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210/098-A-0099-0000.0
Date.....
µ0R711
"`° '•1"° TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
CHU
This certifies that ......... .ti...... 0 1�...... L ..'..
has permission to perform ........t '. scT��t� Du �T S
. .................................................................
wiring in the building of............. ............................................
r at..................P, ..XM4: ....bZ?................. North Andover,Mass.
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9LECfRICAL INSPECTOR.
07
Check #
8J `/ 2
Commonwealth of Massachusetts Official use Only
Department of Fire Services Permit No. 215-17-2--
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IF [Rev. 11/991 leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATIOR) Date: 1/27/09
City or Town of: N.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) 62 Kara Drive
Owner or Tenant. Don Ensign Telephone No. 416-7294
Owner's Address f m O
Is this permit in conjunction with a building permit? Yes ❑ No X❑ (Check Appropriate Box)
Purpose of Building Single Family Home Utility Authorization No. n/a
Existing Service 200 Amps 1.1.0/220 Volts Overhead X❑ Undgrd❑ No.of Meters 1
New Service n/a Amps Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Work in basement
,h
Completion o the ollowin table may be waived by the Inspector of Wires.
No.of Recessed Fixtures 2 No.of Ceil:Susp.(Paddle)Fans TransTotal
Trsformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
o
No.of Lighting Fixtures Swimming Pool Above In- .o Emergency Lighting
rnd. grnd. Battery Units
No.of Receptacle Outlets #� 2 No.of Oil Burners FIRE ALARMS I No.of Zones
No.of Switches I No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
..... . .. ......................................................
Totals: Detection/Alertin Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other
Connection
No.of Dryers Heating Appliances KW SecurityNof Systems:
or Equivalent
+ No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Te ecommunications Wiring:
r y g No.of Devices or Equivalent
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
QINSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
` ► (Expiration Date)
H Estimated Value of Electrical Work: $500.00 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
,0 I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Hammond Electric,Inc. LIC.NO.: 11011A
IN, Licensee: Paul J.Hammond Signatu a LIC.NO.: 25730E
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 979-373-9979
Address: 25 Avco Road Haverhill,MA 01835 Alt.Tel.No.: 979-210-1900
OWNER'S INSURANCE WAIVER: I am.aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent FPERMIT'FEE: $
Signature Telephone No.
Date.. . .!4!400k .
HORTM
6 6 6
4. TOWN OF NORTH ANDOVER
FO 9
• PERMIT FOR GAS INSTALLATION
SACHUSEt
This certifies that . .Q't-.TL ?. . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation �.. . . . . . . . . . . . . . .
in the buildings of . . .&.-,7 . .jK-r . . . . . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass.
Fee.30•.�P . Lic. No S;�R M ) . . . . . . . . . PECTO . . . . . . .�,p j
� GAS INSPECTOR
Check# i 5 I
5553
MASSACHUSETTS UNIFORM APPUCATON FOR PERMPT TO DO GAS FITrI NG
(Type or print) Date C�— (�
NORTH ANDOVER,MASSACHUSETTS J
Building Locations ' ���r3 �� Permit# FS
C)P/- &A(/ U �( Y Amount$
✓�''� i � Owner's Name
New❑ Renovation IT Replacement Plans Submitted
x
rA H a
0 o F x F
z o w F H a z z 1-4
a
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w d F a
a z x x a w a `� o W N x
U m
o � a o °o w a °o w
c4 � A a E• O
SUB -BASEM ENT
B A S E M ENT
1ST. FLOOR
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR
7TH . FLOOR
STH . FLOOR
(Print or typ Check one: Certificate Installing Company
NameGr✓�aZJ� �� i/9'��� Corp.
Address G ��"�� G� Partner.
Business Te ep one .�o 3 - 3 Firm/Co.
Name of Licensed Plumber or Gas Fitter C �pW q C ,L i C,
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ NoO
If you have checked yes,please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0,- Other type of indemnity 13 Bond 13
Owner's Insurance Waiver: I 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.
Check one:
Signature of Owner or Owner's Agent 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 insta tions Formed unde Permit Issued for this application will be in
compliance with all pertinent provisions of the Massach e s Sta as Code and hapter 142 of the General Laws.
B Signature of Licensed Plumber Or Gas Fitter
Title YPlumber
City/Town Gas Fitter License Number
Master
APPROVED(OFFICE USE ONLY) journeyman
Date
NORTN /
<«•° .otic TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUS� n
This certifies that . . C—.I. a . .+rs. . . . .•. . . . . . . . . . . . . . . . . . . . . .
has permission to perform 6 . . . ... . . . . . . . . .
plumbing in the buildings of .( . . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. North Andover, Mass.
Fee. Lic. No.. �l� S .� . . . . . . . . . . . . . . . . . :;!
PLUMBING INSPECTOR
Check # S �'
695 ,•
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Date
Building Location �,/�! '�ey Permit# 757/c
/ Amount Jam)
Owner �l�ot/�-1 � �s1�`�"> b.,
New D Renovation 13110, Replacement Plans Submitted Yes D No D
FIXTURES
Cr
Si UBS1 .
BASI+1v)HNT
ISI:H AOOR ✓ ✓
r+_ . 2NV1 HL001R
3RU HL00R
4IH FLOOR
5M FUM
6M FLOOR
7M FL00R
8Hi FLOOR
(Print or type) Check one: Certificate
Installing Company Name j A30Q Corp.
Address-2,J " �e)n1 A"G Partner.
Business Telephone Firm/Co.
Name of Licensed Plumber: �f�/1� /a� JCj�Q:�,s�oC C.
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 011;- Other type of indemnity D Bond D
Insurance Waiver: 1,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 perfor d and r Permit Issu for this application will be in
compliance with all pertinent provisions of the Massachusetts State PI g C e and Chap r 142 of the General Laws.
By Signature oTTMensea Pluinuer
Type of Plumbing License
Title 1;61���1
City/Town License MumDer Master D Journeyman
APPROVED(OFFICE USE ONLY
Date. �
4096
NORM TOWN OF NORTH ANDOVER
Ott«�o ,�1ti
p PERMIT FOR PLUMBING
SSACMUS�
This certifies that . . . P. , . ... . .x.14. ��. .`. . . 4. . . . . . . . . . . . .
has permission to perform . . . .r .r!. . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . "��re„�,, . . . . . . . . . . . . . . . . . .
r
at. � .�. . ��./`�l?fa. . . . .�.��.. . . . . . . .,,North Andover, Mass.
` ,
Fee. Lic. NoA. G. .3.(. . . . . . . . . . . . ...z�r�.--. . . . . . .
PLUMBING INSPECTOR {
J
i
3
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
M
AP
MAP
SSACHUSE TS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type o
NORTH ANDOVER,MASSAC !,
Date 7 ,12—
Building
ZBuilding Location w„Z keG�/ /L Owners Name &4 ,�� Permit#_�n CI
Amount G
Type of Occupancy
New Er Renovation Replacement El Plans Submitted Yes No
FIXTURES
z00 F > Cr
W
Crd C F C. W
Z a
a
C w F W x z 3 F
Cr
z Cr Cr Z
C �
ry Q F. x> C r�i1 vii z d E' z C C Cr
,r ^,.t,' J rn � ❑ �.1 3 � E✓ � Ga-.. L C � CL CC C
SU3,BSVZ
BkSE" (T
IST.RIM
2ND FUM
3M RjaR
4IH FLaR
5M FLOM
6-M FU IR
Mi FUM
SIH R 9R
(Print or type) heck one: Certificate
Installing Company Name l� /� / Corp.
Addressy O Partner.
Business Telephone l �f� Q ?,U aFirm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy 0' Other type of indemnity ❑ Bond ❑
Insurance Waiver: 1,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 performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Staumbi ode and C Ater 142 of e Ge Laws.
By: 7lignature of LixerFsea Fiumoer
Type of Plumbing License
Title
City/Town =13.e i umoer Master Journeyman
APPROVED(OFFICE USE ONLY
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. 5
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
lip [Rev. 11/99] leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4/4/06
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) 62 Kara Dr.
Owner or Tenant. Donald Ensign Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building 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: Kitchen renovation
9
Completion of the.following table may be waived by the Inspector of Wires.
No.of Recessed Fixtures 1 7 No.of Ceil:Susp.(Paddle)Fans No.of Total
`` Transformers KVA
I. No.of Lighting Outlets 3 No.of Hot Tubs Generators KVA
i AboveIn- o.o Emergency ig mg
No.of Lighting Fixtures 3 Swimming Pool rod. ❑ rnd. ❑ Battery Units
1 No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS I No.of Zones
' of Detection and
No.of Switches 4 No.of Gas Burners No. Initiating Devices
No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices
Tons
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers 1 Totals: Detection/Alerting Devices
No.of Dishwashers 1 Space/Area Heating KW Local [IMunic'pal ❑ Other
I Connection
° No.of Dryers Heating Appliances KW Sec ritNo of DevSteices or Equivalent
No.o Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsN of Devices or Equivalent
t
j OTHER:
} Attach additional detail if desired, or as required by the Inspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10 id upon completion.
I certify,under the pains and penalties of perjury,that the information on this.application s tru and complete.
FIRM NAME: Hammond Electric,Inc. 1 LIC.NO.: 11011A
Licensee: Paul J.Hammond Signature- LIC. NO.: 25730E
�1 (If applicable,enter "exempt"in the license number line) Bus.Tel.No.- 978-373-9979
Address: 60 Railroad Street Haverhill MA 01835 Alt.Tel.No.: 978-210-1900
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does' of have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent PERMIT FEE: $ SS.00
Signature Telephone No.