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Miscellaneous - 48 LINDEN AVENUE 4/30/2018
48 LINDEN AVENUE L210/045.A-0018-0000.0 �_ Date.&.`./.................. Nor+rM TOWN OF NORTH ANDOVER PERMIT FOR WIRING f� �7SSACMU j This certifies that ... ` '... 1............. .... �- --. ............... has permission to perform .... �� wiring in the building of... . :/. - �-!............ .................................. at.. ....... ............ ......PLECTRICAL .North Andover,Mass. Fee ...:.'.......... Lic.No./?r/u; Lommnwaa"n of »taijzchuzalCJ - -, c� Pe,-,nit No. �-S� n �CJaPar�saL o 5ire a Occuarc•.and Fee Checked C v BOARD OF FIRE PREVENTION REGULATIONS [Rcv. I'-' (iesve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code.(NIf=C;,52"CXR 12.00 �PLZ A SE P:.NT LYYK OP. TYPE ALL LYFOR- AT10,, ) Date: //713 6 Cite or Town of: A, A,&zed' To the ins ec_or of Wires: B`-this applicsrior.the undersigned gives noice of his or her intention to perform the e'.ec=: r� �� ��� �.-0 .-p ��� �� �� i - .� i �� �: The Commonwealth of.'llassachrtsetts Department of Industrial accidents V.'s „= Office of Investigations r ._ 600 TT'ashington Street t Boston, :61.4 02111 11'114V.M ass.gol'ldia Workers' Compensation Insurance Affidavit: Builders/C'ontractors/Electricians/Plumbers -applicant Information Please Print Legibly � '/ Nalile (Business:'OrQanization.'Indi�-idual): '_�t � r 1 e c' �, C, �01 �' • _ Address: Ccs o 4kj^ ko Lk CityiState/Zip: 6 `, ! Phone } f 7 Are you an employer? Check the appropriate bot: Type of project(required): 1.[ I alis a employer with i 0 4• ❑ I ani a general contractor and I 6. ❑New construction employees (filll and/or part-time). have hired the sub-cblitractors 2.❑ I ani a sole proprietor or partner- listed on the attached sheet. ❑ Reniodelillg ship and have no employees These sub-contractors have 8. ❑ Demolition working for rue in any capacity. employees and have workers' P 9. ❑ Building addition [N �•o workers' colllp. insurance colllp, llisliraIlce.= �T�'e are a corporation and its 10. Electrical repairs or additions required.] ❑ i 3.❑ 1 ani a honieowuer doing all work officers have exercised their 11.7 Phulibing repair's or additions myself. No workers" con .i n9dit of exemption per MGL[ + p c. 1�'. 51(4). and�s�e have no 1.., ❑ Roof repairs insurance required.] 13.❑ Other' employees. [No workers' colllp. insurance required.] env applicant that checks bot—11 must also fill out the section below shooing their Nvorkers' compensation policy information. i Homeowners who submit this affidavit iildicatin2 they are doling all ivork and then hire outside contractors must submit a Ilew affidavitindicating such. contractors that check this bin:must attached mi additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees.they must provide their workers'comp.policy number. I ally arr employer that rs prol+rdrno ilorbers eonrpensatroinsrraneefor nr •erpto1gees. Belogy is the ol andJob site inforination. Insurance Company Name: I n e. 6-a.t4- -T4 Policy#or Self-ills. Lic. KY w C eo �`�� Expiration Date: Job Site Address: o- !an d rn Ala /U. 1.1e'Vcr n,14 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(shoiNlug the policy,number and expiration date). Failure to secure coverage as required funder Section 25A of MGL e. 152 call lead to the imposition of crilliinal penalties of a tine up to S1.500.00 andor one-year ilnprisomnent.as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to S250.00 a day against the violator. Be advised that a copy-of tills statement play be forwarded to the Office of Investigations of the DLA.for insurance coverage verification. I ll0 hel'eb1'cet'ilfj'under the pains acrd penalties ofperjn13,that the , rnialion provided abol'e is trite and correct. Signature: Date: i a O Phone : Official itse only. Do not write in this area, to be completed ky city or town official. City,or To«r1: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City,/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Date .. Vic. .. ...... . . NORTH 3? '` TOWN OF NORTH ANDOVER ` PERMIT FOR GAS INSTALLATION a �a . S �9SSACHUSES y This certifies that . . . . . . . . . . has permission for gas installation . _-� 1 in the buildings of E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . .sem-. �. North Andover, Mass. Feel,.%, . . .--,. Lic. No... . . . . . . .a!. . . . . . . . . GICS'INSPGEC ^R '_ Check#15�a 6585 MASSACHUSETTS UNIFORM APPUck rON FOR PERNur T'0 DO GAS M nNG (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Loqations L",� -Au e Permit# � � Owner's Name n� Amount$ V/at New❑ Renovation ❑ Replacement n �p Plans Submitted ❑ Wa o zd .9 - W , W a occ x F L r a W E. o W i' '' z z a� W 9 o a w F 4 a w o q z d W < a W o > w O p m 0 F• W &RD SEMENT 3 � � .� U � � G � F G ENT OOR OOR 14T OOR OOR00ROOROOR.OOR. (Print or type) Name ' Check one: Certificate Installing Company Co Address y ❑ rp usmessTelephone _ Cli �C] ❑ Partner. C� Firm/Co. Name of.Licensed Plumber'or Gas Fitter +� FINSURANCECO VERAGE Check ck o t liability Insurance, one: tY policy or it's substantial equivalent Yes ecked es please indicate the type coverage b checki ❑ No❑y n thea ro g nate bance policy Other type of indemn' appropriate ox. ® i ty ❑ Bond ❑ Owner's Insurance Waiver. Lam aware that the licensee does�aVe the Insurance coverage required b Chapter Mass. General Laws,and that my signature on this permit application waives y P 142 of the P awes this requirement Signature of Owner or Owner's Agent Check one: wner i hereby certify that all of the details and information 1 have submitted(or entered) in above apglict 13 and best of my knowledge and that all plumbing work and instal tions performed under Permit Issued for this application will be accurate to the compliance with all pertinent provisions of the Massachu State Gas m Chapter 142 of the General Laws. By: J Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber cl /i7g C7 ty/To%" ❑ Gas Fitter icense Number ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman 4 Date;//l. NORTH TOWN OF NORTH DOVER PERMIT FOR LUMBING r F p t SSACMUSE� This certifies that . . . . . . . .` !) c. - . . . . . . . . . . . . . has permission to perform . . .. . . . . . ... Al plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . at . .' . . . . . : : . . . . , North Andover, Mass. ev Fee-O... . .Lic. No//. . . . . f � �.. . . . . . . . . . . . L� PLUMBING INSPECTOR Check # �a39 7893 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMB (Type or print) PLUMBING NORTH ANDOVER,MASSACHUSETTS Building Location 14C` j 'L Owners Name Date f Permit# 3 Type of Occu anc Amount _ , .� erl� << New Renovation Replacement Plans Submitted Yes ❑ No ❑ FATUREs O C) H LOD L7 O E~ a a a � a O U �.S• � Q Ca O �4l� as fi�iSF1Vl1�' IS'1:H�OQt ' �1II bI�OQt MR-C M 4IH KOM m ffiak 6M FLCM FLUR _ I 9M FLOCR (Print or type) Installing Company Name_i Gryi, Check one: Certificate i`�� rCorp, Address -{ c El o PeA 77- Partner. Business Telephone 019( . Firm/Co. Name of Licensed Plumber: S� yam/ i Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 13 Bond El Insurance Waiver. I, the undersigned,have been made aware that the licensee of this applicatio three insurance n does not have any one of the above 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 li nc knowledge and that all plumbing work and tallations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas c setts Ste � ing Code Chapter 142 of the General Laws. By. ,ebignal.1117t o L rcens umner Tide Type of Plumbing License Cityfrown License um er Master ® Journeyman ❑ APPROVED to cE usE oNi r Date.. .................. 0ORTil TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS�cHUS This certifies that .... ... . ..........0 has permission to perform ...................... wiring in the building of .................................... at.. .............. ................. North Andover,Mass. Fee..16................... Lic.No.1-21-VA ELECTRICAL INSPECTOR Check # c—A-�fe- 6537 Commonwealth of Massachusettstt* {� Permit Nu. LSA 7 l Department of Fire Services I _ Occupanc\ and Fee Checked ,.� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 05j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All .pork to he perfrnrmed in accordaiwe with the NlassachuSctts I:IecUical Code 5'17 C\IR I_'.t)O iPLE.ISE PRL\T LN"IN OR TYPE,ILL INFORH,ITlON) Date: City or Town of: J � Cave! To the h7Sj?e1L'10101 Wires: By this application the undersigned gives nonce of hiS or her intention to perform the electrical work described below. Location (Street& Numher) Owner or Tenant M,/ ,11 X "Ivet Telephone Owner's Address G C Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building V-, YI Utility Authorization No. 5- q 7 Existing Service I C'U Amps Liz) )-2,V0 Volts Overhead Undgrd ❑ No. of Meters New Service ' Amps 1�yc,' Volts Overhead ® Undgrd ❑ No. of Meters / Number of Feeders and Ampacity hoc! /4."f Location and Nature of Proposed Electrical Work: r V C TZO al /cXo Awtp In ate' 171-0 5 Comeplelinrr u/the 'illrnYirig able Inca be a aALd iw the b1s)ector of No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool ;above ❑ In- 11o.u Emergency Lighting r nd. rn � d. Battu .. No.of Receptacle Outlets No.of Oil Burners (FIRE ALAR IS �No: of Zones No.of Switches No.of Gas Burners No.of Detect on and Initiatine Devices No.of Ranges No. of Air Cond. Tota ;No.of Alerting Devices Tons g Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Tufals: iDetection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[] N unicipal ❑ Other Connection_ No.of Dryers Heating Appliances KW Security Sytems:* No.of Devices or Equivalent No.of Water KW No,of No.o Data Wiring: Heaters _signs Ballasts No.of Devices or Equivalent____ _ No. Hydromassage Bathtubs No, of.Tutors Total HP felecommunicatr nsWiring* —7 No.of Devices or Equivalent OTHER: .Illuc.•!r rrh.liu:rrui Jrtrril r/rlr,rircc/, :r,r.�rrrlurrci.l Li. rhe h.+l,cclur ;; II; . Estimated Value of Ele trical Work: Ok hen required by municipal policy.) �burk to Start: �R In;pcctiuns to be requested in accordance with MEC Rule 10, and upon completion. INSLRANCE COVE GE: Unless waived by the owner, no permit fur the performance ��fclecn•ical work Ina) iSSue C1111""the licensee provides proof of liability insurance including",.,ompletcd operation"coverage or itS substantial equivalent. l hr nulersi ncr:i certitie;, that..uch co�crage i:. in lorce. ;incl has e:.hihitcd proof of:;ame to the permit i:.;,uin^ Olt-ICU. (A If:(:K O\E: INSI. RANC'I` 2 130ND ❑ m111i1Z ❑ (Spccily:) t l rrli/►. render rhe pones,and penuities of perjrrrt, hat Oe ityfi—)rwa ion un,'leis,ipplicadon ra tr!!��,r!!d FIRIINI NAME: �� �/ �L /I C_ LIC.. Licensee: J� �'s/riot%S�Ci; ' gnatur•e ;(.ic. o..1;>V 3us. Tel. No.: ic> Wdress: �l� r v 7� 7 C f:r _ �`��/ k1t. Tel. "Security System Contractor Lice(1se required for this work; if applicable,unter the license number here: OWNER'S INSURANCE NVAIVER: I am nw;Yrc that the Licensee don ^m,l huhu the liability insur,mec :w,_ra e nc:rmally required by law. By my:ign:rture bclovv, I hcrcLy waive this rcquiremcnt. I am the(check one)❑ owncr ❑ owner's ;ry�cnt. Owner/Agent PFR.Vf1T 17VF.- � – t 9`�' �Y'kilirtUY•e e..1,�t;Iiiiil� ir-J. t -- — tlllicial l se UnlN Commonwealth of Massachusetts - I Permit No. Department of Fire Services Occupancy and Fre Checked .. BOARD OF FIRE PREVENTION REGULATIONS `[Rev. 9.05] I IC,I�C blank) _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK SII '.pork to he performed in accordance\;ith the%LISS chusCtts f:ICdl'iCal C•O&t`lEC). 5''COIR 12.00 rl'L.E.I,S'E PRL�T IN INK OR TYPE ALL I.VFORIIAT1( N) Date: V"Q z- City or Town of: � 1j e ilk Tn llrt lIt•�/�c-�1nr Off i"hT. . By this application the undel`slgned Slurs notice of ills ol•liel. Intent 1011 to pel't61.111 till'vlectl•Ical work described below. Location (Street& Number) �e�• C✓L�1— U� Owner or TenantTelephone �oCs's Owner's Address C104 -� Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building V-C��/' Utility Authorization No. F��/� - 7 Existing Service I C'U Anips Volts Overhead L'ndgrd ❑ No. of'Meters New Service 9C;0 limps /dc) V01ts Overhead Undgrd ❑ No. of'Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 4,16= /00 442 4,) am s ('urrr Meletin r,/lilt)'i,Ncnri a hlhlr luul he Iruinr/by the No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ;%bove EJ16-id. ❑ ; o. 0 mergency 1g ing end. rnd. BattclaitsNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS FNo:of Zones No. of Switches No. of Gas Burners N0.0f Detection and Initiating Devices No.of Ranges No. of Air Cond. TonsnsaI ;No.of Alerting Devices No. of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained Totals: Detection/A lerting Devices . No.of Dishwashers Space/Area Heating KW Local❑ '" untctpal ElOther Connection No. of Dryers Heating Appliances KW Security Systems:* No.of Devices or_Equivalent No.of Water No.of No.of Heaters KW Data Wiring: _ Si ns Ballasts No.of Devices.or Equivalent-.--.—,- No. Hydromassage Bathtubs No.of Motors Total VIP TclecOmmunicat ons 1Vir nIL Na- or Dealent OTHER: I Nuc/r rth.lNrunul JrrwI rl'ih,ni cd. -:r ay rcqurrc.1 h.t. rbc 11.S/•crh;r,.,; HOC. Estimated Value of Ele trical W0 1*k: / � � (V4"lien required by municipal pulicy.) \fork to Start: o? Inspections to be requested in accordance with MEC Rule 10, and upon cunlplctiorl. INSLRANCE CO'E (..E: Unless waived by the owner, no permit for the perlorn ance of clectrical work may i aue unlcs: the licensee .Icvi�ies �r0ufofliability insurance i � t="�• ,' r .. I ! n�ludm� „um Ictal a .ration"covela�c ur its suC,stantiul cc uivalrllt. , he . p f I 1.mdrrsi!jlCd erethic'. that such cu\ r, ) , u•a,;c ul It Inc. ,old has c:.hihitrd n•uof uF:,ame to tile � " ,'� • ► L t.l l•I lilt I:':lllll. l.ltll't. (`I1LCK ONE: INSI R.\tiC'E R`130ND ❑ cit"CIIiR ❑ (Spccil'y:i J ti['/'11f f, .N/I�L'r J11C,17[lJ//.S rlJ![��)C"NAllll',S t11 i)C'I'l1Na', �IIIIJ Jl/p 1/l�(1/'!JlllJl/1H till 'lllJ',1�)l)1!C'l/l!!11'I /J J!'A.C,rl'!I/r'!J.'11/7/t'JC'. F'9RIrt NAME:.. LIC. i"io . C� tricensee: JaMCS/l�ol�'S�C;; .>in;lture �---- t � - —�-- I thus. Trl. . 0.: Address. C7 rf 7 O - .1, S_ It. Tel. Vo., _-���-I._. ^Security Sy,tem Contractor lice lse required for this work; the if applicable.enter license number here: OWNER'S INSURANCE WAIk'ER: I ani amii'e that the Li(:rnsee cb)c'")701 hul'cr the liability insur..lnCC r n_ra`e nc:rniall�-- required by law. By my,;:-nature below, I wUlve this rcqull'CI1 t nt. I ani the(check one)EJ owner ❑ owner':; ,I zcnt. Owner/Agent r P '1�,>VOfT FF 19-19� 'it;rl:ltuY'e a .}ililiiil� �i:�. �.�,� �----• i 2 C!p Ok, i 123 Captains Row Lim ., Inc. Chelsea, Ma 02150 (617) 884-2880 • Fax: (617)884-7110 �—�- MA Lic: A 17448• NH Lic: 11515 M December 20, 2006 Town of North Andover Building Department Electrical Inspector ATTN: Peter Murphy 400 Osgood Street North Andover, MA 01845 RE: 48 Linden Avenue Dear Mr. Murphy: We would like to inform you that we made the corrections you requested. We changed the service connectors from triplex to XXHW and also have repaired the dryer outlet. Please feel free to re-inspect at your earliest convenience. If you have any questions or if I can be of any further assistance, please contact me at the above number. Sincerely, f Q AMES R. MARSHALL President Date....p........................... NOR7p 3r p;`�`��-•° �pp� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING « i $A US This certifies that t �d .....#..�....�.� .....1 :.............................. has permission to perform ..k T�) ���'v � �' wiring in the building of..........6..•.............`i�. Y� ........................................... at.... ... 'i. D..- ....�� ,North Andover,Mass. ........................ 1 r� -Fee...�................. Lic.No. .��Z11/c ' ...............r .....:....................... eh ELECTR A'*L INSPECCOR 7 Check # - 6463 _7 F Commonwealth of Massachusetts (KI-Icial I sc 511IN Permit No. (a 71--,? _3 Department of Fire Services OCCLIpancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS l[Rev. 9,05] Cleave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All \\ol.k to he performed inaccor&.iiice\011 the INLlssachusetts Electrical Code(� 2.00 IE(-). 517(AIR r WLEASE PRINT IN INK OR TYPE,ILL MORHI TION) Date: C Ica City or Town of: &rA a1gup-r . To rhe Inspeclor(4 big' e,v: By (his application the undersigned gives notice ot'his or her intention to pertbrin the electrical work described below. Location (Street& Number) 1_,!�g zz/-", ff Owner or Tenant 2E4a4l.4-efl 3,°/ m Telephone No.C77WI&aAll Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building we/lt>t Utility Authorization No.90� Existing Service-/co Amps j,,?o 1,oZqr_) Volts Overhead Undgrd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Electrical Work: ni c )0,,f n(<y- MA(-1 Completion(?/thej;Xmi ink able Inav be waived by the lies)ector of Wires No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle)Fans No. of Total Ll Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool 'kbove Ei In- No of-Emergency Lighting grnd. ❑ grud. y Batter Units _� No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Gas Burners No.of Detection and Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No. of Waste Disposers Heat Pump I Number I Tons. -K.W.- -No.—of Self-Contained —Totals: Detection/A lerting Devices No. of Dishwashers 1 Space/Area Heating KW Local E] Municipal ❑ Other Connection No. of Dryers "eating Appliances KW Security Systems:* No.of Water No.of No.of No.of 6evices or Equivalent KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. "ydromassage.Bathttibs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: IHoch addilional,derail il'desil-Cd, or as IV,11111'Cd bY111C1h,y11TLhW1)1 117FC;.). Estimated Value of Electripl Work: q000 (When required by municipal policy.) �k ork to Start: � /a 14�a - Inspections to be requested in accordance with NIEC Rule 10, and Upon completion. INSURANCE CONfERAct: Unless waived by the owner, no permit for the performance of electrical work may iSSLIC unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial CLILliVACIlt. -I'llc Undersigned certifies that SLICII coverage is in force, and has exhibited proof of same to the permit is�,llillg office. CHECK ONE: INSURANCE)j�_ BOND 0 01111_`,IZ 0 (Specily:) I cer0,, under the jyi.its andpentift, qfpeq*uq,Cho the hilor inition on Alis eipplictifion is frite and complete. Fl R M NAME: LIC. INN.: Licensee Vl Nignature LIC. NO.:/74e1/V/;_;t t L1I Bus. Tel. No..0%W7,P990 Address: %it. Tel. No.-Q *SCCLII-ity System Contractor License rt-qUired for this work; if-applicable, U_11`0 the license number here: OWNER'S INSURANCE WAIVER: I arnaware that the Licensee d(AN1701 176111C the liability insurance covcra,_�e normally required bylaw. By Illy signature below, I hereby waive this requirement. I ain the(check one)E] owner Oowner's agent. Owner/Agent M V1 .;ignature Tcletihooe 1110. PERY IT FFE: S Commonwealth of Massachusetts `;`I` _ ' Department of Fire Services I 7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9.05] Ileuvc blank! APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All m)l-k to he performed in accoi-&iilCe�\illl the X-hSSaCIILISCRS HWI-iCA Code(MEC). 5 AIR 2.00 (I'LLISE PRIATIA'INK OR TYPE,ILL INFORMATIOA) Date Ch or Town of: 41 A TO Ille h7Sj?eC10t' 0f 11"JITS.' I . ljo,,r 4 By this application the undersigned gives notice ot'his or her intention to pei-foi-ni the electrical work described below. Location (Street& Number) 2� ./ 7_ Owner or Tenant ZE4 Cc jj .j-e t/ S ,-/ Telephone No.gT�?i, Owner's AddressIs this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building OL41 e X>1 Utility Authorization No. Existing Service I co Anips f,� 13q6 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: Q A 14 ('ollipletion a/rhe);V11m inti able mov be ii aivcd by the Inspector of 117- No.of al No.of Recessed Luminaires No.of Ceill.-Susp.(Paddle) Fans TransTotformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool 'kbove o - In 11 No.of Emergency Lighting urnd. grrid. Battuy Units No.of Receptacle Outlets No.of Oil Burners FIREALARMS INo. ofZones No. of Switches No.of Gas Burners .,No.of Detection and Total Initiating Devices No. of Ranges No.of Air Cond. Tons No.of Alerting Devices No. of Waste Disposers 11eatT_UmPT`Nun11ber Tons jKW !,No.of Self-Contained Totals: Detection/.k lerting Devices al No. of Dishwashers Space/Area Heating KW Ither Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts— No.of Devices or Equivalent ....... No. Hydromassage.Bathtubs No.of Motors Total VIP Telecommunications Wiring: No.of Devices or Equivalent OTHER: il'.1csir(d, "was rcquirc,ibi lile Estimated Value of Elect" A Work: (NNhenrequired by municipal policy.) 1k oi-k to Start: W1 2 Inspections to be requested in accordance with MEC Rule 10, and LIP011 completion. INSURANCE CONfERAct: Unless waived by the owner. no permit for the performance of electrical work inay iSSLIC tulle';:. Ilic licensee provides proof of liability insurance including"completed operation"coverage or its SUI)SMIldill equiv;l1cilt. HIC JIIIdCrSi,cJlCd certifies that such C0%QI"" i�, in 1,61-cc, ;Illd llas V.,dlibited proof of:.;aI.1C to the l,-CI-InIt office. SURA"', El [ I IF-C K OSE: I N1 ")o M)ND I wider the Jwins a/111 I 'I kq*111:1', didplyhe 111101!11111%011 011.Ills ippficon m adirtfe aiml COI$Ylplefe. f � . n f,'1110y] NAME: 8 LIC. ";us. Tel. ""1 ddress: .4 - - _el, ; 114 Ait. Tel. No.: I 1*SCCLII_itY SYACIll Contractor Licunsc k-clUirccl for this work-'if'app'licablle, ciltei-the license' nuniber lu;rc: OWNER'S INSURANCE WAIVER: I ,.un aMIN that the liability icquired by law. 13y Illy!i 1:1-IMItUrc bk:10W, I IICI'Lby Wikle this I_CLlUiI'LInLIlt. I :ini the(check one)0 onviiur ❑ (W1110'. Illelit. OwnerI / 'Agrent PFRIf IT FF �J 13 6 i i � i "_0�r:��, TOWN OF NORTH ANDOVER 9 PERMIT FOR PLUMBING 41 SSACHUS� This certifies that . . . . . ,:°. . . . . / . . . . . . . . . . . . . . . . . . . . . has permission to perform•. c'�` r . . - a���-� . •-�4�. plumbing in the buildings of . . at .��. . w`. ..^,'--. . . . . .. `,'`. :->. . . . , . ., North Andover, Mass. ' ,� Fee;16 . . .Lic. No. yA. . �PLUM'B NG INSPECTOR Check # / d o 6876 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / c� Building Location Owners Name Date Permit# c�'7 An_ Amount ill Type of Occupancy e New Renovation r' Replacement 13 Plans Submitted Yes ❑ No ❑ FIXTURES Z W Gr z 3 . V Z ga, a 0 w Q F 3 E~ sx a c� O � x ►.a G4 A F A � C� � SCBM RASEYM M HJDO t / / I FF �II FLO(�t 3M FLOOR 4M HDM t 5M ID)C 2 6M HAOM 7IH)H iM 8IH H-OOR (Print or type) Check one: Certificate Installing Company Name?/Iq-1 '6 �-1 ❑ Corp Address t't Partner. e—A�a CX 6 6> Business Telephone g 7 - Z _a 9 ® Firm/Co. Name of Licensed Plumber: G,/,/ Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy FM Other type of indemnity Bond 13 ❑ Insurank Waiver. I the undersigned,have been made aware that the licensee of this application does not have any one of the above three' s ce -esignature 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 i:stallations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massae s s St e Ping Code and Chapter 142 of the General Laws. By: i a ure or 1-1censea Flumuer Title Type of Plumbing License City/Town // -7 � v ice APPROVED(OFFICE USE ONLY nse lNumoer Master ® Journeyman ❑ �/1-7 n Location /� .' /� . No _ Date � t 3 S NORTH TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ 9 cMusCHUS Building/Frame/Frame Permit Fee $ t Foundation Permit Fee $ Other Permit Fee $ x TOTAL $ �— F Check # 17865 Building Inspector i lF TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING a BUELDING PERMIT NUMBER. �j� DATE ISSUED. �1Ll 2- rn SIGNATURE: "'! Building Commissioner for of Buildings Date SECTION i-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O f U c>? 3 ' i> Map Number Parcel Number .0 ` 1.3 Zoning Information: 1.4 Property Dimensions: tel/ Zoning Diahct Proposed Use Lot Ares s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Requirdd, Provided ® I 1.7 Water Supply M.G.L.C.40. 34) 1.3. Flood Zone Information: <1.8. Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT T,in rn 2.1 Owner of Record V ON 64e 140/ dk N1,(Print) Address for Service Signapre Telephone (\ 1 2.2_Otner of Record: i Name P ' Address for Service: 11 �,�Op wwro-v dr Signature Telephone SECTION 3:CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicab e si wai Licensed Construction Supervisor: D��74I 0 or / License Number Addre zoo f%i/ 3� f'DExpiration Date Signature Te ephoff r 3.2 Reg&tered Home Improvement Contractor Not.Applicable ❑ t / / Company Name l d J M Registration Number r'a' a G/7 f�Uoy Expiration Date Si nature Tele hone 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. -Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check a!l applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition 0 Accessory Bldg. 0 Demolition ❑ Other ❑ Specify j Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMCIAL USE ONLY I' Completed by pennit applicant ' 1. Building (a) Building Permit Fee Cd O Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 PlumbingOp o. Building Permit fee(a)x tbl 4 Mechanical HVAC U/ 5 Fire Protection 6 Total 1+2+3+4+5 o Check Number 17? r SECTION 7a OWNER AUTHOkrLATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 'tom C• °5 .. • -'' `• `y.` •. • (.. .. ° s as Owner/Authorized Agent of subject property Hereby authorize to act on My be11 matters rel t' ogeft:ed by this building permit application. �. �c �.r Si iature 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 Name t r• a Sip-nature of Owner/A ent Date NO. OF STORIES ', SIZE BASEMENT OR SLAB SIZE OF FLOOR TINIBERS 1' 2N 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS 5' DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING --- X MATERIAL OF CHIlVINEY 1S BUILDING ON SOLID OR FILLED LAND „ IS BUILDING CONNECTED TO NATURAL GAS LINE I Att 30 I C4 I Xtt i yy I I �Jrrr - i 1 I i i I i C '0i I • + ' i � f I I ; I I I NII � � ► i , y + i � � I I V f Lf i I f i i I e l I I "Na bb'Too Small nterzor Licensed titerior `" lnsrtred SILVA LIGHTNING.BUILDERS Carpentry ;nattuel A.Silva 517).3894041 Office 26 Gledhill Avenue k: ll"1)7994585 Cellular Everett,MA 02149 Board of Building Regulations and Standards ; HOME IMPROVEMENT CONTRACTOR { Registration:' 120334 Expiration: 11126/2005 ,Type:I PBA 31LVA LIGHTNING=BUILQERS EMANUEL SILVA 26 GLEDHILL AVE. EVERETT', MA 02149 Administrator /tie 1J/omvina�zcuea� a��v�ac�u�de/�4 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number::CS 065791 Birthdate; 1-1/28/1970 f Expires: 11/2812004 Tr.no: 5219 Restricted:'00 EMANUEL A SILVA 26 GLEDHILL AVE EVERETT, MA 02149 Administrator •J� wn ��rv��i � � �� � 1 / � �� �' /� / / / V North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM � In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant ooh Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector :s NORTH Town o RAndover O No. S q2 J* C, 0 dover, Mass., 'SCOC MIC HEWICK ORATED 44 BOARD OF.HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR ............................................................ THIS CERTIFIES THAT...... A Foundation has permission to erect...457oo�u.A........... buildings on ...f.1;..... L/.+1� fA...................... Rough Chimney to be occupied as.......I.........R400--a-1..... ........... V-11W .. provided that the person accepting this permit if� 11 v2n every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and B La s relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 45 9-74243 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .......41000.004. #.. ......................................... Service 6 BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE__Jl Smoke Det. / a Date.412...�!'. Y NORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS�cHUSE� This certifies that ` .........! .!? -? 'J.......... . � -........................... :...... t has permission to perform ..................................... wiring in the building,of f • at...` ..p....... _ ........t....... .....�- . .............. North Andover,M...s. , Fee ...... Lic.No#9ZA�4 ........ ELECTRICALINSPECTOR Check # 546 THECOMMONWEALTHOFAfASSACHUSETTS Office Use only DEPARTAIElVTOFPUBLICSAFM Permit No. y q(le BOARDOFFIREPREVENT70NREGULATIONS CMR120 Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFO ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSST LECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -G Ola Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work de ribedbelow. Location(Street&Number) �J �Z - q Owner or Tenant VV LJ et_ Owner's Address Is this permit in conjunction witha uild'ng permit: Yes No (Check Appropriate Box) Purpose of Building 6& Z i r„L. Utility Authorization No. _ Existing Service Amps /10/ 2 Volts verhea nderground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work i J i Vat, wl_ p r-re'cam No.of Lighting Outlets No.of Hot Tubs No.of sfo ers c7L ;V Lrothl , KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets j� No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners I No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Si s Bailasis No.Hydro Massage Tubs No.of Motors Total HP I OTHER• hmtar=C0Naage R19WtDthewgtmar VsafMassadmettsGalaaiLaws gIhaNeaamert ' kmance inc �Y �Y kdTCaT#eeCovaaBeattsstrb&valegluvaient YES NO yhawsubmtlWdvalidpm1ofsatne10theOffi=YES � IfyathawdteckedYES plemi dcaledletypeofcoverwby efteddngt e �INSURANCE�BOND r7 OTHER (Please Y) EVitatimD* Eshm&dVahleofFJemEW Wo&$ WO&IDSW kEpearonD&Rgje9ed Rough FuW Signadur>der&Ftmltksfpetjtuy FIRMNAME v '3 L;LC Li No. I; VC Vk - Sit e Lio wNo oZ-a //�� /f Bus nmTeINb. / _ C�L91�✓ t i( �J l l-o SS Alt Te].No. �' _5 � O OWNER'SINSURANCEWANFR;Iamawme theLio wdoesnothawtheir>summoovageoritsabstanUepvalerttasmgtmedbyNL%mdmsemCalaalLaws and thatmysg mtuteonthispamdapplicationwarm thisw9manalt (Please check one) Owner Agent i Telephone No. PERMIT FEE$ _ tgna ure of Owner or Agent "' 7Y&COMMOAIHEAL OFMASS4CHUSE77S Office Use only / DEPARTAI VTOFPUBLICSIMY Permit No. BOARD OFFEEPREVEMONRDGUTA770NS CM12 Q0 5 Occupancy&Fees Checked "PLICATTONFOR PERMIT TO PERF O ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSST LECTRICAL CODE,527 CMR 12:00 i�L D- PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work de ribe below. Location(Street&Number) ew Owner or Tenant 4"fil A VU U 0L `a Owner's Address -440-v"- Is this permit in conjunction with:0i ng permit: Yes No (Check Appropriate Box) Purpose of Building s'1 n Utility Authorization No. Existing Service �///*'-V Amps Volts verhea nderground No.of Meters New Service Amps/ Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work tN S i lu vL p r ' No.of Lighting Outlets No.of Hot Tubs No.of TtsfoAters J— of KVA No.of Lighting Fixtures t Swimming Pool Above ID Below Generators KVA I round ground rl No.of Receptacle Outlets / No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons a .of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices o.of Dryers Heating Devices KW Local Municipal Other Connections o.of Water Heaters KW No.of No.of Signs Bailasis o.Hydro Massage Tubs No.of Motors Total HP JTHER- PLn=tDthPw#emcnlsofMa%aduMGffnWLaws �acumtLiabt7t'tyiMrMXR)hcyinckimgCOrnplee CnWWOrilsstbtrriialMpMlart YES NO re%hriWdvafidptoofofsarnetotheOffiae;YES (� lfyvuhawdtedodI'ES,plemffxic ethetypeofmvetageby the � LJ SUI2ANM BOND MIR ftm**) Specit'y) F�ionDate Estir *dVakleofE bcftXalWork$ odcmStatt kWecfimDaleReq�d Ratgh Final SigrtedttrtderTiepatalliesjury ,FIRMNAME tr-S 19 �/2 vr��I C--& c Lrame UC"Sfl✓k Sigtlahue LimmNo 02� - 1 Bt.EkmTel No. / - T� N't�� C��9 ✓ ✓1 l o SS AILTeINa 9 1 -S� O 7�IUM'SINSLRANCEWANI~R;Iamawate ftLioesrse"mtharetheinstua<to amug orits&bort legt>ivalattastepWbyM Gen WJa%s tfrdtmysigiMmondmparmtappkabmviaivmdmregt>uerr l (Please check one) Owner ID Agent a �v Telephone No. PERMIT FEE$ W Signature of Vwner or Agent ____ © _ _ z 2 --- a s"- �G.�-� �� � � � � O � .