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Home My WebLink AboutMiscellaneous - 68 SUTTON PLACE 4/30/2018 68 SUTTON PLACE 210/060.0-0110-0000.0 i Date.... �' �5 ..... NORT/r, ; TOWN OF NORTH ANDOVER wo 9 PERMIT FOR WIRING „ lo; „ ss�c►,us� This certifies that ............... . ......... i.�C 1..✓ . ......3"v..(1.............................. t�-1 C has permission to perform ............... GS...�............V.7..................................................................... wiring in the building of.........Ya. .. ........Jl.1e54m.ce. .................................. at ..... ..."''t!`a..l..Q.!11....... ... Cr. ........................{{...�....>North A dover,Mass. ........Lic.No?�&.A ..... 14.... ....... Fee....... ?........... ( .... ........ ..... �................................... ELECTRICAL INSPECTOR Check# t JCS 12556 -� Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 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 PRINT IN INK OR TYPE ALL INFORMATION) Date: -(5- City (S- 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) 60 5"-4r 0^ Owner or Tenant \1 t,,!\Le Telephone No. Owner's Address (cUSvc.,,. \w.� Is this permit in conjunction with a building permit? Yes IN No ❑ (Check Appropriate Box) Purpose of Building S? c- Utility Authorization No. Existing Service Ocx, Amps 1'1u 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: Completion of the ollowin table ma be waived by the Inspector of Wires. 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- 0 o Emergency Lighting rnd. rnd. Batte 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 Initiating Devices No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other 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 HP Telecommunications Wiring• ! No.of Devices or E uivalent 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 $ BOND ❑ OTHER ❑ (Specify:) I cert,under the pains and penalties of perjury,that the information on this application is true and completes FIRM NAME: tf (�c.� ��,1�c 7LN c. LIC.NO.: r4o\ceoj , r f Licensee: Signature ,,,p l LIC.NO.: (If applicable, enter "exempt"in the lice& a number line.) Bus.Tel.No..• °178,- SR 1-7130 Address: -1\ k\tiaA &t, 5L&" Ly,35 Alt.Tel.No.: ?�'376-1161 *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety "S"License: Lie.No. 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 a ent. Owner/Agent PERMIT FEE. $ Signature Telephone No. �� - �,-� �� P y �Nor JDate........ ................... 112 1'4 1 A RTh TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING sS4CHU5 This certifies that................................... has permission to perform........... ...................... ..... ............... .................................. plumbing in the bui dings of.......... ................................ at.................... . .................................................................. ortor' ndover, Mass. Fee.A(.... Lic. No. ..... ........... . .... ... ............................................. UMBIING I SPECTOR Check#j ey— MO-K MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE PERMIT# JOBSITE ADDRESS OWNER'S NAME 0 OWNER ADDRESS (, PUqW— TEL= TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL F-1 RESIDENTIAL PRINT CLEARLY NEW,El RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES[] NOD FIXTURES-1 FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB -.--.-j ---- CROSS CONNECTION DEVICE J —1:= DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIIJSAND SYSTEM DEDICATED GREASE SYSTEM ....... DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM L—J DISHWASHER ------ _......I DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN Ji ----J I -J —J '�j INTERCEPTOR(INTERIOR) --------- � KITCHEN SINK LAVATORY ..-- . .....L��j ------ -1 ...... ROOF DRAIN SHOWER STALL SERVICE/MOP SINK /--�TOILET 7 iURINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES I!=711 WATER PIPING J OTHER ........... ... ... ........... INSURANCE COVERAGE: I have a current iabili insurance policy or Its substantial equivalent which meats 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 OTHER TYPE OF INDEMNITY Ej 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 ONLY: OWNER [3 AGENT SIGNATURE OF OWNER OR 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 of the General Laws. a PLUMBER'S NAME LICENSE# 'SIGNATURE MPK JP[I CORPORATION FI-#=PARTNERSHIP El#=LLC D#E= COMPANY NAME JADDRESS CITY �STATE g ZIP ()I TEL ----------- FAX CELL YJIjj EMAIL . o 0 0 The Commonwealth of Massachusetts Department oflndustrialAccidents b 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Atwlicant Information Please Print Leeibly Name(Business/Organization/Individual): Mark �• �t�ca. M.Q �.��ui►a`jirtG � Ne�t�Co. Address: 'Y3 L-ocke "�'k (Atip fit- City/State/Zip: hA` MA 0183Q Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with employees(full and/or part-time).*, 7. ❑New construction 2.X 1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.) 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition ' 10 0 Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. MR]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[:]Roof repairs These sub-contractors have employees and have workers'comp.insurance) 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an 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 arts an employer tl:at is providing ivorkers'eonrpensatioit insurance for n:y employees. Below Is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: j Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a i day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalt!eu erjuiy that the information provided above is true and correct: Signature: Date: Auemisr /01 ,70/5— Phone 0/5— Phone 'I T- �o Y 6-1 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i r i "OMMONWEALTH OF MASSACHUSETTS PLUMBERS QND GASFbTTERS { ISSUES THE FOLLOWING LICENS;L �— �. �+ L XE.NSE'�D AS A MATER-PLUMBER ! µ MAR�If A D 1 D U C A. �. . r (� .o jz 40 LOCICE ,ST AT233 :HAVERH I L>L ;MA 01830-5514 4 I 9800 Fredericksburg Road San Antonio,TX 78288 NNN 14W V SAX 04664 . 1SKWH .JSS1015011044. 01 . 01 .61 TOWN OF NORTH ANDOVER March 8, 2015 1600 OSGOOD STREET BUILDING 20, SUITE 2035 NORTH ANDOVER MA 01845-1057 I Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Dear Sir or Madam, I am wilting regarding the claim referenced below. Policyholder: Dina R Yorke Reference #: 006621291-16 Date of loss: March 6, 2015 Location of loss: North Andover, Massachusetts Address: 68 Sutton PL, 01845 A claim has been made involving loss, damage or destruction of the property referenced above, which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to my attention and include the reference #. You may submit correspondence or questions to me. My contact information is: Address: P.O. BOX 33490 SAN ANTONIO, TEXAS 78265 Fax: 1-800-531-8669 Phone: 1-800-531-8722 Sincerely, Kyle Hennessy Property Field United Services Automobile Association PO Box 33490 San Antonio, TX 78265 Phone: 1-800-531-8722 Fax: 1-800-531-8669 006621291 - DM-04664- 16 - 06768 - 50 54577-0914 Page 1 of 1 Location �S SIJ 77124,/. l-V C?C No. y C1 i C Ite 9 1! F/ TOWNI&4ARTH ANDOVER �ertificat0e0of ccu rUF.Or$ 0 :U Ui�'Idi glFrame Permit Fee $ Foundation Permit Fee $ SAGMUS U Other Permit Fee $ 20- Sewer Connection Fee $ Water Connection Fee $ TOTAL ` $ 1< r,el.j�))tBuilding Inspector Div. Public Works n PERMIT NO. - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40q LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE — NE I SUB DIV. LOT NO. —I '(' L PURPOSE MIG r �/ V' � /C� /Pt��J� Ate✓'✓%/�� /S L-�'C� �� OWNER' AME 'e-� P t t C NO. OF STORIES FI )_` /A5 S SIZE -i e e- 5 WNER'S ADDRESS }✓1'1 ` BASEMENT OR SLAB /,V5;r /'C�/d✓L;�yL LJj•v/;UL+/ /N ARCHITECT'S NAME J✓` SIZE OF FLOOR TIMBERS IS S'/n^`� D e,4�/V�3�RD ,-I UILDER'S NAME /-1�y� V�(2f SPAN ��A�v� �t 416#()�r ,G-V DISTANCE TO NEAREST BUILDI G 8( /J/],. -y�U—� DIMENSIONS OF SILLS DISTANCE FROM STREET /owe , /M/T 112/.5-/ 11 POSTS 54717 6�j I DISTANCE FROM LOT LINES-SIDES REAR V G/ GIRDERS (r AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW - SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE [ IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES ST. BLDG. COST - {0 U m 0 . PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P N MUST BE FILED AND APPROVE D BY BUILDING INSPECTOR TE FILED f ER TEL.# � � BOARD OF HEALTH SIGN04LIAE CfFpWNER OR AUT ORIZED AGENT .TEL.#-0; CONTR.LIC.# F E E PLANNING BOARD PERMIT GRANTED 9 i 19 91 BOARD OF SELECTMEN 4,4?4 BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS, WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION Q FOUNDATION 8 INTERIOR FINISH CONCRETE _ B 1 2 I3 CONCRETE BL K. PINE BRICK OR STONE HARDW'D _ PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT .I AREA FULL FIN. B'M AREA _ 1/1 1/1 3/ FIN. ATTIC AREA _ V_O BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\✓'D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I--i POOR ADEQUATE NONE 5 ROOF 10 PLUMBING :;ABLE HIP BATH )3 FIX.) AMBFEL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY - NOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING NOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OI l B'M'T 2nd _ ELECTRIC Ist 13rd 11 NO HEATING I s ti� 4�9��'�1( � X�''+o"�9�'p�v'fy r« �c�'h"''*e'Sf"`S'?"� .fes_ �'rt'b`�',��P'f," aik'(YA Fs^i�h3rR�,'�^.,ye�R'.s?°�S.rrF�Rct•�°v:.:,'rd Fr .. ,;..r..,, ,.✓'��rey.,. "I x •p v.F i. '(f'�# L s �X fit :f } tea ry wLat, � Page Nom + of> ay. Pages roP ;�,rV� k' w.!lir... � r N� � y;,' S-. �3j+a; °h � ,fi v%r+•, ..' .sem ,..t"-y'� +��,a'R Y`Y"+� � >�` w.. ,r. y C yy4+'' sty ';nr, 4 �,'•5glty�_4y'�3r3. 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Tt`} s 2=��t� fret a�.�•rgR�.r�g�'-�'� ..,q r�''�r`�s,L*#!4('.v�`"r 3'r�'Ykf��'t!'M � a4a' ' - � 1 ,. t '*"S>ry, °3� d`'Sew7 r"" ee 3•or3? :'s '��'.5 ,,+. s a(• u s ,m�! x': eJ :r ii". ... .{. - :+r. : r.. , r :: x �^rt.t; •._�, Y'h:�,yrr. .,a '-r�,yWvf-�;• �T `,'r' '> . � if / `a �� P: XA�I�S�P he�reb to:furnish material andjTabors=- completesm accordance4with above ,.for-the sum of., 1. / f!/'�/ �.;,.�t��/r/L.. �+,s/j/�/✓✓V! v y� ,�L 4� s N a f�"�• rs.> "3b`� 'y�.� ��i �`"�"�'x r,�P rt J.F,� f'1 Q• �� 't 4°�-'.L 'k"t�., rg-A'�is i�.r1„+ rr�..R t r k6y.F n{� //�/ ley!' r S'j i^ .!".� 4^h.�#`r F rams��$NI �a�a'tu't TgR�`:..+...-x...,,,. y.,r k i .. rt f ti•+ :. K ia.•cy {{h 54 ..! /�b". I/ / i .R': �/� 1Y 1° 'Y ` f 4 - ". �i l,Aut Y 4t *a J �YSr's17y?"t,a•..,/'^,try*d•^ n `All material isguaranteedto be arspecified- All work to be completed•in a work anlike S}& Y' JhA manner according to standard practices.Any'alteration'or deviation from above specifics a AUthor!zed' Y1 tions involving extra costs�will•be executed only upon written orders!and will become,an'rp+„, Signature r extra charge over and above the estimate_All agreements contingent upon'strikes;accidents :.'or delays beyond our control.Owner to carry fire,tornado and other necessary ainsurance�a , «'T"m a 'isNOte;This pro osal e, Our workers are fully covered by Workmen's Compensation Insurance I r n f i! withdrawn by us if, accepted within d days.`�,{',a'�a:;.rr s,. t`r,�k.--''t�', <'•"'- - F r - '-F� p► x}�r r �{ 4. aq' r .y' t" .}4 A .r .. � Lr>��itt#ttIUCp"� JxD�1i1$tt�- ricThe abovep essp r and conditions are satisfactory and are hereby accepted.-You are authorized,r' Slgnature � ;'' /j�ji'1�J f('� ��?' _ _ rx�a" ``r.`"a •�-'„�+J,�..rx'�``'°d a'..� '- '`R. .,Date of Acceptance ��>rcSignature ; ., r .. .. !T' -,. p.5• 's°. s; :^'j 'v �a`t'T• f �q:k,��.n`tiv«1� `r.rr,r ,�:. ;.?3.� .I: J f ?_ � ltk4. t 1 v°"khr s ^.•',1 *"4 COMMONWEALTH DEPARTMENT OF PUBU6 I � OF ;i 1010 COMMONWEALTH AVE ; MASSACHUSETTS BOSTON,MASS.02215 LICE14S E �1w. f EXPIRATION DATE 0573 J�O N S T R,. . ,i U P E p V 1='Q 08/31/ 1992 RESTRICTIONS 6 EFFECTIVE DATE LIC NO. 1 990 1 04i;�7G9 i ' HENRY V 13(piTON SFS 58b MOUNTAIN S; Av 7 021"41— e07 j REVLhE MA, !12951. PHOTO(BLASTING OFF ONLY) FEE: HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE ANI OFFICIALLY STAMPED OR•$I NATURE OF THE coHmISSp q DOB: l THS DO� T MUST l� THIS DOCUMENT MUST B ZtA - 7 .• CARRIED ONTHE PERSON 011 SIGNRE OF LICENSEE r - OTHERS-RIGHT THUMB PRINT EDE INDL TER EN AQ. } COMMISSIONER C I , ! F si•1,oi 1 c 4 oi f f I " . VJ Of :NO'R,T1y. � xNN` ", .� � y _---- FINAL I-). OWn n over 6 0L. 0 _-7 "TRY K er Mass. M MEWICK 1 991 O BOARD OF HEALTH i THIS CERTIFIES THAT....... . ..... ...... . .. V. .. ..... BUILDING INSPECTOR has permission to ................ ..... buildWgs on . .. � .. ...... .. Rough to be occupied as ChIwoimney Final'�" Final provided that the person a cepti g s a in every r s ec con rm o t e the 2 1 ion on i in PLUMBING INSPECTOR this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTULCTIO STARTS • Service Final . ... .... ... .. ..... . ... ... ... ..... BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by STREET So a Det. Building Inspector Date.-7.' N1* 4336 TOWN OF NORTH ANDOVER •Vp OL PERMIT FOR PLUMBING +0+,.,0•A��49 SAG04USE4 This certifies that . . .j' `. . . .0�. . . . . . . . . . . . has permission to perform . . . . . ?' c ` .{. . . . . . . . . . . plumbing in the buildings of . .... . . . . . . . . . . . at . . �. . . c .�f r%�^ .). l-'z. . . . . . .A • • , North Andover, Mass. Fee. .5. Lic. No. . . . %cr: ,•Y._.. . . . . . PLUMBING INSPECT�R WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PE TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS L`3 3 J I Date Building Location � S V W� x �JACC C Owners Name F�Q f S C Permit#--J:j Amount Type of Occupancy New ❑ Renovation Replacement ED Plans Submitted Yes No FIXTURES Cn MW aW a &r Crd W rW7 a 0 0 c SLBEM We4M M HfM i 31-D A" , 3M FIOCR 4IH ROR SMROCR 6IH H M 7M FLaR SIIi FI1)Qt II (Print or type) Check one: Certificate Installing Company Name F V ` �'�C ` �I� C Corp. Address 5 2u �yL°W Partner. YV 74— Df d2 Business Telephone V f— 7y 7J-- ElFirm/Co. Name of Licensed Plumber. j D ' V v I n Insurance Coverage: Indicate the type of insufance coverage by checking the appropriate boat Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver l;the undersigned,have been made aware that the licensee of this application does nothave any one of the above three insurance Signature Owner El 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 4TYPF o ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas b g Code aph 1�2af the General Laws. By: o um er of Plumbing License Title City/Town rice a N um Ser Master 17 Lai Journeyman APPROVED(OFFICE USE ONLY 3 3 6 3 Date.. ..: .." pOQTM TOWN OF NORTH ANDOVER '14, 3r '� PERMIT FOR GAS INSTALLATION F 9 • �iC�-moi + s + �'Is SACH USE4< This certifies that . . . . ', . . . . . .1'� .� . . . . . has permission for gas installation . . . 4. /A . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . at . . .L.. .-(,. . ��.�—. .��. . . . North Andover, Mass. Fee.')-.2 Lic. No.. .J.2? .� t: �`,��i_ . ,•��.r ; 6AS INSPECTOR WHITE:Applicant CANARY: Building Dbp't. PINK:Treasurer MAP v W PARCEL � d a MASSACHUSETTS UNIFORM APPUCATON FOR P00M TO DO GAS FITTING e �n or print) Date2 �--- NORTH ANDOVER,MASSACHUSETTS Building Locations (6 O 3 ') A- �t A t e-- Permit# 3 3 �� Amount$ Owner's Name ) iq e 3( C New❑ Renovation ❑ Replacement Plans Submitted ❑ F w w o m x z .14 ° m w w F Gv, oc is U w x w w x C U Ew- Z -� Z x w W U C w F w > w Z d a d O O W E O0 w F x O C7 xI w U 3 o C7 U rx > o a F O SUB-BASEM ENT 3 A S E M ENT 11S T. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) qA )a ] one: Certificate Installing Company Name L� 1 Corp. Address ❑ Partner. a. Business Telephone �--- ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter W INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked M,please i irate the type coverage by checking the appropriate box. Liability insurance policy 7 Other type of indemnity 13Bond ❑ 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 installatio erformed der Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S and Chapter 14 By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town Gas Fitter LicenseNumber Master APPROVED(OFFICE USE ONLY) Journeyman N° 2206 Date3 �......... i NORT►, °!t"`°:• '"° TOWN OF NORTH ANDOVER '1 0 PERMIT FOR WIRING ,SSACMuSf Thiscertifies that ................................................ ...r.........t.............................. has permission to perform ::r.:j.:- - �f�~'''� -• ................................................................ wiring in the building of ::`- r .... �� ................................................................. jat ��..``. ...........,North Andover,Mass. Fie ... ........Lic.Norte?^""� _ ..�...... 1:� .......... . . ..... /f ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Office Use only THE C911111•I011 EALTH0FM YSACHUSE77S DEPARTMFYPOMBLICS4FM Permit No. D!a BOARD 0FFIREPREVE7W0ArREGUL4T10AS5r0 R12-00 Occupancy&Fees Checked APPUCATTONFOR PERMIT TO PERFORM ELEM57A-00WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CO (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatS 3 bo Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described.below. Location(Street&Number) Vj ��fiuh P 1 Owner or Tenant 1SPfQvacS' Owner's Address Is this permit in conjunction with a building permit: Yes[::] No LJ6J (Check Appropriate Box) Purpose of Building g)t 6,4n ,I �>QS Utility Authorization No. Existing Service Amps / Volts Overhead a Underground No.of Meters New Service Amps / Volts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work a a I is 3s No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures ,� Swimming Pool Above Below Generators KVA groundg1:1round 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 t 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 o:of Dryers Heating Devices KW Local a Municipal a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER htsu•�rroeCo Pustatblhetegtararra��GatetafLaws Iha-veaa=tLmbtldyhnzratoePbbLymA&gCartplete CovwdWcritsskswrtialetgtivaiait YES NO a Ihaw�,wbmitmdvatidPrafofsam ioftO�YES If}wha%edvdwdYES�pleasec hC*th NXCfoaaagebyd�tgthe lNKRANCEa BOND o 01HER o ftm ) FAinv ed VahteatUelk2l Wait$ %kmSm h pedmD*Regtl>!ted Rough FrIal J✓ RMNAME 5 e i �/ Signatiue 17c;ZZ Lioe�eNo /� Bus rms Td.No. ndd Alt.TdNa OWNER'S M)RANCEWAIVER;Iammatedilthel-mm theicmr =aww@eon1s&ks Wequ Wftasm*medbyMawdxam Cava Lam andtvtmysigitncn hispamitappkafianwai,esthismW'Kwlatt. (Please check one) Owner Agent a 0.-jJ Z Telephone No. 4.18 PERMIT FEE Date. •'� G�S.� V R7 TOWN OF NORTH ANDOVER 3? ��w - -'•OOL PERMIT FOR PLUMBING This certifies that . . . . . . . . . f . . . . . . . . has permission to perform . . . . . . . . . ��-. lumbingin the buildinCs f . . . at . . . . . . . . . . . . . . . . .- . .. . . . . . . . . ., North Andover, Mass. . . . . . . . . . . . . PLUM 1INSPECTOR Check # 6531 IdtASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) , Nc�K 1 0 Vet Mass. Date_ i 2005 Permit# Building Location �g -S *-#O tj PLAce Owner's Name-�F)ft)A'ho r O ke Type Of Occupancy, r o Sl DIAL/re. j New ❑ Renovation O Replacement, Plans Submitted: Yes O No O FIXTURES . z < Z Y f, rn fA W pJ O Z IY W Y J al r 40 < N O D C 110 z y < C < . �' = N a: x C N U. Z Z ` d f V Cc y 30. C < 0 = O O YCi me y G �. < J O C C J D C O L. C to = < x 3 3 0 z = 3 Y d 0 ~ z V >• O = IL ' vt p z to o 0 W . 0 V = 3 x J m m c a J 16 v o < 3 C a o sus—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR w* 4?H FLOOR STH FLOOR . 6TH FLOOR 7TH FLOOR STH FLOOR STARK&CRONK PLUMBING&HEATING Installing Company Namel Check one:. Certificate Address 308 MAIN STREET,GROVELAND MA. Corporation 2486 C ❑ Partnership Business Telephon 978 372-6981 ❑ Firm/Co. Name of Licensed Plumber a .INSURANCE COVERAGE: %ave a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142 Yes '. No 0 If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy Other type of indemnity O Bond O 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:, Owner 0 Agent O Signature of Cwner or Owners Agent I hereby certify that all of the details and information 1 have itted for entWR in above application are true and accurate to the best of my knowledge and that all plumbing work and installations under the iL issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbi a and Chap of the General Laws. ature umber Title Type of License:Master Journeyman 0 APPFit7VED l0 IC US ONL 11027 License Number � ta" BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS §KETCHEa- PROGRESS INSPECTIONS. — FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING. NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE x_.19. PLUMBING INSPECTOR 9 t /Date. . . . ./. .: -3'.�1� .. F - E Of`MORTM F? TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION n �9SSACHUSEt This certifies that .,. . . . . . . . . . . . . : has permission for gas installation - .�a� -. . . . . . w in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at !. . .14 . . . . :. , North Andover, Mass. Fee ?,.� . . . Lic. No.. . . . . . . . . . �.. . . .�. . , ._:. . . . . . . . . GAS INSPECTOR Check# 0 s'-q'y 5180 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) , Mass. Date �. , 2005 Permit Building Location Ro Scl"AOAIJ —L-4(e— Owner's Name (" rikR N 1 ORk e i Type of Occupancy " New p Renovation ❑ Replacements Plans Submitted: Yes❑ No❑ ¢ N W N Y Z ¢ 0 N Q ¢ f- S tr7 ¢ N A 0 W J N. W 0 V ¢ ~ Z Z O u ~ < Q Z j 0 Fut ¢ f f. y C; ¢ W a V W IW < ¢ 0 O > W W H ` _ {C t- f = J Q a, W W H ¢ O 1- .L J f. Z f, W W 0 > u. I- .V � M W Z < W < C }' N q Z '0 Z tu O OA Y < W > ¢ W Z. < ¢ < < O O W O, til N .j 0 C > n a F� O SUBa-BSMT. BASEMENT 1ST FLOOR TND FLOOR J ' 3RD FLOOR 4TH FLOOR STH FLOOR , 6TH FLOOR. ' 7TH FLOOR STH FLOOR Installing Com n Name FARK&CRONK PLUMBING&HEATING Check one: Certificate Address 308 MAIN STREET,GROVELAND MA. � 2486 C; Corporation s' ❑. Partnership Business Telephone 978 372 6981 ❑ Firm/Co. Name of Licensed Piumber or.Gas Fitter g--,N)r)L ot. ►'? Io h I 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 have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance peliey 5z 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 Mass. Genera) taws, and that my signature on this permit application waives this requirement. Check one: Owwner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted for entered)in ve application e;true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit' ed,of this app, 'on will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the rel Laws. By. T of License: Plumber gnatur t IMnsed Plumber or Gas atter True Gasfitter 11027 ster License Number City/Town Joumeyman APFFav D(OFFICE S N i f BELOW FOR OFFICE SSE CNLY FINAL IHSPECT101~3 Ap�O6I SS �SPE'aTIONe ",'I:E APPPMATION FOR Pr3 UIT T`3 DO?LU& 3IHO HAII TYPE OF€3UMDI06 LOCATION.OF OU;'1.eVAG PLU1r:BBR . PEPIdI�'ORANT�� • IHSFEC.'.-OR Date. ....... . A NORTH ¢' o TOWN OF NOWT'H ANDOVER - PERMIT FOR 'AS INSTALLATION � °�,n°••' S5 .cam: 9SSACHUSE4 This certifies that . . . ..T,/'7.. ,��? �. . .0. . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .4. .5 . . . k. . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . .(-.. . Lic. No. .l .G!."1. . . . . . �y' � . . . . . . . GAS'1 SECTOR Check# 5617 ,vIASSACHLSETfS L,NTFOR'VI APPUCATON FOR PULM TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations lPermit# Amount S Owner's Name Z-A )W R 77 New Renovation Q Replacement Plans Submitted D z F O O a ' F w p a 3 0 g a o SUB -BASEM ENT BASEMENT ]ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR EE#tl (Print or type) � Ce one: Certificate Installing Company Name— ,, , Corp. Address 3 AC l' e- f6 Aj E] Partner. BusinessTelephone J Firm/Co. Name of Licensed Plumber or Gas Fitter 115 Yet <:� [INSURANCE COVERAGE, Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 1:1NoO, If you have checked Yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy E3 Other type of indemnity Bond 13 Ow ner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. GAa ws,n that my i ature on this permit application waives this requirement. ,001 Check one: Signature of Owner 8'rowner's Agent Owner Agent 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,ill plumbing .vork and installations performed under Permit Issued for this application will be in -rrnpliance with all pertinent provi:,ions of the Massachusetts State Gas Code and Chapter 1.12 of the General Laws. Signature of Licensed Plumber Or Gas Fitter By: -Plumber 62 �6 ti� z Title �L��= Cit�Jown Gas Fitter tcl •e��:Cum er Master Journeyman APPROVED.rFFtCE r;sE CN Y; -9807 Date..... 2 - .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING S C14US This certifies that .................IL) /.......................................................... has permission to perform ..........S' C'.14 Z.. ..........5y. .. .................... wiring in the building of............. ............................................... at........... ......5.. ..................North Andover,Mass. Lic.No....q.S—C.................. Fee...41.�!.. Y --". . ..if-L� a bISPECTOR Check # 3:3 2 �M3 A-It 4LS Commonwealg of Ma6eactucseffs T Of Use Only Permit No. � 7 _ 1JeParfinerrt o�,}ira Jervice6 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(AEC),527�A7T�tt i 2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City r Town of: To the Ins ec�i� fres: C • /c>iG7� 2t of P f By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner*or Tenant � ,� � lj 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 .r'aiTi u'u• i �.1;>lt,i • 1.:�.`r F`j ❑ N.• -if Met rs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: - Completion of the following table may be waived by the Inspector of Wires. 1 No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot'rubs Generators KVA _. No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency cy ig ting Units rnd. nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches iv o.of Gas Burners o.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 _ K_ W No.of Setf- ontained V Totals: _ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other 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 Telecommunications Wirin : No. Hydromassage Bathtubs No.of Motors Total HP g No.of Devices or Equivalent r, 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 (A BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information.on this application is true and complete. FIRM NAME: _ �.C,u rl ,� S e r^ U 7 G LIC.NO.: 455 - _ Licensee: P�1 n W Signature - —� _ LIC.NO.: t (Ifopplicable, enter "exempt"in a license number to Bus.Tel.No.:t'& 0 Address: f (� 1/� T<l77 c/)te. / D��/s l�f� 0�6�g Alt.Tel.No.: *Per M.G.L. c. 147, s. 57-61,security work requires Department of Public Safety"S"License- Lic.No. 530C 0 0/ 75 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 Si,nzture Telephone No.__— PERMIT FEE: $ _J 7PS.CA1 C, 40M-08108-D8SLIFORMCA 108212008 'rO�WEALTH OF MASSACHUSETTS DEPARTMENT OF r-U'Si lC SAFETY 9 • ' a Certificate of Clearance OF ELECTRICIANSNumber. SS CC 001975 REGISTERED SYSTEM TECHNICIAN -_ ry:: ISSUES THE ABOIC uCENSE TO � Expires: 10/09/2011 Tr. no: 558.0 KENNY Q 4JUN� I S-License: ADT SECURITY i J KENNY WUtiG DRIVE 22 FIELDSTONE ONE 18 CLINTON DR BURLINGTON MQ 01803-4213 HOLLIS, NH 03049 l 07/3 014647 ! 5966 D ; ■ i N2 n Date...// ,N- 2 (/' 7 8 /................... pOR7ry °�,�`'° '•'"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMU This certifies that ../!'„q./( l J .� �1 has permission to perform C� wiring in the building of.......1.U1�.. e"....................................................... at..l/. ....... �'f�� ?....... �...... .......... , fth Andover,Mass Fee... .. ... Lic.No. .Zf�'.9 ........... ..CEMICAL INSPEC7Ok Check # 17,�) _ WHITE:Applicant CANARY: Building Dept. PINK:Treasurer l_.ornmonwaahk o/Maddacl%uda16 Official Usc Only cc�� cc77 Permit No. �(JaParlmarrl o�}ira�arvica� BOARD OF FiRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1 I/99J (leave blank) ----------------- APPLICATION FOR PERMIT TO PERFORIN ELECTRICAL WORK All work to be performed in accordance with the Massachusetts E1Lctricat Code(MEC),527 CMR 12.00 (PLEASE PRINT 1tV INK OR M- .ILL iNFOX-V•1 T 1 N) Date: Q City or Town of: �}' {-1 D//-e,C�. To the ljisp etot of wires: , By this application the undersigned gives notice of]tis or er intention to perform the electrical work described below. Location (Street �C Number) Owner or Tenant Q�,(JO a� 0 6_ Telephone No.AT 204.371 Owner's Address 1'I1 Is this permit in conjunction with n building permit? Yes ❑ No 1010, (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts ; Overhead ❑ Undgrd ❑ No.of Meters . j New Scrvicc Antps ! Volts Overhead❑ Undgrd ❑ No.of Nleters. Number of Feeders and Arnpacity Location and Nature of Proposed Electrical Work: Completion of the folloi- table ntay be waived by the lir 'cetor of(Vires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fars N No.of Total Transformers KVA No.of Lighting Outlets No.of I-lot Tubs Generators KNIA i No.of Lighting Fixtures. Shimming Pool Above ❑ n- ❑ o.o mergency Emitting rnd. rnd. Batte Units No.;of Receptacle Outlets - No.of Oil Burners FIRE ALARtiIS No.•of Zones No.o.o Detection an No.of Switches No.of Gas Burners z Initiatin DeviceTot s- No.of Ranges No.of Air Cond. Tons No:of Alerting Devices ; No.of Waste Disposers Heat Punrp Number ITons 1KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishivaslters Spgce/Area Heating KIY Local ❑ unnerpa ❑ Other Connection No.of Dryers Heating Appliances KW ecuritySystems: i No.of Devices or E uivateut! No.of Water h- t o.o n o.of Data Wiring: Heaters �v Sion Ballasts No.of Devices or Equivalent No.Hydromassage Batlitubs No.of Motors Total HP a ecomf Devices eons uival No.of Devices or Equivalent OTHER: rJ S Attach additional detail if desired.or as required by tire Inspector of;(Vires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insuratice including"completed operation'coverage or its substantial equivalent. The undersigned certifies that suchis in force,and has exhibited proof of same to the permit issuing office. 'CHECK ONE: INSURr\NCE covers BOND ❑ OTI•IER ❑ (Specify:) (Expiration Datc); Estimated Value of E ectrical Work: o (When required by municipal policy.) i Work to Start: �/, Q/.• Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certif}•, corder the pants all petralties of perjury,that the information r' application is trite and complete!: FIWNI NAME: t -dzLIC.NO.: Licensee:—T ionature I' .10-me 5 60-�e✓ / OGI b LIC.NO.:1V;(4C' (ifapplicable,er to '••renrp "in Il a licence nrintber line.) Bus.Tel.No.• - Address:t�i40 Alt.Tel.No. UD- 7- OWNER'S INSURA,4CE 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 anent. j Owner/Agent Signature Telephone No. FPI;-RilHT FEL•: S ' . Date. 3�? . .. NORTM TOWN OF NORTH ANDOVER O� �..o�•1�0 PERMIT FOR PLUMBING 40 SSA HUS �^ / This certifies that . . .J 11A1-?.4. . . . G.'.`. �! . . . . . . . . . . . . . has permission to perform . . . . .� t'L r .. . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .'/... .. . . . . . . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . ., North Andover, Mass. Fee— . . . . .Lie. No.// . . . . . . . ,,. . . . . . . . . . . . PLUMBING INSPECTOR Check # 8551 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: �UD,� h / C(� v , MA. Date:'. /Uermit# r Building Location OkuOwners Name:', ._w.._. Type of Occupancy: CommercialLl Educational Industrial 1 Institutional Residential New: Alteration: Renovation: Replacement: Plans Submitted: Yes' No� FIXTURES z z v� O Y V W M Q N } J zU) CL z W W Q Z_ v1 Lu Z Q Q o7 Z_ ZzQ O m N OC W � >' y z vii C9 -i a X Q J = Q N G ix Q W W N W J Z V tL L% W VY. m IL O O U) Z Q O O d Y Q 2 W W W N � Q O E' � O 2 � Q � 0 0 0 � ammss � � � gg � � � l- � 3 � � 0 SUB BSMT. ` BASEMENT 1 FLOOR 2NO FLOOR 3<u FLOOR 41H FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name:;Stark&Cronk Plumbing, Inc _ Address:'308 Main Street � ty Gro � ___..__ F ✓ Corporation j 2486C Ci !Town eland State 'M F Partnership Business Tel: 978-372-6981 Fax: E 978-374-0837 — - " ° ( � Firm/Company Name of Licensed Plumber.; INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes2jNoD If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Ll Bond Li OWNER'S INSURANCE WAIVER:I am aware tht the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my sign ture on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner D Agent L]� I hereby certify that all of the details and Information I have submitted(or entered)regardin Is application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit Issued r this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Cha pte of the Gen Bye _ _ Type of License: ��—�._�___._...______�_��._�._._-��iY✓`{ Gil6ature of Licensed446mber Titley __ 6 Plumber cityrrowni masteAPPROVED OFFICE USE ONLY) _ " Joumeymanr License Number: :11027 FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER LICENSE NUMBER: PERMIT GRANTED❑ DATE: PLUMBING INSPECTIOR Date.. �.°��° .... . .. . 0`NORTH ,� lek o? '` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION'S . 9 �9SSACNUSE�S am. This certifies that . . . . .l `! . .? . . . .�. �!?`:: . . . . . . . . . . . . . has permission for gas installation .C-�.�y �� . . . l{T�' in the buildings of . .Y c!?„Ft c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .6. .� . . .r�.�. �:: . .1,1L: . . . . . . . . . . . ., North Andover, Mass. Fee.�1. . . . . Lic. No.././Z,.?.7. . . . . . . .�. . .�-!. -�, ,. . . . . . GAS INSPECTOR Check# Ti 67 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:- Dat, PermitO I Building LocatIcb1-41 'Z -4 Owners Name: Type of Occupancy: Commercial; Educationall I Industrial; Residential Institutional New:µ Alteration Renovation,,-] Replacement:,J- Plans Submitted: Yes t. No FIXTURES Lu Lu W Z U) lz 0 Lu co 0 Lu Lu 0 U) 0 99 Lu 1-- 0 -j >. W 0 0 W X ZI.- z5ce LU wwol- M 0 z 9 g M R 65 LU Lu Lu a 0 < I.- > W Z (a LU W woul og Wl a "61.1. Lu I- X < 0 Lu Lu z U) X LU > q W X z W 0 um. 4 4 M W 0 IL 0 ag 0:z 00 U) != > Z X W W > 0 W z Z >LU I 0- SUB BSMT. BASEMENT 1 ' FLOOR 2 0 FLOOR 3Ru FLOOR 4'm FLOOR 51H FLOOR 61H FLOOR 7m FLOOR T I I T-T- 8 H FLOOR I I I I --E- Check One Only Certificate—# Installing Company Name: Stark&Cronk Plumbing, Inc Corporation 2486C Address:-,308 Main Street iCltyffown:�Groveland state: Aj Partnership Business Tel: .978-372-6981 Fax jL7A8- L472837.-_1 Name of Licensed Plumber/Gas INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes2-'1N6_j If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy.Y.1 Other type of indemnity' 1 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 Only v k - Signature of Owner or Owner's Agent OwnerF` Agent j By checking this box 0;1 hereby certify that all of the details and information I have sub I d(or entered)regarding this application are true and accurate to the best of my Knowledge and that all Plumbing work and install ns Perfo under the permit Issued for this application will be in com information on h b d ante d ga d g thl, d for perfo u(or r a entered) ro I r a under the ann't issued 0 0 Ch 1 form I I have sukthp Gen General and instal' ns Pu g O'� 0 s'" pilance with all Pertinent provision of the Massachusetts State plumb d and Ch the General Laws. Plumb By ------ Type of License: Plumber ig Ur of L ,4 1 Title ✓ Gas Fitter 7— S n e C S d Plum r/ S I r 4`SIgn ureof Licensed Plumber/Gas Fitter Master City/Town, Journeyman APPROVED(OFF—ICE—USE—'ON—LY—)"-'-'��-"j LP License Number- 1 11027 Installer FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: S PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER.GASFITTER,LP INSTALLER LICENSE NUMBER: PERMIT GRANTED F] DATE: GAS FITTING INSPECTIOR { Date. . . . ORT:'� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s °� _� •'a ,SSACMUS� .� i This certifies that !L`. .. . '."?'� . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . plumbing in the,buildings of,.-,, . ` �� r� �-!?. . . . . . . . . . . . . . . . at. . . �-�! .':_. —J . . . . , North Andover, Mass. Fee `._ . . . .Lic. No.�' � .�'. . . � 1�✓ . . . . . . . . . . . . . . _PLUM&Nb INSPECTOR Check # G 5668 + MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING V (Type or print) r NORTH ANDOVER,MASSACHUSETTS �+ I '`,�. '' ' Date Building Locations �D /S J V �h �/ . Permit # Amounts Owner's Name U New Renovation ❑ Replacement ❑ Plans Submitted n i FIXTURES ZJ Cnw En H W W A a d w w I a � F a in A H %R1M fl45IIv>�1�' >s>:1Z,oaR M FUM 3MI 4M FLOOR 5M FLOOR R 6111 RfM f F T1H RJOO gIH FLDCR (Print or type) Check o e: Certificate Installing Company Name T► AN66 01? Corp. rI � Partner. Address El Business Telephone �. j..Q ElFirm/Co. � Name of Licensed Plumber: ` `�Wal Insurance Coverage: Indicate the tygpdf insurance coverage by checking the dppropriate box: Liability insurance policy IT 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 OwnerAgentEl 1 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 State Plumbing Code and Chapter 142 of the General Laws. I By: + re +cen um er Type of Plum ing License Title City/Town License Numuer MasterEr Journeyman ❑ APPROVED(OFFICE USE ONLY I