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Home My WebLink AboutMiscellaneous - 565 TURNPIKE STREET 4/30/2018O 9465 Date.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACMUS This certifies that �. .;o4.......... has permission to perform .... 2A.*1 .......... plumbing in the buildings of .................................. A. Andover, Mass. at..lv N Fee. r'5.Lic. No. .450/7. . ... ... ....... PLUMBING SPECTOR Check # '.J\1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY N S -2'.I.21 MA. DATE Q- 2%7 0- PERMIT # JOBSITE ADDRESS ��fn �� 9to-zt OWNER'S NAME POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL'S EDUCATIONAL ❑ RESIDENTIAL ❑ PRINT NEW: ❑ RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED: YES ❑ NO ❑ CLEARLY FIXTURES Z FLOOR— BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which, meets the requirements of MGL Ch. 142. Yes No ❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY JR OTHER TYPE OF INDEMNITY ❑ BOND ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 o the General Laws. PLUMBERNAME �1�1QS1'C."11�� SIGNATURE LIC # MP'lg JP CORP.�iORATION ® # R % PARTNERSHIP ❑�}# LLC ❑ # j❑ ii COMPANY NAME LTJ P1LJM h;n� � ADDRESS: 13 Drrtw i � K � A- l fB J S`��1'VA EMAIL�''V��li� �(,f+1�In �^"��cHlln inc, CO CITY In STATE ZIP CELL ��;5�-965 FAX '.J\1 w E- 0 z 0z z 0 F U w a a a w �. o ❑ a z z 0 y F- w a t C F o W ftz W 5 a a c W w w Q w c a o a a con U x J F a - Q 2 W H � W F °z 0 h a c7 oho a L�7 0 a Applicant Inrormalrt„a_ Name (Business/Organization/Individual): 3 Address: Cify/State/Zip: ��,�-�' � n^A� ��zl�� Phone #: __ Type of project (`.required): Arehyou an employer? Check the appropr4. I am a general contractor and I (i New construction 1. % I am a employer with _ ._ have hired the sub -contractors y KRemodeling employees (full and/or part-time)•* listed on the :attached sheet. 2, ❑ I am x sole proprietor or partner- These- sub-cntractors have g, Ej Demolition ship and have no employees employees and have workers' 9 0 Building addition working for me in anycapacity. comp. insurance, x 10.[]Electrical rtiepairs or additions [No workers' comp. insurance 5 We are a corporation and its required.] officers have exercised their 11.0 Plumbing repairs or additions 3. [l I am a homeowner doing all work right of exemption per MGL 12. ❑ Roof repairs myself. [No workers' comp. c, 152,.§ 1(4), and we have no 13.0 Other 1 insurance required.] t employees. [No workers' comp. insurance required.] "Any applicant that checks box #i must also fill out the section .below showing their workers' comp ensadon policy information. i '. ' rral sheet showing the nx�rne of the sub -contractors and state whether or not those entities have t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating have such. TCont,jactors that check this box must attached an additional provide their, workers' comp. policy number. errrployees. if the sub -contractors have employees, they must p ' nem to employer that iding workers' compensation insurance for my employees. Below is Ilse policy and job site I am la p y information. Insurance Company Name: _�� 1 Expiration Date: Polity # or Self -ins, Lic. /• City/State/p Zi t / UYI 5 Job Site Address: -V 1 _ a wing the policy number andi'exptration date). Attach a copy of the workers, compensation policy declaration page as civil penalties in the form of a STOP WORK ORDER and a fine Fail ire to secure coverage as required under Section 25 well as MCiL P 152 can lead to the imposition of crun'inal penalotf s o a fine up to $1,500.00 and/or one-year tmprisonment, as w fine up too $1, 00 a day against the violator. Be advised that a.copy of this statement may be forwarded to the Office _r +i., nTA for insurance co erag verification_ ., a �r , o ;� true and correct. invesu air�u� �� - - I do (hereby cern ! pains and penalties of perjury that the m orma to Date: Si nature: Phorne #: _l p reial use only. Do not l in this area, to a corttpleted byby c ty or town official fir Permit/License # City or Town: 1'ssuing Authority. (circle o rfe): 1.• Health 2. -Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector Board of 6. Other i -L Z�Z�Z• Phone #: - es-ZZZTZZI�ZZ - �o uI Twaad5u ContacpP 'r- . , �!� (-Odl S Date...�7`.(.�...... %.Z � NORTH o:°;,�' :�•'."°°� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ;�Ss4CHU This certifies that ...........��i .�..t'i �� ....... t -s .................... has permission to perform ........... .®.t� . ................... wiring in the building of .... �cl.T-...... �� -� �- ................................... tt at ...:.. 4! ....... 1 .1241.71f/Z ice......... T....... orth Andover, Mass. Fee . t. �.: E4. Lic. No../...L 1Q ........... � r : ELECTRICALINSPECTOR •Check # 1 GUS Comawnwea& of MaMac"etb Official Use Only-� c� c7 PermitNo. .,LJePartment o�.}ire �ervic¢d , Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to.be performed in accordance with the. Massachusetts Electrical Code (MEC), 521 CMR I2.00. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: p_ - City or Town of:. nNr-A-" 9InAo(J c- To the Inspector' of Wires." • By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant rl iF� re m Telephone No.C1q9-6%-S -L( f C Owner's Address Is this permit in c Purpose of Building [I_CjMM_e_rn , CA Utility Authorization. No. Exisun— Se:::ce A :n -s ! Vclu Ov,^nccad ❑ Undgrd ❑ No. of Meters _ New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C -,o v,-,� /; 0 n�a e-I.L„ eN C /i f -Al t'mmnlnfh4n l�ffho fnllnwina tnhlo -A, -ni—d h„ tha t"morin ni'td;i 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-. ❑ rnd. d. o. o _ mergency ig ting_ Battery Units . No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS. No. of Zones No. of Switches No. of Gas Burners leo. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alertin6 Devices b No. of Waste Disposers Heat Pump Totals:-� Number I Tons_ . KW No. of Self -Contained Detection/Alerting Devices I No. of Dishwashers Space/Area Heating KW Local 0 Municipal [__1 Other Connection No. of Dryers Beating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water, Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs y b No. of Motors Total HP Telecommunications Wiring: No. of Devices or E eiva ant OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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. KI BOND ❑ . OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete- FIRM ompleteFIRM NAME: Crowe &Sons Electrical Cor LIC: No. 17168A Licensee. James B. Crowe Signatur �o f MO LIC. NO.• - �-y-- (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: � t 8) `* -537-6696 Address: 576 Middlesex Street, Lowell, Ma _01851 _ AIL Tel. No.: -6696 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No: SS CO 001051 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hm�e the liability. insurance coverage normally required by law. By my signature below, I hereby waive this requirement.. I am the (check one) ❑ owner ❑ owner's a ent. Owner/AgentUr Signature Telephone No. I PERMIT FEE: S P X850 toR7p � p SSACMUSE� Date .......1,7-2-9-10 ., TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ has permission to perform ......1 z wiring in the building of ......................................... ................................... at....J�. .................................... N� Andover, Mass Fee.. ................... Lic. No.. 7 t!.6 �.......... /1 Bt ce[.Irs EMR ' Check # i t � 7/ l I' mmonweakk 0/ Maileachvaeib Offici4F_5__,0 Use Only 2c� nc� Permit No. epartment o1.}ire _ervice6 Occupancy and Fee Checked ".BOARD OF FIRE PREVENTION REGULATIONS [Rev,, 1/07] (leave blank) _APP LICAT!®N FOR PERMIT TO PERFOM ELECTRICAL WORK r 1: .r' -All work to be performed in accordance with the. Massachusetts Electrical Code (MEQ,527 CMR 12.00 (PLE_4 SE PRwT INIIVK OR TYPE ALL LNFORtiLITIOIV) -Date: December --17,' 2010: City orlTown 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 R. Number) 565 'Turnpike Street Unit 71 Owner or Tenant Chestnut Green "Telephone No. (978)683-4101 Owner's Address c/o Property Management of Andover Is this permit in conjunction with a building permit?. Yes ❑ No X❑ (Check Appropriate Box) Purpose of Building Commercial Utility Authorization No. Yc_ j EX;i. n. -'y i Yl�-.�. - Amps / VIDits f0hei.:ia�`'. LJ - iJ .. v'grV ❑ No. of liieie:'s New Service Ames / Volts Overhead ❑ Undgrd ❑ No. of Meters Nahiber of Feeders arse AE-npucity Location and Nature of Proposed Electrical Work: Replace panel damaged by water ('mnn/otinn nfth, fnllnwina tnhla mnv by whivad by the Incnector of wires. No. of Recessed p r;rrEi;iaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot TubsGenerators I9VA No. of LuminairesISwimming.t Above In- ool ❑ ❑ Srhd. arnd. No. of Emergency Lighting Batter Units No. of Receptacle Outlets kNo. of Oil Burners, F'IRE:ALAR,V S No. of Zones No. of Switches No.=af Gas Burners No. of Detection and:.. Initiating Devices No. of Ranges INo. of Air Cond. Total. Tons No. of Alerting,Devices Heat Pum P Number Tons KW No. of Self -Contained No. of Waste Disposers p Total ... _ .__.._ _.,_._....._....._ .__.._...._ ... Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local [j Municipal ❑ Other Connection. INo. of Dryers r3' Appliances �y I security Systems: (L No. of Devices or E uivalent No. of WaterNo. KW of No. of Data Wiring: Heaters Ballasts No. of Devices or Eciuivalent No. Flydromassage' Bathtabs INC. of Motors Total HP: TelecommunrCat:onS ��r2ng: Io. t r v_ j: t OTHER.: ArtaCn aacational aerate it aesirea, or as requirea ay me Inspector uj rr it e�. _ Estimated Va':ue of Electrical Work: (When required by municipal policy.) Work to Starti Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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 undersignedcertifies that such coverage is in force, and has exhibited proof of same to the permit issuing office: CHECK ONE: INTSURANCE 9:1 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: Crowe & Sons El-e.ctrical Cor LIC. NO. 1 X68 A Licensee: James B. Cr Owe Signature LIC. NO... 1 1 A . (#,'applicable, enter "exempt" in the license number line.)_ Bus. .T el No.: ) 4 5 - 0 0 96 Address: 576 ylidalesex Street, Lowell, 1a 01852 Alt Tel. No.: ) 4 -6696 *Per M.G.L. c. 147, s. 57-61, security wor; -°xlui-s Deraitment of Public Safety "S" License: - Lie. No. S S co 001051 OWNER'S iNSICRANCE WAIVER: I m una:r `b i.ioe-:>ee docs ;:.,„ t J. t'ie liability insurance coverage normally required by law. By my signature belovv, I— F -_L iiv , ,is ncquire.e?cnt. _ ... (check one) ❑ owner ❑ owner's agent. Owner/Azert I p� ;yrl eleY1,onc, . rP T 85.00 Signature- _._— �v2�y��r ll 1'�� -�L- .3, OL ACHU Date .... M.2Z--Z . TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........--?............I (I �.. has permission to perform ..... ... ......... ......,,,4;7 wiring in the building of ........ .................................................. at ..................................... . ........................................ . �Iorth Andover, Mass. Fee .... ��Lic. No. �U.44 .............. e I ICAL IMPWMIt Check# �omaraH.u�ea.4th oj'� a6Eatna6ett6 Official Use Only cc�� /\7 Permit No. 2epart&wnt of 5ire S111iLes Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRI_NTIN7NKORTYPE ALL INFORkMTION) Date: November 22, 2010 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) 565 Turnpike Street Owner or Tenant Chestnut Green Telephone No. (978)683-4101 Owner's Address c/o Property Management of Andover Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Bax) Purpose of Building Commercial Utility Authorization No. Ewa ."'T Se C / Volts Over° end ❑ "tJ �,...••' _ � - si`..� A;aYs ud�S ❑ eo. of r. eters New Service Amis 1 Volts Overhead ❑ Undgrd ❑ No. of meters Number of Feeders and Amp acity Location and Nature of Proposed Electrical Work: Emergency call; Replace circuit breaker, wire and -meter for house panel ('.,: I, t;. ftl.o i'71 ;u tahla may ho waived by the In.rnectOr of YVires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Trans. INo.Trans Total of sformers- %'VA: No. of Luminaire Outlets - INC. of loot Tubs Generators KV4 No. of Luminaires Swimming Pool Above ❑ In- ❑ Ernd. �rnd. o. o Emergency cy Lighting " Batter Units No. of Receptacle -Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.:of Gas Burners II No. of Detection and Initiating Devices of Ranges Totallo. No. of Air Cond. Tonsl INo. of Alerting,vevices Heat Pum Number Torts >W No. of Self -Contained No. of Waste Disposers Totals -- -.._...._.-._...1-........._.._ . - Detection/Alerting Devices No. of Dishwashers (Space/Area Heating KW kk Local ❑ Municipal 11 Other k Connection p No of Dryers rY Appliances y Security Systems;* I� No. of Devices or E uivalent No. of Water KW No. of No. of Data Wiring: 1. Heaters Signs Ballasts No. of Devices or Equivalent T ydromassa�e Bathtubs INC. lt�. SA of Motors Total Hp: �Teleeornrunications Wiring: 4s eYil:Ls v - OTHER: _J Hrraen aaamonai aeiaii y aeslreu, ur us reuuereu Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with _MEC Rule 10, and upon completion. 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 KI BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRMNANIE:.Crow2 & Sons Electrical COrD. LIC. No. =11168A Licensee: 7ameS B. Crowe Signature LIC. NO.:1 1 A (If applicable, enter "exen2nt" in the license number line.) Bus. Tel. No.: 2S - 6 0 9 6 ?address: 576 Middlesex Street, Lowell, Ia 01852 Alt Tel No: -6696 'Per M.G.L. c. 147, s. 67-61, security work requires Department of Public Safety "5"License: Lie. No. 4 CO 001051 ONVNER'S INSUR_,NCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by lave. By my signature below; I hereby waive this requirement. I am the (check ore) ❑ owner ! owner's anent. O ne /Acer_. l u~ lf(7 . • ,5 125.00 i Signature",YAC'; i . Date ... d... . ... .. MORT11 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACMUSES - This certifies that .....�...,......:..��. ........... . w has permission to perform ... wiring in the building of ... .................................................................... at ...... !.........................:...� l..................... ,North Andover, Mass. Fee /v.25;.? .... Lic. No............ .......... j..................................................... �`EI.ECTRICAL INSPECTOR Check # 5225 The Commonwealth of Massach Deportment of Public Safety BOARD OF FIRE PREVENTION REGULATIONS Al n:i lee Use Only 'ems re re [c :co: Occupancy & Fee Checked CMR 1200 3/90 (leave blank) APPLICATION FOR PERMITP. RFORM ELECTRICAL WORK All uork to be performed In accordance With he M chusetu Electrical Code, $27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORM N) Date City or Town of To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) All ee,4,4 Owner or Tenant L u y , j /�, c f i i✓ Jr Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building C,2 '" /Yt�y e,,,;- Utility Authorization NO. 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 3 7b Ile ••• i. 4 . •'f'7/ No. of Lighting Outlets T yr i� r / No. of Hot Tubs No, of Transformers Total .KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of fEmergency Lighting BatteryNo. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No, of Sounding Devices No. of Self Contained Detection/Sounding Devices Local -E] Municipal ❑ Other Connection No. .of RangesNo. of Air Cond, Total tons No. of Disposals No. of Heat Total Total Pum s Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No, nof Ballasts No. of Sigtig LowWirVoltage 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[] .NO [ -1 have submitted valid proof of same to this office. YES ❑ NO D If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE [ OND ❑ OTHER Ell (Please Specify) General Liability 12/31 /04 Estimated Value of Electrical Work $ Expiration ate Work to Start 0,169 Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME Boissonneault Electric Corp. _LIC. NO. A 1 1 823 Licensee_ Np/ls�. i�j' o13,14,w,,�,y,��. Signatureg-i �NO.�� Address 19 Chuck Drive, Unit #6, Dracut, MA Bus. Tel. No. (978)454-0 Alt. Tel. No. ( 978) 458-9 OWNER'S INSURANCE WAIVER: .I am aware that the Licensee does not have the insurance coverage or its stantial equivalent as required 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 P . - _- +i3epartmPnt of Public _afetg BOARD OF FIRE PREVENTION REGULATIONS •527 CMR 12:00 Office Use Only Permit No. Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date `1 Z ~ 9 (XW or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street &Number) ,6 �U1R/ Iy PIA-�E" Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes t_1 No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps ____JVolts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work OTHER '-' b ct t/LCf/ r`F / I A� U INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Cc ed Operations Coverage or its substantial equivalent. YES NO I have submitted valid proof of same to the Office. YES ` NO If you have checked YES, please indicate the type t NO by checking the a opriate box. INSURANCEp `BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work 5 Work to Start Signed under the Pena tltii s_gf perjyr FIRM NAME /�� Licensee P Inspection Cate Requested: Address 7 �"� v 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) (Signature of Owner or Agent) PERMIT FEE S Y4 — Telephone No. — s-6565 Total No. of Lighting Outlets No. of Hot Tubs I No. of Transformers KVA rAbove of Lighting Fixturesy � InNo. Swimming Pool grnd. grnd. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices No. of Self Contained No- of Disposals No.of Heat Total Total Pumps Tons KW No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal Local 1:1 Connection ❑Other I I Heating Devices KW No. of Dryers No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER '-' b ct t/LCf/ r`F / I A� U INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Cc ed Operations Coverage or its substantial equivalent. YES NO I have submitted valid proof of same to the Office. YES ` NO If you have checked YES, please indicate the type t NO by checking the a opriate box. INSURANCEp `BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work 5 Work to Start Signed under the Pena tltii s_gf perjyr FIRM NAME /�� Licensee P Inspection Cate Requested: Address 7 �"� v 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) (Signature of Owner or Agent) PERMIT FEE S Y4 — Telephone No. — s-6565 _ Date. -.4:77A - r . . -a 1 754 � lei HORTIy TOWN OF NORTH ANDOVER ` PERMIT FOR WIRING' ,SSACMUSEt This certifies that ............... �......... has permission to perform . O. wiring in the buildin of ...:.-.y..y� .r at ...... ..: .. . ... ............. . North Andover;. 4' Fee ...O. & .BIW.... Lic. No...Ibf, .. ELECTRICAL INSPECTOR WRITE: Applicant CANARY: Building Dept. PINK: Treasurer. .,may The Commonwealth of MassachusettsO"k°� my O PelrrN NO. Deportment of Public Safety OctvDancy A Fee Chocked ----h BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1100 (�eZve Olank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR ,-fl All work to be performed in aocordance with the Massachusetts Electrical Code, 527 CMR 12:00'1 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DATE a��—�1�J"' City or Town of Na 1?rA Ate+ Ao j F1e The undersigned applies for To the Inspector of Wires: lin PP permit to perform the electrical work described below, Location (Street "& Number) -� s" 7—u R ,-P/xe�= S7- Owner TOwner or Tenant K Ownees Address .SA /V E Is this permit in conjunction with a building permit: :'i Purpose of Building O Yes IkNo (Check Appropriate Box) Utility Authorization No. Existing Service Amps � Volts Overhead O Undgrd O No. of Metcrs New rvi e Amps � Volts Overhead Number of Feeders and Ampacity O Undgrd O No. of Meters Location and Nature of Proposed Electrical Work RfPLA a Er 1 A . P p 13Az,e,AS7 Fix r�R tis No, of Ughtlng Outlets No, of Ighting Fixtures No. Of Receptacle Outlets No, of Switch Outlets No., If Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters KW No. Hydro Massage Tubs OTHER: 65 8At—c1yST— T 64647-R1C. R FT -Ra Fr 7— r?Re No. of Hot Tubs Swimming Pool Above -In_ ❑ No. of Oil Burners grnd. grnd. ❑ No, of Gas Burners No, of Air Cond. No, of Heat Total Pumps Tnn. Space/Area Heating Heating Devices No. of _ Signs ' No. of Motors No, of TransformersTotal KVA Generators KVA No, of Emergency Lighting a�rr— r r_:._ FIRE ALARMS No, of Zones total No. of Detection and Tons Initiating Devices Total No, of,Sounding Devices KW No. of Self Contained r KW Detection/Sounding Devices Local ❑ Municipal ❑ Other KW Connection No, of Total HP Low Voltage Wiring 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 O I have submitted valid proof oI same to this office. YES )� NO O If you have checked YES, please indicate the type of coverage by checking the appropriate box, INSURANCE Citi BOND O OTHER O (Please Specify) Estimated Value of Electrical Work S Work to Start (Expiration Date) Inspection Date Requested: Rough Final 3// 3/9� Signed under the penalties of perjury FIRM NAME /V /v E ELEc G L CO Aa L Licensee ur'j� 'p r�M-R<rs,o,�T- LIC. NO /O 6�S Signature��,� r— Address �D `s y LIC. NO, G 9� xCF�1 ��• Bus. Tel, No Sa8 c OWNERS INSURANCE WAIVER: I am aware that the Licensee do -t not ha —� �/ —y All. Tel. No / 7 Massachusetts General Laws, and that my signature on this — the insurance coverage or its substantial equivalent as required by permit application waives this requirement.. Owner Agent (Please check one) tgnature o ne oor gent) Telephone No. PERMIT FEE $ 160 �` This certifies that ....... 0 . ..... 4.n.e ........ has permission to perform ..... ir-J'elm ..... f.l'z ........................................ wiring in the building of ....... A. ../A / / .................................. at .......... ............ .......... L.7 ........ ,North Andover, Mass. Fee ... 7 ........... R—J'C' A**L" i N**S* P**E' C**T* 0** R** ...... /0-0...... Lic. No.lKkA3. .0O ITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File Ile Date tAORTIJ 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 92 SS, mus This certifies that ....... 0 . ..... 4.n.e ........ has permission to perform ..... ir-J'elm ..... f.l'z ........................................ wiring in the building of ....... A. ../A / / .................................. at .......... ............ .......... L.7 ........ ,North Andover, Mass. Fee ... 7 ........... R—J'C' A**L" i N**S* P**E' C**T* 0** R** ...... /0-0...... Lic. No.lKkA3. .0O ITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 08/18/1997 16:14 603-434-6819 MVP HOME IMPPOVEMENT Aug 18 97 12:02P KEGS MRNRGEMEMT, [MC. 508697-3746 1 - 1 I I r W., PAGE 02 Z z r � i r � az; r t s PAGE 02 z az; p Y O : Y t \1 r� vj w c D CD m c CZ O � C � O N C O V V d C l0 A m C t O o� CD Ea o ;mow. o a N O m 1 V � t; vs m c Ma ' m m y 3 O) y CID Z C N y O C O E m tv +mo cm :aC-3 LZ m N m 4D C: t w O OI r � C_ N O O 1= Co ti Z p O7 O C O = Cob CCL. •O x o `mom 3 N ~ S NroSF" o 42 CO) �t m W ~ •N CL= %OC O W �E w *, �o y CA COO o. o� o� _ CNe aoy� O 0 yO cm C.— a) O �— •E m m CL CL cm< 3� ce C CD c ev C.3 .QCO2O � C ts G3 CL V y � c C f+ � c O H D a 0 z a 0 a x o H a z w oa u° C/) C/) w° U w ° 0x w a W ° rz chi cz w' c� x ° w C w" a w ~ w' z vi v 0 (n c D CD m c CZ O � C � O N C O V V d C l0 A m C t O o� CD Ea o ;mow. o a N O m 1 V � t; vs m c Ma ' m m y 3 O) y CID Z C N y O C O E m tv +mo cm :aC-3 LZ m N m 4D C: t w O OI r � C_ N O O 1= Co ti Z p O7 O C O = Cob CCL. •O x o `mom 3 N ~ S NroSF" o 42 CO) �t m W ~ •N CL= %OC O W �E w *, �o y CA COO o. o� o� _ CNe aoy� O 0 yO cm C.— a) O �— •E m m CL CL cm< 3� ce C CD c ev C.3 .QCO2O � C ts G3 CL V y � c C f+ � c O H D OEP4RiHEN1 OF PUBLIC. SAFETY . fONSTkUCIION SUPERVISOR LICENSE Number: Expires: 3inhdaie! CS 040394 Ol%08!1999 01/98/1947 Restricted To: OG JEAN 1' BL9NCHARO PO BOX 12413 HAMPSHIRE S1 ti