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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING.
This certifies that ...... i .............................
has permission to perform
.............
plumbing in the buildings of
at. 5 .. ............ North Andover, Mass.
Fee. . 4 .... Lic. No../.
PLUMBINGI CTOR
Check #
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15,
MASSACHUSETTS UNIFORM APPLICATION FO", ERNIIT TO DO PLUMBIN
(Type or print) .
NORTHANDOVE C, MASSACHUSETTS
Date /D D�—
Building Location �I 3 o v� r Owners Name r Permit
Amount 3 r%
Type of Occupancy
New rlRenovation Replacement Plans Submitted Yes No -
(Print or type) Chec ne: Certificate
IpstallingCompany Name�doyer PI ba & Htci. Co.. Inc. Corp. 2122
Address 20 Aegean Dr. Unit -10 E Partner.
r Methuen MA 01844
Business Telephone -(978) 685-8383 ElFirm/Co.
Name of Licensed Plumber. George LaRose
Insurance Coverage: Indicate thea of insurance coverage by checking the appropriate box:
L J
Liability insurance policy Other type of indemnity ❑ 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 perfo ed under Permit Issued fDr this application will be in
compliance with all pertinent provisions of the Massachusetts State P1u mg CodE- --*FFt r 142 of the General Laws.
By:
Title
City/Town
APPROVED (OFFICE USE ONLY
Type of Plumbing License
9983
License Numoer Master
Journeyman
O
Date.. :�..1'4 . . 112,
�' �01 TOWN OF NORTH ANDOVER
MPERMIT FOR GAS INSTALLATION
This certifies that ... ...............................
has permission for gas installation ......
in the buildings of ....................
at
........................ North Andover, Mass,
Fee-;�? ....... Lic. No. � .........
6A;'04EC�0t
L/
Check# *?'71
- =22 t -
41 15 5
r�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
C NORTH ANDOVER Mass. _ Date 0 7 Q,�--
building Locationf3�j_ Permit # c.lj�_
Owners Name
• S New r, Renovation Replacement 2 Plans Submitted D
FIXTUP=c
(Print or Type) Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG CO IN ..f7l Corp. 9122
Address 20 AEGEAN DR. UNIT 1 10 Partner.
METHUEN, MA. 01844 Firm/Co.
Business Telephone: 978-685-8383
Name of Licensed Plumber or Gas Fitter (-;FOR(--,F I AROSF
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy 0 Other type of indemnity D Bond E]
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 coverages.
Signature of owner/agent of property Owner 17 Agent 0
I hereby certify that all of the devils and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowtcke and that all plumbing work and Installations perlormed under Permit issued to: this appGntion will -be in compliance with alt pertlncat
provisions of the Massachusetts Slate Cas Code and Chapter 14: of the General Lawn. '
YPE LICENSE:
Plumber
asfitter. Sign ure of Licensed
Master Plumber or Gasfitter
Journeyman 9983
License Number
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BASEMENT
ISTFLOOR
2ND FLOOR
`
3RD FLOOR
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6TH FLOOR
STH FLOOR
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6TH FLOOR
TTH FLOOR
8TH FLOOR
(Print or Type) Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG CO IN ..f7l Corp. 9122
Address 20 AEGEAN DR. UNIT 1 10 Partner.
METHUEN, MA. 01844 Firm/Co.
Business Telephone: 978-685-8383
Name of Licensed Plumber or Gas Fitter (-;FOR(--,F I AROSF
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy 0 Other type of indemnity D Bond E]
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 coverages.
Signature of owner/agent of property Owner 17 Agent 0
I hereby certify that all of the devils and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowtcke and that all plumbing work and Installations perlormed under Permit issued to: this appGntion will -be in compliance with alt pertlncat
provisions of the Massachusetts Slate Cas Code and Chapter 14: of the General Lawn. '
YPE LICENSE:
Plumber
asfitter. Sign ure of Licensed
Master Plumber or Gasfitter
Journeyman 9983
License Number
..... ......
A
0 TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
SACH S
This certifies that ..... Y?41
.....................
has permission for gas installation ......... V -P .............
in the buildings of
at
4/1 ........... It . ............... North Andover, Mass.
'/_1 ..........
Fee �. 4V .. LiL
GAS INSPECTOR
Check#
6095
MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date z/W
NORTH ANDOVER, MASSACHUSETTS
Building Locations 3
Permit #
Amount $
Owner's Name JL ,e 1-2 4 ee—
New Renovation Replacement, Plans Submitted —1 00
(Print or type)
Name
Address
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W�4 /
Check one: Certificate Installing Company
Corp.
0 Partner.
Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE I Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes D— No13
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity D Bond
Owner's Insurance Waiver: 1 am aware that the licensee doesnot have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner [3 Agent
I harahv roh:ii. fL.n♦ ..II ..F♦he .1..x..:1., ,._.! :_C__�_a- � � _
-I ----- • • • • lluv + JUVIIIILLVU LVr entered) In aoove application are true and accurate to the
best of my knowledge and that all plumbing work and installati performed under Permit Issued fpr this application will be in
compliance with all pertinent provisions of the Mass achus s ate G ode and Ch ter 1421 6he Geno Laws.
Title
City/Town
VED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas
itter�
E-1—plumber
0 Gas Fitter Icense Number
Taster
c3Journeyman
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SUB -BASEMENT
B A S E M ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
(Print or type)
Name
Address
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W�4 /
Check one: Certificate Installing Company
Corp.
0 Partner.
Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE I Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes D— No13
If you have checked ves, please indicate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity D Bond
Owner's Insurance Waiver: 1 am aware that the licensee doesnot have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner [3 Agent
I harahv roh:ii. fL.n♦ ..II ..F♦he .1..x..:1., ,._.! :_C__�_a- � � _
-I ----- • • • • lluv + JUVIIIILLVU LVr entered) In aoove application are true and accurate to the
best of my knowledge and that all plumbing work and installati performed under Permit Issued fpr this application will be in
compliance with all pertinent provisions of the Mass achus s ate G ode and Ch ter 1421 6he Geno Laws.
Title
City/Town
VED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas
itter�
E-1—plumber
0 Gas Fitter Icense Number
Taster
c3Journeyman
655 Date-/.
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
US EE
This certifies that ........ .. ey.o.v.�.C-p ............
has permission to perform ........ .............. f �(.-.fl ..............
wiring in the building of .... .......
............. I ...............
T I ?
at ...... ...... ......................................... . North Andover, Mass.
Fee. �/. A ... Lic. No. ............................................................... nm
ELECTRICAL INSPECTOR 2
CU
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
�
The Commonwealth of Massachusetts
Perste .b. Office Use Only
Department of Public Safety
Occupancy b Fee Checked /
BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code. S27 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / 2-L/z ,,
City or Town of —A)6- & lU0V,.4_jt- To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) 373
3 Jo `( VI 56Yt
��`SI
Owner or Tenant i- L!t _C 4L_0 -q h -
Owner's Address 373 �c �-�t SOPli
Is this permit in conjunction with a building permit: Yes ❑ No _(Check Appropriate Box)
Purpose of Building St vi'^` -- Utility Authorization N0. C� / _r/ 7
Existing Service Cd 0 Amps ( 0/ 2 Qo Volts Overhead Undgrd ❑ No. of Meters
New Service L()()Amps % / % c/ 4 Volts Overhead Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work K0 c �� 6", rl G c/ ���C ��"vw GJ S -T /_W
� c
OTHER: Sf-b�b� Gam. (C',
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 []"- NO ❑ I have submitted valid proof of same to this office. YES H' NO ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE Ey BOND ❑ OTHER ❑ (Please Specify);
Expiration Date
Estimated Value of Electrical Work $
Work to Start /2 Inspection Date Requested: Rough //�� Final % Z11�-Ac
Signed under the penalties of perjury:
FIRM NAME A, Y 41vt 1 Lt �_ L �� L
LIC. NO.
Licensee 4f-d� WlA ")zt-/ �e� Signature �� � LIC. NO.
Address.3(o.2 J-6 Le-,.,, _01'r 0-e,_l Bus. Tel. No. 60-SS:.i-777r-
Alt. Tei. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit Cr,-
application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE
Signature of Owner or Agent
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
INA
No. of Lighting Fixtures
Swimming Pool Above In-
grnd. ❑ grnd. ❑
Generators INA
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 Detection and
Initiating Devices
No. of Sounding Devices
No. Self Contained
Deteecc tion/Sounding Devices
Local ❑ Municipal ❑ Other
Connection
No. of Ranges
No, of Air Cond. Total
tons
No. of Disposals
No. of pumps Total Tons ToKWl
No. of Dishwashers
Space/Area Heating KW
No. of Dryers
y
Heating Devices KW
g
No. of Water Heaters KW
No, of No. o
Signs Ballasts
Low Voltage
lWiring
No.. Hydro Massage Tubs
INo. of Motors (Total HP
OTHER: Sf-b�b� Gam. (C',
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 []"- NO ❑ I have submitted valid proof of same to this office. YES H' NO ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE Ey BOND ❑ OTHER ❑ (Please Specify);
Expiration Date
Estimated Value of Electrical Work $
Work to Start /2 Inspection Date Requested: Rough //�� Final % Z11�-Ac
Signed under the penalties of perjury:
FIRM NAME A, Y 41vt 1 Lt �_ L �� L
LIC. NO.
Licensee 4f-d� WlA ")zt-/ �e� Signature �� � LIC. NO.
Address.3(o.2 J-6 Le-,.,, _01'r 0-e,_l Bus. Tel. No. 60-SS:.i-777r-
Alt. Tei. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit Cr,-
application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE
Signature of Owner or Agent
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Date. . /. /. ... 2. A .7 .......
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\1 TOWN OF NORTH ANDOVER
jo
PERMIT FOR GAS INSTALLATION
This certifies that IIZ--TI A -P
................................... d...
has permission for gas installation -7
in the buildings of .........................
at -North Andover, Mass,
Fedo ..... Lic. No.. ...... ... ........
GAS INSPECTOff
Check#' / Ll -7 4/
6673
MASSACHUSE M UNIFORM APPLICATON FOR PERK r TO DO GAS FITTING
(Type or print) date
NORTH
ANDOVER, MASSACHUSETTS
Building Legations
Owner's Name
New D Renovation ❑ Replacement
( Permit # A/ 7 3
Amount C,
-� �►� c'.f� Uzi
Plans Submitted
(Print or type)
Name_ 1 ��%till !yrC.
Address rd /d. 4
"740 • 4/ddr 2�2
uslness Te en one ca —
Name of Licensed Plumber'or Gas Fitter
Check o144- ne: Certificate Installing Company
Corp.
❑ Partner.
Jl' Z O .�..��
itm/Co.
INSURANCE COVERAGE
1 have a current liability Insurance, policy or it's substantial equivalent Check one
If you have checked yes. please in ' -ate the type coverage by checking the appropriate box.Yes No ❑
Liability insurance policy Other type of indemnity ❑ Bond
13
Owner's Insurance Waiver: [.am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner13Agent
t 13hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and ins ations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Mass Status Code aid Chapt5� 142 of thcoGeneral Laws.
By:
Title
City/Town,
APPROVED (OFFICE USE ONLY)
ignature of LicA<ed Plumber Or Gas Fitter
Plumber cam,
❑ Gas Fitter License Nu-lU@rr
D.—Master
0 Journeyman
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S UB -BASEMENT
BA SEMENT
IST. FLOOR
T
2ND. FLOOR
3R D. F L 0 0 R
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. .FLOOR
8TH. FLOOR
(Print or type)
Name_ 1 ��%till !yrC.
Address rd /d. 4
"740 • 4/ddr 2�2
uslness Te en one ca —
Name of Licensed Plumber'or Gas Fitter
Check o144- ne: Certificate Installing Company
Corp.
❑ Partner.
Jl' Z O .�..��
itm/Co.
INSURANCE COVERAGE
1 have a current liability Insurance, policy or it's substantial equivalent Check one
If you have checked yes. please in ' -ate the type coverage by checking the appropriate box.Yes No ❑
Liability insurance policy Other type of indemnity ❑ Bond
13
Owner's Insurance Waiver: [.am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner13Agent
t 13hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and ins ations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Mass Status Code aid Chapt5� 142 of thcoGeneral Laws.
By:
Title
City/Town,
APPROVED (OFFICE USE ONLY)
ignature of LicA<ed Plumber Or Gas Fitter
Plumber cam,
❑ Gas Fitter License Nu-lU@rr
D.—Master
0 Journeyman
PerenniakPhm
399 Johusu%.Stred
North Andover M, d T 845
(978)687-0771
Perenniallp@yahoo.com
April 1, 2009
North Andover Building Department
1600 Osgood Street
North Andover MA 01845
To whom it may concern:
I am requesting a business certificate from the town of North Andover. I own a small landscape
company and wish to use my home for an office.
This letter assures the town that no landscape equipment, materials or extra vehicles will be
stored at this property. Also no employee vehicle' will be parked at this residential address. There will also
be no signage or advertising done on this property.
This property will only be used for a home office and will have no other business activity.
Thank You
Kevin Farragher
(owner)