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¢r oti OR.TH AMO R. IBUM-DING DEP"DE T
°q�rEn��y 1600 Osgood Street
North Andover
Tel: 978-658-9545
Fax: 978-688-9542
DATE:
L�(/I�OGL LGC.f?C�
ADDFEft; .
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Bili DINGLAYOUT PROVIDED: YES
AMAILARUBPARKINGS11AMS.
ZONING BY LA's USAGE: YES NO
.EUSMSSPORMHORTOWN CLERK
2.40 Horne Occupation (1989132)
An accessory use conducted witbin a dwelling by a resident wha resides in the dwelling as his principal
address, which is clearly secondary to the use. of the building for %d6g' p' wposes. Home, occupations shall
%chide, "but not •.limited to the following uses; personal services such as funaished by an artist or instructor,
but not occupation involved with motor vehicle repairs, beau-sy parlors, animal kennels, or the conduct of
retail business, or the manufacturing opgoods, which impacts ge, residential nature ofthe neighborhood;
4. For use of a dwdEug in any residential district or multi -&-ally district for a home occupation, rho
following conditions shall apply;
a. Not more than a total of three (3) people may be. employe xn fih�ioe occupation, one of
k .!
whom. shall bettite.owaier ofthehomo cicaupafou and residing is said dwell ng;
b. The use is carred on strictly within the principal building;
c. There shalt be no exterior alterations, accessory buildings, or display which aro not customw
with residential buildings; -
d. Not more than twent five (25) percent of the existing gross Iloor area of The dwelluag unit.
so used, not to exceed one thousand (1.000) square feet, is devoted to 'such use. fn
connection with
such use, there is to be kept no stock in trade, commodities or products which occupy space
beyond. these Wts;
e. There wilt be no display ofgo6& or wares visible from the, street;
f The buRding or premises occupied shall not be rendered objectionable, or detrimental to the
residential character of the neighborhood due to the exterior appearance,. emission of odor,
gas, smoke, dust, noise,'disturbance, or in any other way become objectionable or
detrimental to any residential use within the neighborhood;
-g. Any such building shalt include no features of desiga not cust6maq in buildings for residential
Use.
Date....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�............This certifies that ......
has permission to perform... .....................................................
wiring in the building of ... ......... ........ .................. / .......................................
..
at ... ,7 ..... ...... North Andover, Mass.
Fee.�,- . ......... Lic. No'F—::��.'9.../lj
... ... ...... ...............
ELECTRICAL I,NSPEC"R
Check # /,7/
167.57
11111111IL11
%-UlililiUIIVVCditnurMassachusetts
Department of Fire Services
9f, BOARD OF FIRE PREVENTION REGULATIONS
Occur3w ind F,.:o: Clik:Acd
1) oil c
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
�o :',i C -dc All:( ). 527 ( \.IR 111
I'L L ISE Pw.\ r i,N 1.\ K (",R TjYPE -, LL L\ FORI [ I TION,, Date: 0
Cift or Town of rolk' h7.`1/'1L'L'10F0j
By tills'!Pplic, qLf. -Z
ation the (wders1.,61cdI�C,, 11k,licc of his ol. licr 111tclItIoll to rerful
=1 '111 illeJectr t: il -�crk,le-Ar1hk.!oj tiolim.
Location (Street & Number) on 4Ij
ONvaer or Tenant
Owner's address
Is this permit in conjunction with a building permit? Yes No❑ (Check :appropriate Box)
Purpose of Building -IQP_J;� I—ct –4 — LtilityAulthorization No.
Existing Service unps i Volts OverheadEl Undgrd
New Service Amps —Volts Overhead 0 Undgrd
Number of Fecders and Ampacity
Location and Nature of Proposed Electrical Work:
No. Of Recessed Luminaires ty
No. of Luminaire Outlets
No. of Luminaires
No. of Receptacle Outlets /0
No. of Switches
No. of Ranges
No. of Waste Disposers
No. of Dishwashers
No. of Meters
No. of Meters
InIL IC VIII; i11 tll ;":c. I
No. Of Ceil.-Susp. (Paddle) FansNo.ol Total
'Transformers K%*,%
Noi. of Hot Tubs Generators KVA
Swimming Pool above In- O -o mergency Lighting
ad Rattt:ry Ullits
No. of Oil Burners FIRE ALARNIS [No. of Zones
No. of Gas Burners
NO. Of Air Cond. a 011a
Tolls
Heat Pump .Number Ions
Totals: .
Spacei,%rea Heating KW
.No. of Dryers Heating j%ppliances
KW
No. of Water
Heaters KW Noo — No. of
.----Sign5 Ballasts
:No, Hydromassage Bathtubs
OTHER:
No. of Motors Total HP
of uetection a
Initiating Des
No. of alerting Devices
'40. 01:U1114-Ontamed
DettetioniAlerting Devices
Local Municipal
Connection F -I Other
.ec
u ri If ystems:*
No. of Devices or Equivalent
Data Wiring:
No. of Des -ices or Equivalent
fefecomm tin wca tions Wiring:
No. ul'Devives or Equivalent
!_-tiinat,,:d V,lucol Ficcti-ic,ij %V,,rk: _30—ro — "I"A' " , , ". I i, t, , ., , .. . I ; "; *, I i ,H
I V� !ijjjnjCIpjj pCJjCV
o I k to ', t; I rt: t.,2(. -Oro llirt:Ltiolls to be NLILIC�tCd
in ACLORI;1lice ,,ith EIEC Rule it). int.1 upon
I1SSL RAN( E CON CRACE: lt>Jullnit tur the _-uc
ljt� iIlJlf:IIIC-_' ijCl1 h
'Awlt-1 rl' Illy
A! I!
;;_ Tho.,1101C ALI
F R "S N'( 'F uc 1, 11': J)'I't,
t_iLIIP.d h" i,t1V, 2k, 111A
)m, n e
jJo ° ti0
s �
Date. )009IX—
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
Thiscertifies that .................
has permission to perform ... $ 9 c ./z... t"Gr-c ! ..............
plumbing in the buildings of ..�� 1?....Q. .t�c"e�: !. �...... .
at. .?^ �'�!g.� �. .!t �... Lam- ..... .... , North Andover, Mass.
Fee Lie. No. . ....... .. .. .
PLUMBING INSPECTOR
12/28/98 14:54
25-00PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
(Uni w Typal
NORTH ANDOVER, -, Maas. Dais
Bullding 5 Permit
Location
Owner't \ ��
Name �y
New 0 nenovatlon ❑ Replacement ❑ Plant Submitted: Yea Q
FIXTURES
r Check one:
Installing Company Name ANDOVER PLG. & HEAT I NG CO. , I NC. g�Corp. 2122
Adcfrese 573 112 S0_ (INION ST 0Parinership
LAWRENCE, MA. 01843 DFlrm/Co.
Busine» Telephone 508 685-8383
Name of Ucensed Plumber _GEORGE LAROSE
INSURANCE COVERAGE:ecx c"
I have a current Ilablilty Insurance policy or Its substantial equNWenL Yet Gr No p
It you have checked yn, please
/indicate the type coverage by checking the appropriate box.
A ItablRy Insurance Olcy Lid Other type of indemnRy Q Bond ❑
Certlficale
OWHEA'S INSURANCE WAIVER: I am aware that the licensee dolt riot have the Insurance coverage required by
CIvapier 142 of ilia (.lass. DeneW Laws, and that my alpnalurs on this permit application waives this requirement.
Check one:
Owner ❑ Apent C1nature o comer or fovner t ens
I hereby ceolly that all of the detsh end Inlormatlon I have eubmitted for antes" In &bow sopkalton we true and sewrate to the best of my
Inow4edge and that all plumbing work and installattons parlorrned wxim the parmll Iaewd lot Q4 applkallon wr7 be In compliance with aH
pertinent provitions or the Massachusetle State PlumbhV Code, and thaptee 142 cl the (3wm .
ey
iota
atynown
Ajii1r7vED I(YricE USE out -ii
ana e cg UcanSodum r
Liven sa f l unbw 9983
lypa of F%mbing License: Mailer [�
Journeyman ❑
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r Check one:
Installing Company Name ANDOVER PLG. & HEAT I NG CO. , I NC. g�Corp. 2122
Adcfrese 573 112 S0_ (INION ST 0Parinership
LAWRENCE, MA. 01843 DFlrm/Co.
Busine» Telephone 508 685-8383
Name of Ucensed Plumber _GEORGE LAROSE
INSURANCE COVERAGE:ecx c"
I have a current Ilablilty Insurance policy or Its substantial equNWenL Yet Gr No p
It you have checked yn, please
/indicate the type coverage by checking the appropriate box.
A ItablRy Insurance Olcy Lid Other type of indemnRy Q Bond ❑
Certlficale
OWHEA'S INSURANCE WAIVER: I am aware that the licensee dolt riot have the Insurance coverage required by
CIvapier 142 of ilia (.lass. DeneW Laws, and that my alpnalurs on this permit application waives this requirement.
Check one:
Owner ❑ Apent C1nature o comer or fovner t ens
I hereby ceolly that all of the detsh end Inlormatlon I have eubmitted for antes" In &bow sopkalton we true and sewrate to the best of my
Inow4edge and that all plumbing work and installattons parlorrned wxim the parmll Iaewd lot Q4 applkallon wr7 be In compliance with aH
pertinent provitions or the Massachusetle State PlumbhV Code, and thaptee 142 cl the (3wm .
ey
iota
atynown
Ajii1r7vED I(YricE USE out -ii
ana e cg UcanSodum r
Liven sa f l unbw 9983
lypa of F%mbing License: Mailer [�
Journeyman ❑
MAP
MASSACHU ETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
ARCEL
(3:0r. print)
N� , MASSACHUSETTS;--
/� ` Date t -
Building Location 2,S�4� �d?Awners Name (_ W / Permit #
% Amount
Type of Occupancv %i Lll
Newff- Renovation ® Replacement ® Plans Submitted Yes ® No
El
FIXTURES
(Print or type) /Check one: Certificate
Installing Company Name /1� nn Corp..:
Address ,4 y 13 z )'� F�-O -A'ct Partner:
Business Telephone.. - A cT 'i f[3—F'irm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the, type of insurance coverage by cliecking.the appr�pnate box y
Liability insurance policy Other type of mdeiiimty Bond >
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner ❑ Agent 1®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 plumbingwork.and installatio p if(? d .erruit Iss for this app catiorL.will.be m .. :
compliance with all pertinent provisions of the Massachusetts 1 g' _ d Cha 142 of the eral:
By: ignature 047censecl FlMnrer
T e of Plum ing License
Title
City/Town e um er Master'.;" Journ
APPR--&VEI}(t FcF, USE ONLY —
:.,
Location
No. 7 Date
r r
TOWN OF NORTH ANDOVER
S Certificate of Occupancy $
Building/Frame Permit Fee $
i � �CHUS � Foundation Permit Fee $
OtherrrP.prmit-Fee $
ivel"Connection Fee $
a ® ��
ater f tion Fee $ 6-P��
(7 �- /-'P
/Building Inspector
Div. Public Works
PERMIT NO. S%APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MPP K40.
LOT NO.
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
-I
-
LRC ION 7,
PURPOSE OF BUILDING
oll 'If
OW EI.R'S NAME
NO. OF STORIES SIZE
NER'S ADDRESS /
BASEMENT OR SLAB
ARCHITECT'S NAME
w
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME ` r - iA
G/
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES — SIDES REAR
GIRDERS
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
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGFf 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED Apt) A
LED
BY BUILDING INSPECTOR
RE OF OWNER OR AUTHORIZED AGENT
FEE �.�
PERMIT GRANTED
�/,
19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST G/D
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
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3271 Date...%r.K:.�.....
pORTM TOWN OF NORTH ANDOVER
py 4«a° 1...4,- 1
PERMIT FOR GAS INSTALLATION
A
s
This certifies that ...l.r...��.... S 6%�,�� �� ��! �.-f ............
has permission for gas installation . f� f. • , , , , , , ,
in the buildings of . t ( .......................
at ...... ( North Andover, Mass,
Fee.Lic. No. E? 3, l.. `;!.. - �:c ........
1GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MAP
MASSA CATON FOR PERMIT TO DO GAS FITTING
F?�� Iype or print) Date 1616 19
NORTH ANDOVER, MASSACHUSETTS �-
Building Locations
Permit # 3,Z 2 /
Amount S Xc
(Print or type) Q Check one: Certificate Installing Company
Name l 7' /� / A/ ❑ Co
Address k `2 ❑ Parmer.
Business Telephone (0 r _ B r Z Firm/Co.
Name of Licensed Plumber or Gas Fitter l��/ Gj S / Q Z-ot- 401-C
INSURANCE COVERAGE Check one:
I have a current liability, Insurance policy or it's substantial equivalent. Yes ❑ No ❑
If you have checked ves'please indicate the type coverage by checking the appropriate box.
Liability insurance policy ❑' 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. 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 herehv certifv thar all of the details and information I have submitted (or entered) in above aoolication are true and accurate to the
best of my knowledge and that all plumbing work and instalk
compliance with all pertinent provisions of the Massachusetts
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
underPe .it Issued or this ap ' ation will be in
and Cha' er 142 o the Gen aws.
'Signature of Licensed 6k6ber Or Gas Fitter
Plumber . 07 S b
❑ Gas Fitter License NAffiber
EI.- Master
❑ Journeyman
Owner's Name
New
Renovation ❑
Replacement ❑
Plans Submitted
❑
(Print or type) Q Check one: Certificate Installing Company
Name l 7' /� / A/ ❑ Co
Address k `2 ❑ Parmer.
Business Telephone (0 r _ B r Z Firm/Co.
Name of Licensed Plumber or Gas Fitter l��/ Gj S / Q Z-ot- 401-C
INSURANCE COVERAGE Check one:
I have a current liability, Insurance policy or it's substantial equivalent. Yes ❑ No ❑
If you have checked ves'please indicate the type coverage by checking the appropriate box.
Liability insurance policy ❑' 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. 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 herehv certifv thar all of the details and information I have submitted (or entered) in above aoolication are true and accurate to the
best of my knowledge and that all plumbing work and instalk
compliance with all pertinent provisions of the Massachusetts
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
underPe .it Issued or this ap ' ation will be in
and Cha' er 142 o the Gen aws.
'Signature of Licensed 6k6ber Or Gas Fitter
Plumber . 07 S b
❑ Gas Fitter License NAffiber
EI.- Master
❑ Journeyman
gas 0
(Print or type) Q Check one: Certificate Installing Company
Name l 7' /� / A/ ❑ Co
Address k `2 ❑ Parmer.
Business Telephone (0 r _ B r Z Firm/Co.
Name of Licensed Plumber or Gas Fitter l��/ Gj S / Q Z-ot- 401-C
INSURANCE COVERAGE Check one:
I have a current liability, Insurance policy or it's substantial equivalent. Yes ❑ No ❑
If you have checked ves'please indicate the type coverage by checking the appropriate box.
Liability insurance policy ❑' 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. 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 herehv certifv thar all of the details and information I have submitted (or entered) in above aoolication are true and accurate to the
best of my knowledge and that all plumbing work and instalk
compliance with all pertinent provisions of the Massachusetts
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
underPe .it Issued or this ap ' ation will be in
and Cha' er 142 o the Gen aws.
'Signature of Licensed 6k6ber Or Gas Fitter
Plumber . 07 S b
❑ Gas Fitter License NAffiber
EI.- Master
❑ Journeyman
Date. A/1 ,".?..1. ........ .
TOWN OF NORTH ANDOVER
D
PERMIT FOR GAS INSTALLATION
1
This certifies that ..1.1.6 .4 . .."! , , ,, , , , , , , , , ,
has permission for gas installation J4 -f. ! ....................
in the buildings of ...(�c..................... .
at .. ? S.. �':. .............. f_. , North Andover, Mass.
Fee. b..` .. Lic. No. `?.5 .%... .. ! .:..'..... ,.... ..... . .
GAS INSPECTOR
Check # ) C /
3U58
MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
e or print) Date
t4kic1TH ANDOVER, MASSACHUSETTS
Building Locations ��[-� �`�'�`n S �'n e- Permit 9 13 6F�rk
Amount 3
Owner's Name
Renovation ❑ Replacement
New ❑
-Doan C.or vi 63 0-
Plans Submitted ❑
(Print or type) Check o e: Certificate Installing Company
Name Andover Pl bg. & Htg. Co., Inca orp. 2.122
Address 20 Aegean Dr. Unit -10 ❑ Partner.
Methuen, MA 01844
Business Telephone 978 685-8383 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter George LaRose
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
Ifyou have checked ves, please in ate the type coverage by checking the appropriate box.
Liability insurance policy Outer type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 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 herebv certify that all of the details and information l have submitted for entered) in above application are true and accurate to the
best ol'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 Gasl de and Chapter 1- f the General Laws.
By:
Title
CiryiTown
APPRO�,"ED wvi-ic;: USF')N1.YI
Ell"Pienature of Li
'lumber
,as Fitter
I master
❑ Journeyman
Plumber Or Gas Fitter
9983
icense ivumoer
.r
(Print or type) Check o e: Certificate Installing Company
Name Andover Pl bg. & Htg. Co., Inca orp. 2.122
Address 20 Aegean Dr. Unit -10 ❑ Partner.
Methuen, MA 01844
Business Telephone 978 685-8383 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter George LaRose
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑
Ifyou have checked ves, please in ate the type coverage by checking the appropriate box.
Liability insurance policy Outer type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter I42 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 herebv certify that all of the details and information l have submitted for entered) in above application are true and accurate to the
best ol'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 Gasl de and Chapter 1- f the General Laws.
By:
Title
CiryiTown
APPRO�,"ED wvi-ic;: USF')N1.YI
Ell"Pienature of Li
'lumber
,as Fitter
I master
❑ Journeyman
Plumber Or Gas Fitter
9983
icense ivumoer
x
S f %oRTM
<.•. �, TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
. ,.
This certifies that ... x0C -.G .L' Ir. v... pi .1Y
has permission to perform ...........................
plumbing in the buildings of ..C�L: (.a��.�-�.�1 �. C ................
at ... . S...l'G.� < .� Ive H ............. North Andover, Mass.
9 Fee .).,.5 , �... Lic. No..�% . ? . ...... � .........
PLUMBING INSPECTOR
Check # 3
5074
.Y
•Y •Y .I •Y � • .Y � •� •
ON��ii�iiii����i
WON
(Print or type) Check -ane: Certificate
Installing Company Name Andover P1 b g . & H tg . Co . , Inc. [u'�' corp. 2122
Address 20 Aegean Dr. Unit -10
Parnrer.
Mpthiipn MA 01844
Business Telephone ( 978) 685-8383 Q Firm/Co.
Name of Licensed Plumber.
Insurance Coverage: Indicate thehoe of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑
Insurance Waiver. the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
rgnature Owner Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations perfo d under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State P bing Code d r 42 of the General Laws.
—..
City/Town
APPROVED (OFFICE USE ONLY
Type of Plumbing
9983
rcense um efi r Master Journeyman ❑
Date ... .........
V,OftT#1
TOWN OF NORTH ANDOVER
0
PERMIT FOR PLUMBING
S CH S
W/ /e'4' /-
This certifies that .... ...
has permission to perfor
plumbing in Cl10
g of
e buildings
at . 6 . . . . . . . . . .. . . ��,4. /-.A,,N rth Andover, Mass.
Fee—B. ,40 Lic. No.. �.,33-3 ..............................
YV - PLUMBING INSPECTOR
Check #
621
MASSACHUSETTS UNIFORM APPLICATION
(Print or Type` )���
Mass• Date
119
Building
New ❑ Renovation ❑
PERMIT TO DO PLUMBING 63'
2oC4 _ Pe it #
owner's Name . dot
Type of Occupancy�t 51 17 E N it �-� i✓_
placement 2'*" Plans Submitted: Yes ❑ No ❑
hXTURES
Installing Company Name_ i'11211E&i Q - SP(r MATAeQ Check one: Certificate
Address �� r ? CMC 14Mf n) s. PJ ❑ Corporation
YO ra 01T J ❑ Partnership
Business Telephone f Z - ,q7 9-0irm/Co -�
Name of Licensed Plumberf� y r T ,�� • , SA nnrvr �I r.� �r�
INSURANCE COVERAGE:
I have acurve
—ntjl bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes Q' No ❑
If you have checked yes. please
/Indicate the type coverage by checking the appropriate box
A liability Insurance policy ld' 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. General Laws, and that my signature on this permit application waives this requirement.
Check one:
SIDflA}IIfA of C'lwnor ... A•,nn.',. A...•.•
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
Ino!'
and that all plumbing work and installations ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum' e andapter of the eral Laws.
v(. L
Title
re o cen lu—mbier
City/TownType of License: Master Journeyman C]_
APPROVED 0 I NL License Number --D 3 5
.r
•
Y
NEI
■■■■■...■�■■■�■
■■..
■..
■.■I
NIMMONS
NONE
Installing Company Name_ i'11211E&i Q - SP(r MATAeQ Check one: Certificate
Address �� r ? CMC 14Mf n) s. PJ ❑ Corporation
YO ra 01T J ❑ Partnership
Business Telephone f Z - ,q7 9-0irm/Co -�
Name of Licensed Plumberf� y r T ,�� • , SA nnrvr �I r.� �r�
INSURANCE COVERAGE:
I have acurve
—ntjl bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes Q' No ❑
If you have checked yes. please
/Indicate the type coverage by checking the appropriate box
A liability Insurance policy ld' 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. General Laws, and that my signature on this permit application waives this requirement.
Check one:
SIDflA}IIfA of C'lwnor ... A•,nn.',. A...•.•
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
Ino!'
and that all plumbing work and installations ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum' e andapter of the eral Laws.
v(. L
Title
re o cen lu—mbier
City/TownType of License: Master Journeyman C]_
APPROVED 0 I NL License Number --D 3 5
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N° 15'37
Date ..... r04 0.z.7
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that
I' L i �
has permission to perform ......F:.� .. .1
6^ .. ...... ..7�.�3....................
wiring in the building of . . I` .;,. ,...........................................
at ......................................................
.... �/ ...................:......... ......0......................... , North Andover, Mass.
Fee ... ... Lic. No,4.../-� ...
ELECMICAL INSPECTOR
yj
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
FORWARD
tt
G, 41 LfamIIID nurafth of 5FI5 iar4imitts
Y 3q=tnznt of Vuhiit–*afEtg
HOARD OF FIRE PREVEINTION REGULATIONS 527 C JR 1200
Office use Onty
Permit No.
Occupancy & Fee Checked
ISO peave 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) Oate j
(X33 or Town of NORTH ANDOVER To the Inspector of Wires:
The uderslgned aeelies for a permit to perform the a arical work described bet �� ��
/t t — I - I j
Location (Street & Number)
Owner or Tenant
Cwner's Address
Is this per -nit :n ccnlunc:icn with a ouildi cerma: Yes _ No � (Check Appropriate Eox)
urccse cf 8uiidinC` Utility Authorization No.
Existing SarAce Amos r Vdits Overneac _ Uncgrne ! No. of Meters
1 ew Serape Amos 1-1/pits Cverneac _ Uncgrrc No. at Nteters
Numcer ct=secers arc Amcac::`;
arc Nat --;.,e _: ?r_ccsec Eec—:oaf
NC.
... �.^y^..:`^y Zu'ftets
No. Z. -... mos
Total
.I No. Of 7ranstormers !t A
No. V L.cn::rg =:t -,;res
At:cve— :n-
Swimming 2cc1 grrc. _ crnc. _
i Generators KVa
i
No. of ^ergenc; Lignttng
NO.
a c___c:ac:e Cutlets
No. Of Cil =timers
; 3arery Units
No.
cf Sw-tcn Cut,ets
No. cr Gas __rners
I =tRE ALARMS No. Of =ones
Totat
No. of Cetec:ton anc I
No.
cf Ranges
No. Of Air tcr.s
I
initiating Cawces
No.cr r+eat Total TataI
No. of Cisccsats Pu:res Tors t'•v
No. -t =,snwasners ScacerArea r-ieaurg •�'�
i
I
No. Of Seuncing Cevrces
No. of Sed Canta)nee
Oetec::enrSounetng Cevtces
1 KLv I Lccat - Munrc:cai — Cthar ,
va. �t ;ere Nea:tnc Cav,ces Connec-:on
No. ct No. or I Low `:coags
No. of 'Nater _eaters KVI Sicns 3adasts Winne
�i — Nc. Of Mctcrs Total P
Na. .oro Massace ups
INSL;FANC=— CC E=AG= ?;rsuan::o Ine recu)rerr.ents -r •'/aassacnusers ;er.erat Laws _
I have a c;.tent L:acinty Insurance ?VIC/ 'nCuCtng C;,r..o•.BLec Cceraticns •Czverage cc Its suas:antral ecuivalent. YES NO
nave suomtree Faii/ roof ct same to :ne CMics. YES �__0 NC —f you ,ave ecxea !ES. crease natcate :ne type of verace =ycnecxrng :ne a rate cox. �dJ ��/shnCt /INSUI AVCSCNO = OTHE= = tPrease Scec:'y) vu T/OfU.I
aranon - ter
snrratec Value of E:ec:ncai 'Norx 5
`Ncrx :a Star.
Inscec::en Cats Aacuestac: acuSn =hat
Sl nea ;neer :Me Penatt.e at u-y�•�,,, d --r c Jj
Y 6 ry 4 /eL, % c J/i°�
=ln�.i NAA,tE - �+J ��f3` C✓I �� - � /l / UC. NO.
C«�lL't ■:i'w�-1L�
i,t%1C��urf,� Ud !ha Saltus. :e:ef. f. No.
ACCress . No.
OWNEa'S INSURANCc WAIVED: I am aware ..at the t:censee Coes r'ot nave :ns insurance coverage or its suostanttal eculvalent as re-
currea ov .Massacnusetts Ganerai Laws. anc :Mat -,y signature cn n:s cerm:t acpucatton waves this reou)rement. Cwner Agent
tPrease cnecx one)
erecr.cne No. PE=,MIT FE= S ` �J
Sier.awre cr 6nner cr .t(;ent)
t �
. L
Date �MW....
E
Of MORT :1ho TOWN OF NORTH ANDOVER
0.110 PERMIT FOR PLUYBING(
�,SSACHUS�
H7�r/f 7`
This certifies that ...%�. ,. .
has permission to perform .... .................
plumbing in the buildings of ... 5y .....................
at ...�', .�...� C" �. "' .......... . , North Andover, Mass.
Fee. 7 Lic. No.. .�..... .
PLUMBING INSPECTOR
Check #
7017
14
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
' Date 6 o r
Building Location 7,3"L,aAp Owners Name /` j-5 ` Permit 0
d
-Type of Occupancy Amount ? 7
New ri Renovation f3 Replacement Plans Submitted Yes Q No ❑
FIX I1RF.R
(Print or type)/J Check one: Certificate
Installing Company Name :�.,ak17, � Corp.
Address ❑ Partner.
Business Telephone — — 1P Firm/Co.
Name of Licensed Plumber: aV1_ '
Insurance Coverage: Indicate YV type of insurance coverage by checking the appropriate box:
Liability insurance policy03 Other type of indemnity ❑ Bond El
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 IOwner ❑ Agent 11
I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Is ued Cort applicati will be in
compliance with all pertinent provisions or the Massachusetts State Plumbing Code and C er 142 r 'the Gen 1' Laws.
E
City/Town
APPROVED (OFFICE. USE ONLY
Type of Plumbing License
icon e qo
u C er Master
C1 LO P
I�
Journeyman ❑