO ❑ If you have checked YES, please indicate the type of #verage by
checking the appropriate box.
INSURANCE }$j BOND ❑ OTHER ❑ (Please Specify)
( piration Date)
Estimated Value of Electrical Work $ _
Work to Start
Signed under the Penalties of perjury:
FIRM NAME � 41164 1
Licensee S /"1 , -.✓6-116
Inspection Date Requested: Rough Final
LIC. NO. A5f-33
Address -) b % /D. =411=2 Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE $ S '�—
(Signature of Owner or Agent) x-6565
w /
w
11o. of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
KVA
No. of Lighting Fixtures
Swimming Pool A ve In-
❑ ❑
grnd grnd.
Generators KVA
I
No. of Emergency Lighting
No. of Receptacle Outlets
No. of -ail -Burners
I Battery Units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
No. of Ranges
Total
No. of Air Cond.
tons
Initiating Devices
No. of Sounding Devices
No. of Self Contained
No. of Disposals
I No.of Heat Total Total
Pumps Tons KW
No. of Dishwashers
Space/Area Heating KW
Detection/Sounding Devices
LocalMunicipal [IOther
❑
No. of Dryers
Heating Devices KW
Connection
I
No. of No. of
Low Voltage
No. of Water Heaters KW
Signs Ballasts.
Wiring
No. Hydro Massage Tubs
No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES iX NO G I
have submitted valid proof of same to the Office. YES K NO ❑ If you have checked YES, please indicate the type of #verage by
checking the appropriate box.
INSURANCE }$j BOND ❑ OTHER ❑ (Please Specify)
( piration Date)
Estimated Value of Electrical Work $ _
Work to Start
Signed under the Penalties of perjury:
FIRM NAME � 41164 1
Licensee S /"1 , -.✓6-116
Inspection Date Requested: Rough Final
LIC. NO. A5f-33
Address -) b % /D. =411=2 Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE $ S '�—
(Signature of Owner or Agent) x-6565
Location
Na 67/ - Date
Nom=„. TOWN OF NORTH ANDOVER
of
,7”
"• c�
Certificate of Occupancy $ h }
• : Building/Frame Permit Fee $
��s "^�•°'''��' Foundation Permit Fee $
s�CHuse
Other Permit Fee $
Sewer Connection Fee $
' Water Connection Fee $
TOTAL $
C.. � ►� t �C � E
Buildi Insp r
3 a �,
02/18/97 09114//1,228.W INT$
Div. Public Works
_ � _- ..{' i - ...r...t•.,,_..� _. _ __ �..-. -�- .ter -
LobationSVS,
No Date
roRTM TOWN OF NORTH ANDOVER
• . 0
p Certificate of Occupancy $
Building/Frame Permit Fee $
�i�s',^� •'�tt' Foundation Permit Fee $—
S�CHU ,
Other Permit Fee$
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
1 �"5.'1!/96 15:00 150.00 RAID
Div. Public Works
��. -"—L-6 a a SU
NoDate
TOWN OF NORTH ANDOVER
� A
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Feed $
Other Permit Fee ` $
Sewer Connection Fee. $
2 Water Connection Fee $
TOTAL $
�4M.
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Location 7i, )D t'q
No. Date
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N°RTSTOWN OF NORTH ANDOVER
0
41L
Certificate of Occupancy $
Building/Frame Permit Fee $
CHUS Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
...........................
Water Connection Fee $
i.
TOTAL $
&(6
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N2 9185 Div. Pub&
6:7,
'7 V
Works
Location
21,10 .. ... .....
Date
0NORTTOWN OF NO
2 RTH AND
Certificate of Occupancy $
Building/Frame Permit Fee $
C Ust Foundation Permit Fee
Other Permit Fee
Sewer Connection Fee
Water Connection Fee $
TOTAL --------
-------
L s -z6-6
8L,ldin-g-2
N2 10547 lf";,9ctor
Div. Public Woks
FORM `U - VERIFICATION FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
SFR Realty -Trust/ 475-9100
APPLICANT: Belford Construction, Inc. Phone 975-5752
LOCATION: Assessor's Map Number 10 7A Parcel G
See Plan recorded in the Essex North
Subdivision Registry as Plan 412952 Lots)
::
Street Summer St. St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
1�eim i u2A� 0 J, u 00
Conservation Admini trator
_ o
Comments
Town • - - _ -
Comments
Food Inspector -Health
�
�
Septic Inspector -Health
Comments
Public Works -
Fire Department
Date Approved tl��C[Yi
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
sewer/water connections �� i.[� CC 1Z(%g�
"driveway -`'permit a Z/
Received by Building Inspector
Date
307.71 /
WETLANDS PER SSDS D£S/GN
s>>. BY NEVE ASSOC. 7/25/96.
J'
LOT 8B
A=2.1 ACRES
r�
e
h
0
cn �
0
188.7'
SUMMER STREET
FOUNDATION LOCA TION PLAN
CLIENT. • BELFORD CONSTRUCT/ON
THIS CERTIFICATION IS MADE AND LIMITED
TO THE ABOVE CLIENT.
LOCATION: LOT 8B SUMMER, STREET
NORTH ANDOVER, MA.
SCALE: I" = 60' DA TE: 1/8/97
CHRI S TIA NSEN & SERGI LAND SURVEYORS ERS
160 SUMMER Sr. HAVERH/LL.MA. 018J0 TEL. 508-J7J-0J10
Q 1887 BY CHR/STIANSEN & SERGI INC
I CER77FY THAT THE PRIAURY STRUCTURE SHOWN CONFORMS TO
THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL
APPLICABLE ZONING BY-LAWS /N - EFFECT WHEN CONSTRUCTED.
(THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER
RESTRICTIONS SUCH AS COVENANT$W£TLANDS.EASEAlENM
ORDERS OF CONDMONS.ETG)
THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY
PURPOSE OTHER THAN THAT OUTLINED ABOVE,£XCEPT WITH THE
WRI7TEN PERMISSION OF CHRISTIANSEN & SERGI INC.
FURZHERMORE THIS DRAWING /S THE COPYRIGHTED PROPERTY
OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE
IS PR°H/B/TED.CHR/ST ANSEN & SERGI TAKES NO RESPONSIBILITY
FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR-
MATION CONTAINED HEREON.
DRAWING No. 95033001
w ..
pax
/4O.F.a1
/
/
by.
307.71 /
WETLANDS PER SSDS D£S/GN
s>>. BY NEVE ASSOC. 7/25/96.
J'
LOT 8B
A=2.1 ACRES
r�
e
h
0
cn �
0
188.7'
SUMMER STREET
FOUNDATION LOCA TION PLAN
CLIENT. • BELFORD CONSTRUCT/ON
THIS CERTIFICATION IS MADE AND LIMITED
TO THE ABOVE CLIENT.
LOCATION: LOT 8B SUMMER, STREET
NORTH ANDOVER, MA.
SCALE: I" = 60' DA TE: 1/8/97
CHRI S TIA NSEN & SERGI LAND SURVEYORS ERS
160 SUMMER Sr. HAVERH/LL.MA. 018J0 TEL. 508-J7J-0J10
Q 1887 BY CHR/STIANSEN & SERGI INC
I CER77FY THAT THE PRIAURY STRUCTURE SHOWN CONFORMS TO
THE HORIZONTAL SETBACK REQUIREMENTS OF THE LOCAL
APPLICABLE ZONING BY-LAWS /N - EFFECT WHEN CONSTRUCTED.
(THIS CERTIFICATION DOES NOT CONSIDER ANY OTHER
RESTRICTIONS SUCH AS COVENANT$W£TLANDS.EASEAlENM
ORDERS OF CONDMONS.ETG)
THIS DRAWING SHALL NOT BE USED BY THE CLIENT FOR ANY
PURPOSE OTHER THAN THAT OUTLINED ABOVE,£XCEPT WITH THE
WRI7TEN PERMISSION OF CHRISTIANSEN & SERGI INC.
FURZHERMORE THIS DRAWING /S THE COPYRIGHTED PROPERTY
OF CHRISTIANSEN & SERGI INC. AND ANY UNAUTHORIZED USE
IS PR°H/B/TED.CHR/ST ANSEN & SERGI TAKES NO RESPONSIBILITY
FOR THE UNAUTHORIZED USE OF THIS DRAWING OR ANY INFOR-
MATION CONTAINED HEREON.
DRAWING No. 95033001
a A•
Pe((Y
Proposed Leach Bed
System With 1009
Future Reserve.....,,,.
2ooF pZAI►�l�i To FJ� GoNNE.L7E.p
john
-to F N p De P.1►�►-n+E►-� PAu-rE�D
To 170-ywF—U (SE.r DE-TA,L
�n's�aleo
Mar'° M
Septic
Tank.. ,r
D -Bax•,•. �
19Z '
-xist. Wood
Bri dg e .......... .... .
1�0_BI" �
rte/ ` Exist.
wolr ..
Exist. Steel
Sep tic Tonk
existing septic system
ions and to be abandoned.
:pair Design for Lot 9B
ociotes, Inc., prepared for
1 a n
1" = 40'
E
Q)
0
B17
304.94 B� T :.`
rn �
.816
•
82 t' 1
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84 0
AL
I
do a �B13
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AL
Exist. Leach
85' /I Field (Lot 9B) /
-� (To Be Abandoned)]
AL Lot gB
� B_lo 92,083 S.F.
Bg -- 188 811 2.114 Acres
.................. 190
%...........
�N
9
Exist. Cesspool -�9k Exlst.'�
Wall f
UTI LITIEzj:
W A -reg
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V
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Thomas
................ r
i/
o
Existing
Tennis Court
INFI LTJZAT10
ti TR� tJ C 1 F
'fo �uu ArL.ONCs �Io A3
OF PCIVEWA.(/
(SEE DETialL.) A5
r f'
\�V 18 j Ac; \
P e �� A9------
m m
` '�"-_�•- -- 24.20'
—
Poles =
\PO % �� r
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2
P2'�bIoOyF
/
-xist. Wood
Bri dg e .......... .... .
1�0_BI" �
rte/ ` Exist.
wolr ..
Exist. Steel
Sep tic Tonk
existing septic system
ions and to be abandoned.
:pair Design for Lot 9B
ociotes, Inc., prepared for
1 a n
1" = 40'
E
Q)
0
B17
304.94 B� T :.`
rn �
.816
•
82 t' 1
I `
�`�\ ----
B 14
J'
�0 I
84 0
AL
I
do a �B13
1
S` ,B6 �AL
AL
Exist. Leach
85' /I Field (Lot 9B) /
-� (To Be Abandoned)]
AL Lot gB
� B_lo 92,083 S.F.
Bg -- 188 811 2.114 Acres
.................. 190
%...........
�N
9
Exist. Cesspool -�9k Exlst.'�
Wall f
UTI LITIEzj:
W A -reg
TEI.E.P►+on�E
Glkc3uF -r,
V
I�o
f --I' TI
3"--•1 f —
Thomas
................ r
i/
o
Existing
Tennis Court
INFI LTJZAT10
ti TR� tJ C 1 F
'fo �uu ArL.ONCs �Io A3
OF PCIVEWA.(/
(SEE DETialL.) A5
r f'
\�V 18 j Ac; \
P e �� A9------
m m
` '�"-_�•- -- 24.20'
—
Poles =
\PO % �� r
In v.
ed I`,w O
a
8' 19z • , ccn
" I ��• !, ori 196
" � 1
2
�I
Fill
X92 �.f
196
� 1
1 '
Exist. Wood r-90 `9g
Bridge ...........
190 BM h '�-
Ex
o ,`� EX/:S, o
Exist. Steel Wal/ ••.
Sep tic Tank
�c90
Ic"N _ •�
)ned. eco `rte'
for
Exist. Cesspool9A,
.1
- - - EX/st,'1
Wa//
O
7
I
B2 •� .B16
--}`- --- _185'--- ------- ---------------
Op
85
� 1
QL B 13
' 'Y Exis/rB 12 ,� t• L eoch '
Fie/d (Lot 98) /
B7 (To Be Abondoned)
0. ®�►
810
es 188 92,083 S•l`.
Z' 19 B11 2. 114 Acres
.1 Existing
N'�
i g ' Tennis Court �� ro
' �NFI L -TP- ATI ,
OF
pE:IVEyVN�'i
(SEE D ETAIL.,) A3
A5 A4 U,
190
164,
G•..... S .
A
♦ 8 6 N,A2
ole T'
r
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Buildin Permit (below) Address of Property for Permit (below)
Map and Parcel: Purpose of Application (check below)
Phone Number of Applicant: Single Family _ Two Family
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in
existence as of the effective date of this by-law, provided that no additional residential unit is created.
The lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
ylaw.
This application is for dwelling units for low and/or moderate income families or individuals, where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents, where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section "senior" shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40% permanent
reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the
environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland. The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and
commissions have been received and the project is in compliance with those permits), and the Development Schedule
does not accommodate issuing a building permit in that Year, one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply, whether done to my
knowledge or npt_is grounds"fusal_py4e Building Department to issue a Building Permit.
iture of -Owner or Authorized Agent who signed the Attached Building Permit Date
form must be attached to the Building Permit upon application for such permit.
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CERTIFICATE OF USE &OCCUPANCY
Town of North Andover ?
Building, Permit Number
THIS CERTIFIES THAT
THE BUILDING LOCATED ONso
MAY BE OCCUPIED AS IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
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Gull: TIIM IInwralt I of Tums Permit No.
E9VM nJ!Ut of V11131.It $afttg Occupancy & Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 C &1R 12:00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dater
(XV or Town of NOR TH ANDOVER To the In pector of Wires:
The udersigned applies for a permit
' to perform the eiectricaii work described below.
Location (Street & Number) J 0 Surnmri`
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes _ No ❑ (Check Appropriate Box)
Al
1
Purpose of Buildino % �� 124�L� / r p 12 .9 Ar Utility Authorization No. '7d/-659
Existing Service Amps _J Voits Overhead _' Undgrnd 11 No. of Meters
00 Amps �� /Volts Overhead Unegrnc No. of Meters
New Service �%
Number of Feeders anc Ampacity /
Location and Nature of Proposed E:ectrical Work �AJ /-✓ 0rJ2,
Tocai
No. of Lignting Outlets I No. of Hct '.mss No. of Transformers K`
JA
No. of Lighting Fixtures i Swimming Paci 9 woe_ cmc. _ Generators KVA
No. of Emergency Lighting
No. of Recectacie Cutlets I No. of Oil Surners Battery Units
No. of Switch Outlets I No. of Gas Surners FIRE ALARMS No. of Zones
ecuon
No. of Ranges I No. of Air Ccrc. ;oris No.
Init art ng.Deviicesnd
iNo of Heat Totat +Drat
No. of Disoosais Purnos 'oris K:! No. of Sounding Devices
iNo. of Saif Contained
No. of Dishwashers SDaceiArea Heatina K`.•! Detaction/Sounaing Devices
— Mun+cloat
No. of Dryers I Heating Devices K�v Local _ Connecnon _Other
No. at tip. of Low Voltage
No. of Water Heaters KW I Signs Sailasm Wirinc
No. Hydro Massage Tubs I No. of Motors otai HP
OTHER:
INSURANCE COVERAGE: Pursuant :o the reautrements of '.tassacnusecs general Laws _
I have a current Liability Insurance Policy inciucing C.:mc:etec Cceratiens Coverage or its substantial eeuivaient. YES NO _ I
have suominea valid proof of same to the Office. YES tV NO = If you nave cheatcea YES. please indicate the type of coverage by
cnecxing the aorrocnate box.
INSURANCE 4 BONO _ OTHER = (Please Scec:!-�)
(Exbtrauon Dater
Estimated Value of Electrical Work S
Work to Start insbea:on Cate Racues:ec: Rough
Final
Signed under :he Ptoes of perjury* ,/)f 5/115—
LIC. NAME Cam-�'r L ir ���r LIC. NO. /7 U
Licenseey / ry� T� @�R —S'gna:cre LIC. NO.
_ � —a . Tel. Na. _ . – Fig'-�
Address _ ��.,�:� � � Alt. Tei. Na. `
OWNERS INSURANCE WAIVER: 1 am aware that the L :censee aces not nave the insurance coverage or its substantial eeuivale t as e
ouired by Massacnusetts General Laws. and that my signature on -.r%.s =ermit application waives this reduirement. Owner Agent
(Please checx ones
:eiecrone No. PERMIT FE=_ (�
(Signature of Owner or Agent) CA
x•r_c5
N21 - 16
N2 818
Date ......
1=
TOWN OF NORTH ANDOVER 0. C—M
PERMIT FOR WIRING 8
This certifies that ....... &I r'. OIL .......... . ............................... ...
has permission to perform .......... W..t . . . ....... . 40.yVk..0 . . ........................... CU
wiring in the building of ...... ..... cood., .............................
at .... 3..�
IV /? ... ......................... .North Andover, Mass.
FJ3..Or
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.QJ. Lic. No .......... i ......... ..........................
ELECTRICAL INSPECTOR
G � H ?" *-
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
................