Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - Exception (593)
SHAWMUT PROPERTY MANAGEMENT 733 Turnpike Street #221 North Andover, MA 01845 Phone: 978.685.2158 • To// Free: 800.303.4030 • Fax. 978.687.8640 December 13, 2012 Inspector of Buildings Gerald Brown Building Department — Town of North Andover 1600 Osgood Street — Building 20 — Suite 2-36 North Andover, Massachusetts 01845 Dear Building Inspector Brown, Per a request of the North Andover Building Department we had an engineering study done of all decks and as required have replaced the rear decks at buildings 13 and 4. In accord with the engineers report the community has secured all existing deck railings and is committed to replacing the remaining decks over the next three years. Our engineer has questioned the need to reinstall the existing iron ladders due to the fact that the buildings have two means of egress (front and rear doors). Since the new railing system are now to code we are concerned that the old iron ladders will now fall more than a foot below the new railings. We met with the North Andover Fire and Safety officer and Chief Andrew V. Melnikas and also made calls to the State Fire Marshal. All of these parties agree it is up to the North Andover Building Department to decide if the existing ladders should be reinstalled. For our files, please initial this document if you will agree we are not required to reinstall the existing fire ladders. If you feel the ladders need to be reinstalled, please let us know the installation specifications. Sincerely, Matthew B. Dykeman, �CAOAMS® Executive Vice President Shawmut Property Management Toll Free 800 — 303 — 4030 ext. 113 Direct Fax 978 — 332 — 5783 and ky eman@shawmutpm.com Visit us at www.shawmutpropertymanagement.com OP ID' SH ACRO" CERTIFICATE OF LIABILITY INSURANCE DAT1011111YYYY► 110111/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 781-247-7800 CONTACT E. Rodman Insurance Agency, Inc. 781-444-0091} 145 Rosemary St., Bldg. A Needham, MA 02494-3238 Jeffrey Grosser PHONE FAX arc No): E-MAIL ADORES PRODUCER SHAWM-4 INSURER(S) AFFORDING COVERAGE NAIC ;R INSURED Shawmut Property Management Co INSURERA: Middlesex Mutual Assurance Matt Dykem an INSURER B : Star Insurance 200 Merrimack St Haverhill, MA 01830 INSURER C: 10114/12 10114/13 INSURER D: INSURER E PERSONAL & ADV INJURY $ Not cOV' INSURER F L;UVtKAiI CERTIFICATE NUMBER' RFVICInN NI IMRGR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. Town of North Andover TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 rA X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I—XI OCCUR CPP907840102 10114/12 10114/13 PREMISES Eeoccurrence $ 100,00 MED EXP (Anyone person) $ 5,00 PERSONAL & ADV INJURY $ Not cOV' GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00 POLICY JE,PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea a cd dent) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS H IRED AUTOS PROPERTY DAMAGE $ (Per accident) NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATIONX AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? E-1 N/A 00378090 11/01/11 11/01/12 WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE -EA EMPLOYEE, $ 500,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101 Additional Remarks Schedule, if more space Is required) Employee Dishonesty w/Travelers #105811725 817112-15 $100,000• Errors 8, missions w/Mt Vernon #PM2002160A $100,000 w/$10,000 Ded 1%21/12-13 CERTIFICATE HOLDER rONrFI I OTInN NORTHAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of North Andover THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN North Andover, MA 01845 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD f � • W� L M N N C N N ��. O � i J ci'CL cco a U rn w v Z co r W �� (n Of W, o D 'Y O U 0 Q < C JaZ �U c T GC v Q Z J J F= � LLI �f v l' 1' 1 CEIVED JUL 2 9 2014 TOWN OF NORTH ANDOVER PAL TH DEPAPTAACP r Building Commissioner/Inspector of Buildings NORTH ANDOVER, MA 01845 Board of Health/Board of Selectmen NORTH ANDOVER, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING LaMarche Associates North Road, P.O. Box 250 Chelmsford, MA 01824 978-256-8586 Fax: 978-256-8590 UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B July 24, 2014 Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 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 the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: MEADOW VIEW CONDOMINIUM Loss Location: 1-14 WALKER ROAD NORTH ANDOVER, MA 01845 Policy Number: 1120D31987 Date of Loss: 7/23/2014 Cause of Loss: Water LA File Number: MA -2-24831 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Kris Kirkpatrick Adjuster LaMarche Associates, Inc. -800-349-1525 Page 1 of 1 LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 978-256-8586 Fax: 978-256-8590 July 24, 2014 Building Commissioner/Inspector of Buildings NORTH ANDOVER, MA 01845 Board of Health/Board of Selectmen NORTH ANDOVER, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 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 the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: MEADOW VIEW CONDOMINIUM Loss Location: 1-14 WALKER ROAD NORTH ANDOVER, MA 01845 Policy Number: 1120D31987 Date of Loss: 7/23/2014 Cause of Loss: Water LA File Number: MA -2-24831 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Kris Kirkpatrick Adjuster LaMarche Associates, Inc. - 800-349-1525 Page 1 of 1 s F Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. �SZ' Occupancy and Fee Checked [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 TYtPMA E ALL INFORTION Date: City or Town of ,jd1' jy, Attd_Oje j To the Inspector o 'Wi es: By this application the undersigned gives notice of his or her intention to perform the eJeetrical work described below. Location (Street & Number)_ ( 6�-F .�~L�j"�� �� r �� % Map: Lot: Owner or Tenant Owner's Address i Telephone No Is this permit in conjunction with a building permit? Yes ❑ No E Building Permit# 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: Date .......... 7 I L..'_ .............-.7...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that kv .............. ....-�.....:.: C GfZ:......................... has permission to perform ........ ..�.�� � � .l ............................................................... wiring in the building of .... (.".!,4.20 J_...,,V t_Et� ec)'.D.D S .................. ........................ at.............c lQ....... �. ... , North Andover, Mass. Fee.:. .. .."A..-..... Lic. No..... .......... ......................... ...... / ELECTRICALINSPECPR Check # V bw0l5 1-1 'ollowing table may be waived Total 9rmers KVA hors KVA Emergency Lighting Units LARMS I No. of Zones Detection and tiating Devices Alerting Devices pelf -Contained on/Alerting Devices Municipal El Other Connection y Systems: of Devices or Eauivalent %iring: the Inspector of Wires. ail if desired, or as required by the Inspector of Wires. electrical work may issue unless the licensee il equivalent. The undersigned certifies that such ct."2vd (Expira ' n Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rqle 10, and upon completion. I certify, under t!h�pains an penalties of perjury, that the information on this application is true and complete. FIRM NAME: �!J n j L l ec f f f c— ��aC ! LTC. NO.: A 1 9 3 UPJ Licensee: LQet nr-� Signature LIC. NO.: (If applicable, a)!ger ex t" t" in the license number Bus. Tel. NoR y. Scs % • I/V' Address: Aah&di, 2 PYA Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the icensee 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 Signature Telephone No. PERMIT FEE: $ ,� S MAI) -7114+ 0 Commonwealth of Massachusetts I Official Use Only tgntxffi--rn Department of Fire Services Permit No. I� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 Cj }�E ALL INFORMATION) Date: / City or Town of: !bh A f lkj-pyQ y, To the Inspector of Wi es: 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 Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: T->iYTA f XAS%jy% I � 4 ('i vi r, Map: Lot: c Telephone Yes ❑ No � Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters til. 1 tit/ Completion of the, following table may be waived by the Inspector of Wires. No. Recessed Fi ures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above In- Swimming Pool rnd. [irnd. No. of Emergency Lighting Battery 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW I No. of Self -Contained 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 Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or E ui%ulent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 lititBOND ❑ OTHER ❑ (Specify:) U '1 Estimated Value(Expirat nDate) of Electrical Work: (When required by municipal policy.) Work to Start: -T6ZS Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under th pains an penalties ofperjury, that the information on this application is true and complete. FIRM NAME:) (7 is ec } i (C, enc_ „�-� LIC. NO.: /4-1930") Licensee: Luc -i l^t 0L) nr-�> Signature LIC. NO.: (If applicable, a er "exempt " in the license number line.) Bus. Tel. No. -1 Address: ESC �9 e (`) J(G© Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Zicensee doer 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 Signature Telephone No. PERMIT FEE: S 7 Q �U-J � 1 00001 1 � 1410 .. 0 i Commonwealth of Massachusetts EMS Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Onlv Permit No. Occupancy and Fee Checked [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 TY ALL INFORMATION) Date: Cr / �. City or Town of: f Cd wet To the Inspector 01 Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and. Nature of Proposed Electrical Work: USWG kXls}kv ; Yes ❑ No Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters 4 s K+�eA ((,V �A*--ev bb+ Completion of the following table may be waived by the Inspector of Wires. No. Recessed Fi ures No. of Ceil: Susp. (Paddle) Fans No. of Total Transfor mers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above In- rnd. Lirnd. 11 No. of Emergency Lighting No. 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons KW No. of Self -Contained 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 K`,l, Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 Lit BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expira 'on ate) Work to Start: -Tf:�>L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under th pains and,penalties ofperjury, that the information on this application is true and complete.. FIRM NAMEMIniS LI ec-} f(c- z7ac-_ „ LIC. NO.: Al 930") Licensee: Loci rLoo Signature LIC. NO.: (If applicable, a er "exem t" in the license number line.) Bus. Tel. No.*� 51?) L 9V Address: 0>(, )6e&h& t,, 024 (-'))5&6 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Zicensee 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 } Signature Telephone No. PERMIT FEE: S !! obi S Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS s` Official Use Onlv Permit No. Occupancy and Fee Checked [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 Th E ALL INFORMATION) Date: 0 Cr l �- City or Town of: I -/ot I�, rlv p�l To the Inspector o Wi es: 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 U 0 A � Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service New Service Lot: Telephone N Yes ❑ No [i] Building Permit# Utility Authorization No. Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity I&i1'1(A Qz0{ w(. Ii)4ricer, 4 K� I tv `Fe*...ta b11+ Completion of the.following table may be waived by the Inspector of Wires. No. Recessed Fi res No. of Ceil: Susp. (Paddle) Fans No. of Total Transfor mers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. grnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas BurnersNo. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons JKW I No. of Self -Contained Detection/Alerting Devices I I 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 Kms, Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 121 BOND ❑ OTHER ❑ (Specify:) ct. (Expira ' n)Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —T6L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, undertthh pains and enalties of perjury, that the information on this application is true and complete..! FIRM NAME:.JJ) n i I e, J -f (, fir- C.- LIC. NO.: A 19 30`2 Licensee: LL}ct Ce�y i nrS Signature LIC. NO.: (If applicable, a er "exempt" in the license number line.)Bus. Tel. No. -1 561799 7 Address: _�9 2&hvCl u MA Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Iticensee doer 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 PERMIT FEE: $ Signature Telephone No. Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TY E ALL INFORMATION) Date: 0 / �-1 City or Town of: r cd-nQ To the Inspector o Wi es: 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 NA 0 A r; Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1)j1YT, bclS�kn6 Ir74CIL-gn Telephone Yes ❑ No [ Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Lot: No. of Meters No. of Meters 4 K+�eA 1 li✓ 4CA- , b&+ Completion of the following table may be waived by the Inspector of Wires. No. Recessed Fit res No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. grnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: I Number I Tons 1KW No. of Self -Contained Detection/Alerting Devices I I No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Key Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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. 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. 2 t 1 CHECK ONE: INSURANCE 1i 1itBOND ❑ OTHER [I (Specify:) Ct. `T (Expira ' n)Date) 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. I certify, under tthvains andpenalties ofperjury, that the information on this application is true and complete.. FIRM NAME: ,.1J) {I i C I QC -} r (G C�'OC, LIC. NO.: A 19 30.7 Licensee: Loci cf op Signature � � � LIC. NO.: (Ifapplicable, a er "exem t" in the license number line.) Bus. Tel. No.� Address: C�Kl M9 e6 Jw M -A n)5 &6 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Yicensee 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 PERMIT FEE: $ f1 obi S Signature Telephone No. 91 Commonwealth of Massachusetts -- Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TY E ALL INFORMATION) Date: City or Town of: U fiy�d cn�e� To the Inspector o Wi es: 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 Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1. Yes ❑ No � Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters 1SIY�(, XtS%inL ►t) 1 t ter, K+tA 1 ti/ Completion of the following table may be waived by the Inspector of Wires. No. Recessed Fi res No. of Ceil: Susp. (Paddle) Fans No. of Total Transfor mers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above In- rnd. ❑ rnd. E]Batte No. of Emergency Lighting 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 Initiatin2 Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons KW I No. of Self -Contained Detection/Alerting Devices I 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 K`,1, Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 Lit BOND ❑ OTHER ❑ (Specify:) l (Expiry ' n)Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —TUInspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under tthh�pains and enalties ofperjury, that the information on this application is true and complete. FIRM NAME: -U)niS � QC �C LIC. NO.: Al 930Y2 Licensee: ��c� (r7U ! nrj Signature LIC. NO.: (Ifapplicable, a er "ext" in the license number line.) Bus. Tel. No..q Address: em 0>(- �;;9 E e&hv MA i d Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the t icensee 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 PERMIT FEE: $ Signature Telephone No. _ 0 Commonwealth of Massachusetts NEW Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TY E ALL INFORMATION) Date: O A / -. City or Town of: r -►h A Ltd w pj To the Inspector o Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Q-K.'s–kkv1(, lti 4 flvifi Yes ❑ No El Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters 4 Kt -Atom/ kv -o b&+ Completion of the following table may be waived by the Inspector of Wires. No. Recessed Fi ores No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- rnd. rnd. 11 No. o Emergency Lighting No. 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: 1 Number I Tons JKW No. of Self -Contained Detection/Alerting Devices 1 1 No. of Dishwashers Space/Area Heating KW Local ❑Municipal ❑ Other Connection No. of Dryers Heating AppliancesI{W Security Systems: No. of Devices or E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 lit BOND ❑ OTHER ❑ (Specify:) (Expira ' nate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —r6L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under thpains and enalties of perjury, that the information on this application is true and complete. FIRM NAME: WS eC_-f(C, LIC. NO.: AI 930`7 Licensee: Luci r ag T)inrS Signature LIC. NO.: (If applicable, a er "ex� t" in the license number line.) Bus. Tel. No.a �y Address: em �G Pe&h&di,, fnA C 1 d Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Iticensee doer 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 PERMIT FEE: $ 115 i 7-S Signature Telephone No. 9 Commonwealth of Massachusetts Department of Fire Services s BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TTr E ALL INFORMATION) Date: C( / City or Town of: ,viy kd n To the Inspector of Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: iGWG 111 y n vii, Yes ❑ No � Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters 4 Completion of the following table may be waived by the Inspector of Wires. No. 4 Recessed Fi ures No. of Ceil. Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above In- rnd. ❑ rnd. ❑ No. of Emergency Lighting Battery 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained 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 E uivalent No. of Water Kms, Heaters No. of No. of Data Wiring: Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 lititBOND ❑ OTHER ❑ (Specify:) t (Expira ' n ate) 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. I certify, undertthh jpains and enalties of perjury, that the information on this application is true and complete. FIRM NAME: j)) r1j S QC } f (G C C_ LIC. NO.:A1 1 9 3O% Licensee: LL}Ci (`t_oc 1 nrS Signature _ LIC. NO.: (Ifapplicable, a er "exet" in the license number line.) Bus. Tel. No.� S31 y�l j Address: m c>G 7395 eCchy !n�—� t 1t0 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the I icensee 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 Signature Telephone No. PERMIT FEE: $ it S 9 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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: 0 Cr / t✓l City or Town of: U6rf , AV-J"e/ To the Inspector ol Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Jv] Building Permit# Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �p,,^►/i ;. i �., , No. of Recessed Fit ores No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers No. of Water KW Heaters No. Hydromassage Bathtubs OTHER: No. of Ceil: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool No. of Oil Burners No. of Gas Burners the Generators No. of Meters No. of Meters ❑ in- ❑ iNo. of rmerg grnd. Battery Units No. of Air Cond. Total Tons Heat. Pump otals: Number Tons i Local ❑ Municipal ❑ Other Connection Space/Area Heating KW Heating Appliances KW No. of Signs No. of Ballasts No. of Motors Total HP C1 1 Pd-eA I fit/ table may be waived by the Inspector of Wires. Total KVA KVA FIRE ALARMS No. of Zones No. of Detection and Initiatin2 Devices No. of Alerting Devices No. of Self -Contained Detection/Alerting Devices Local ❑ Municipal ❑ Other Connection security Data Wiring: No. of De Telecommun or 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 Lid BOND ❑ OTHER ❑ (Specify:) 2—O' `f (Expira ' n ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: -Tff:�,E Inspections to be requested in accordance with MEC Rule 10; and upon completion. I certify, under th pains and enalties of perjury, that the information on this application is true and complete. FIRM NAMEM111 I CC-}-iiC. ------ LIC. NO.: Al 9307 Licensee: E LX i A,0 0 i r) Signature � _ LIC. NO.: _ (If applicable, a)%er"exem t" in the license number line.) Bus. Tel. No.. Address: [� �9 Qy t, j)')/� t jrp Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the icensee doer 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 Signature Telephone No. PERMIT FEE: $�i .S 0 n 1, Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 7r E ALL INFORTION) Date: o Cr t � City or Town of: u 1'��; MA,lei To the Inspector ol Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) (7 OtiQ .-G r PA Map: Lot: Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity �E>IrG, QY-V�iy16 1i)4i`Ivin Yes ❑ No Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters `i s K+tA l (v Completion of the, following table may be waived by the Inspector of Wires. No. Recessed Fit res No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above Li In- rnd. rnd. 11 No. No. of Emergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners 11 No. of Detection and lnitiatin2 Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained 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 E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 lid BOND ❑ OTHER ❑ (Specify:) _ "I (Expira ' n ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —rf--�L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under th pains an penalties ofperjury, that the information on this application is true and complete.. FIRM NAME: j ri, i S E I QC -}-f (C- �' C— LIC. NO.: A 1 930*) Licensee: E. C1 ( in D i nt.5 Signature �= LIC. NO...: (1f applicable, a er "ext" in the license number line.) Bus. Tel. No.�- 3 i - y emy % Address: o>� Peahv j, lYI/f_C�1(c0 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: 1 am aware that the Zicensee doer 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 PERMIT FEE: $ ?l obi S Signature Telephone No. u Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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: C( t � City or Town of: :Ubff ttd p f To the Inspector ol Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) l '� & L�Le r Map: Lot: ^ Owner or Tenant bVI Q&cl. (r-, Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Telephone N Yes ❑ No Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters 1'>jIM �XtS kwif. 11� r r1via 4 _k* 0 bu+ Completion of the following table may be waived by the Inspector of Wires. No. Recessed Fi ure s No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. grnd. No. of Emergency Lighting I Battery Units No. of Receptacle Outlets No. of Oil Burners 11FIREALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW I No. of Self -Contained 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 Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 (i1 BOND ❑ OTHER ❑ (Specify:) Ct- (Expira ' n ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:s Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under tthh�pains and enalties ofperjury, that the information on this application is true and complete. FIRM NAME: tji ec-�r(c, roc. LIC. NO.: A X307 Licensee: IL0Cr 1^a 0(3 D l nr5 Signature - LIC. NO.: (Ifapplicable, eater "exempt" in the license number line) Bus. Tel. No.. 581. 9y Address: 11( (L-04 2595`--) Le6hvcl L, M14 O -i Leo Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Vicensce doer 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 PERMIT FEE: $ Signature Telephone No. 0 n ,• Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TY E ALL INFORMATION) Date: 0 Cl J / �- f City or Town of: kd aw To the Inspector o Wi es: 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 U P (A 0 Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I �)C1Sk1 � /-1 VIC Lot: Telephone No Yes ❑ No Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters y K+<VA I til/ A„•.,1<, hu+ Completion of the following table may be waived by the Inspector of Wires. No. d Recessed Fi ures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. grnd. No. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners 11 No. of Detection and Initiatin2 Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons IKW No. of Self -Contained 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 E uivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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. 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 li/itBOND ❑ OTHER El (Specify:) ct�" 2-0t(4 ` (Expira ' n ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —r6L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under t gains and enalties of perjury, that the information on this application is true and complete..I FIRM NAME: -U j i I ec+-f (C- �nC_ LIC. NO.: f -t 19 3 U) Licensee: Loci if 1' o Signature _ LIC. NO.: (Ifapplicable, a er "exem t" in the license number line.) Bus. Tel. No.q 61. 99 % Address: CSG 9 QAlt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the ticensee 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 PERMIT FEE: $ ICA S Signature Telephone No. u A Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TY E ALL INFORMATION) Date: 0 Cr t k -- City or Town of: 6 r ,lei To the Inspector ol Wi es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ti No. of Recessed Fixiures No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets No. of Switches No. of Ranges No. of Waste Disposers No. of Dishwashers No. of Dryers Yes ❑ No Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Ceil: Susp. (Paddle) Fans No. of Hot Tubs Swimming Pool Above ❑ grnd. No. of Oil Burners No. of Gas Burners No. of Air Cond. T T Heat Pump Number I Ton Totals: Space/Area Heating KW Heating Appliances KW 2 of the, follov No. of Transfor mi Generators No. of Meters No. of Meters table may be waived by the Inspector of Wires. Total KVA KVA ❑ ivo. or emergency Battery Units FIRE ALARMS No. of Zones No. of Detection and Initiatine Devices No. of Alerting Devices No. of Self -Contained Detection/Alerting Devices Local ❑ Municipal ❑ Other Connection security systems: ui water INO. 02 INO. of KW Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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. /} l i _ / b l C J `T CHECK ONE: INSURANCE lit BOND ❑ OTHER ❑ (Specify:) �. (Expira • n ate) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —T6,L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, underTI) ains an penalties ofperjury, that the information on this application is true and complete. FIRM NAME: n o 6 ee f r (C- �C_ LIC. NO.: A.) 3 C�7 Licensee: LuCi ccoo Signature LIC. NO.: (Ifapplicable, a er ,exem t" in the license number line.) Bus. Tel. No.� Sa� ��-/ Address: qs� Pejy MAt �D Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the�cens�ee 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 Signature Telephone No. PERMIT FEE: $ IC S Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 T,)TE ALL INFORMATION) Date: Cl / City or Town of: ►' iy, WQ,/ To the Inspector o Wi es: 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 M 0 o ('\ Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Lot: Telephone No Yes ❑ No Building Permit# Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters 1�1>G QXtSIn �G 1r)vfi�a K-tA I CAI Completion of the,following table may be waived by the Inspector of Wires. No. J Recessed Fi ores No. of Ceil: Susp. (Paddle) Fans No. of Total Transfor mers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. grnd. No. of Emergency Lighting Battery 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained 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 Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 BitBOND ❑ OTHER ❑ (Specify:) ct. (Expira' n)Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: —Tf�,L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, undert pains andena/ties ofperjury, that the information on this application is true and complete. FIRM NAME:Tlni! I eci-f fG �nC. LIC. NO.: Al 930") Licensee: LOC -i (too Dir -w.5 Signature _ LIC. NO.: (Ifapplicable, a er "exempt " in the license number line.) Bus. Tel. No.* Address: eghv MA (` (� Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the I icensee 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 PERMIT FEE: $ Il �i S Signature Telephone No. Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked [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 TY �1 E ALL INFORMATION) Date: 0 / t< City or Town of: U' rfh A Ltd -ow -1 To the Inspector ol W&es: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Map: Lot: Owner or Tenant M e 6—d (rus) LJ tu-) erDAd�b Telephone No. - sce Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Building Permit# 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:q 1K) -t'\101 -, MK-aU y"rd MC b � `fir ra ht+ k'SlYTAkliC :kkTAG 11)4fMCA 11)4fCompletion of the following table may be waived by the Inspector of Wires. No. d Recessed Fi ures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ rnd. rnd. No. of Emergency Lighting Battery 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 Initiatin2 Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat, Pump otals: Number Tons KW I No. of Self -Contained Detection/Alerting Devices I I 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 Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent 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 ted proof of same to the permit issuing office. CHECK ONE: INSURANCE li�l BOND ElOTHER El(Specify:) a-��2D' ( 1 `l (Expira n Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: - 1 6L Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under Tirli-, pains andpenalties of perjury, that the information on this application is true and complete. f FIRM NAME:EIQc'�" f l G a�C- LIC. NO.: A 1930") Licensee: Lycf rf_00 Signature Z LIC. NO.: (If applicable, a er "exem t" in the license number line) Bus. Tel. No.. a �� Address: C2K- _�9 e&hv t, M4 n b Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the icensee 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 PERMIT FEE: $ Signature Telephone No. 61 i A� CERTIFICATE OF LIABILITYDATE (MM/DDNYYY) INSURANCE 11/14/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONT ,A E.7 Wally Valdez, CIC, CISR EA Stevens Company, Inc. PHONE (781)322-2324 Fax 389 Main St. E-MAIL AIC No: (781)397-7672 P. 0. Box 188 ADDRESS: wallyva@ eastevensins. com INSURERS AFFORDING COVERAGE NAIC # Malden MA 02148 INSURED INSURERA:PeerleSS Insurance Company INSURER B :The Netherlands Insurance 4171 Dinis Electric Inc INsuReRc:Peerless Ins PO Box 3955 4198 INSURER D: INSURER E : Peabody MA 01960 INSURER F: COVERAGES CERTIFICATE NUMBER 2013-2014 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCE POLICY NUMBER MM/DDY EFF MM/DD� LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 A CLAIMS-MADE OCCUR BP3918373 P/2/2013 8/2/2014 MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2 , 000 , 000 __7GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG 5 2,000,000 X POLICY PRO LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Eaaaident S 1,000,000 ALL B ANY AUTO BODILY INJURY (Per person) S AUTOS X SCHEDULED UTO 918368 8/2/2013 8/2/2014 BODILY INJURY (Per accident) S X HIRED AUTOS X NON-OWNED AUTOS PROPERTY DAMAGE S Per accident Underinsured motorist BI split S 100,000 X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESS LtA6 CLAIMS-MADE AGGREGATE S 1,000,000 DED I X I RETENTIONS 10,000 8791524 8/2/2013 8/2/2014 C WORKERS COMPENSATION S AND EMPLOYERS' LIABILITYx T WC STATU- 071- RV IMIT ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N S OFFICER/MEMBER EXCLUDED? � N / A E.L. EACH ACCIDENT 5OO (Mandatory in NH) 3918369 /2/2013 8/2/2014 describe under E.L. DISEASE - EA EMPLOYE S 500 000 OOO yes, DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S 500,000 A BPP BP3918373 8/2/2013 8/2/2014 $33,530 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER _._.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of North Andover ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Electrical Inspector 1600 Osgood St AUTHORIZED REPRESENTATIVE North Andover, MA 01845 Thomas Cares, Jr/wv ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reseryed. INS025r7mnn5i m Tho Art1Rr1 name nnM Inns zro ronietcrarl marlrc of Arr1Rr1 *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins: Lie. #: Job Site Expiration Date:_ City/State/ZipA)bA,/0/Cn �P / ,/ Attach a copy ofthe workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 day against the violator. Be advised that 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 and penalties of perjury that the information provided above is true and correct Si ature: .150Date: 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: The Commonwealth cfMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Workers' Compensation Insurance www.mass.gov/dia Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): D jn,--, Address: City/State/Zip: (� Phone Are you an employer? Check thea propriate box: 1. [�]'I am a employer with �_ 4. ❑ I am a general contractor and I Type of project (required): employees (full and/or part-time).* have hired the sub -contractors 6. ❑ New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have 8. ❑ Demolition working for me in any capacity. [No workers' comp. insurance employees and have workers' comp. insurance.= 9• ❑Building addition required.] 3. ❑ I am a homeowner doing all work 5. ❑ We are a corporation and its officers have exercised their 10.ZElectrical repairs or additions l 1. ❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] r c. 152, § 1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 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 am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins: Lie. #: Job Site Expiration Date:_ City/State/ZipA)bA,/0/Cn �P / ,/ Attach a copy ofthe workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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 day against the violator. Be advised that 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 and penalties of perjury that the information provided above is true and correct Si ature: .150Date: 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: IN& Xftp Om 'A 0 cl .. .. .. ..... URBELIS & FIELDSTEEL, LLP 155 FEDERAL STREET BOSTON, MASSACHUSETTS 02110-1727 CAROL HAJJAR WGRAVEY OF COUNSEL e-mail chm@uf-law.com January 22, 2014 Andrew Maylor, Town Manager Town of North Andover 120 Main Street North Andover, MA 01845 RE: Meadowview Condominium Timothy Corbett Essex Superior Court Civil Action No. 13-1288 Dear Andrew: Telephone 617-338-2200 Telephone 978-475-4552 Telecopier617-338-0122 Please be advised that the above -referenced action, in which the Town of North Andover was named as a party -in -interest, has been dismissed. If you have any questions, please let me know. CHM/kmp cc: Curt Bellavance s:\wp51\work\n.andove\corresp\maylor.chm.ltr - meadowview.doc Very truly yours, f arol Hajjar McGravey LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 978-256-8586 Fax: 978-256-8590 July 24, 2013 Building Commissioner/Inspector of Buildings NORTH ANDOVER, MA 01845 Board of Health/Board of Selectmen NORTH ANDOVER, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 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 the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: MEADOW VIEW CONDOMINIUM Loss Location: 1-14 WALKER ROAD NORTH ANDOVER, MA 01845 Policy Number: 1120D31987 Date of Loss: 7/1/2013 Cause of Loss: Water LA File Number: MA -2-23151 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Tony Rossetti Adjuster LaMarche Associates, Inc. - 800-349-1525 Page 1 of 1 w i PROPOSALAND FORM OF AGREEMENT for PROFESSIONAL ENGINEERING SERVICES MEADOWVIEW CONDOMINIUM ASSOCIATION NO. ANDOVER, MA DESIGN AND EVALUATION OF DECKS BABurns and Associates — Engineer P�,nM IN FILE 1. OFFER Burns and Associates — Engineers (Engineer) proposes to provide services for the design and evaluation of the decks at Meadowview Condominium Association (Client) to meet the requirements of the letter of August 23, 2012 of the Building Department of the Town of Andover, MA. The Engineer has made a site visit on August 29, 2012 in company with a member of Shawmut Property Management to gain a general understanding of conditions. 2. SCOPE OF SERVICES The Engineer will provide the services in two phases: Phase 1 -the Engineer will: 1. Visitthe site to document existing conditions. 2_ Research building codes for any unique requirements. 3. Provide three stamped sets of construction drawings in AutoCAD format with deck structural plan, exterior elevations, details and sections. 4. Provide material specifications and bid documents as necessary. 5. Submit work product to the client for submission to the Town of Andover. Phase 2 - Concurrent in time with Phase 1, the Engineer will: 1. Evaluate all front and rear decks on all buildings for condition of structural deterioration. 2. Request uncovering parts of the structural components of the decks to be able to determine presently unseen conditions. These uncoverings will be on random sampling basis to be able to make reasonable conclusions about latent conditions in all other deck constructions. 3. Provide a report to the Client for review detailing findings and conclusions resulting from the evaluations. 3. ENGINEER 1N RESPONSIBLE CHARGE Robert J. Burns, P.E. will be the Engineer in responsible charge of the project. John A. Seger, AIA will be the architect of record. -3- t,., 4. COMPENSATION For the work described in both Phase 1 and 2 above, the Engineer pFoposes a fee of $4,300 of which $2,600 will be due on delivery of all stamped drawings and $2,700 will be due on delivery of the report of evaluation of decks. Robert 1. Burns, P. E. 08.29.12 Engineer Date sa /62 ,_/ PROPOSALAND FORM OF AGREEMENT for PROFESSIONAL ENGINEERING SERVICES MEADOWVIEW CONDOMINIUM ASSOCIATION NO. ANDOVER, MA DESIGN AND EVALUATION OF DECKS BABurns and Associates — Engineer FL AMS `/ IN M, e/ 1. OFFER Burns and Associates -- Engineers (Engineer) proposes to provide services for the design and evaluation of the decks at Meadowview Condominium Association (Client) to meet the requirements of the letter of August 23, 2012 of the Building Department of the Town of Andover, MA. The Engineer has made a site visit on August 29, 2012 in company with a member of Shawmut Property Management to gain a general understanding of conditions. 2. SCOPE OF SERVICES The Engineer will provide the services in two phases: Phase 1 -the Engineer will: 1. Visit the site to document existing conditions. 2. Research building codes for any unique requirements. 3. Provide three stamped sets of construction drawings in AutoCAD format with deck structural plan, exterior elevations, details and sections. 4. Provide material specifications and bid documents as necessary. 5. Submit work product to the client for submission to the Town of Andover. Phase 2 - Concurrent in time with Phase 1, the Engineer will: 1. Evaluate all front and rear decks on all buildings for condition of structural deterioration. 2. Request uncovering parts of the structural components of the decks to be able to determine presently unseen conditions. These uncoverings will be on random sampling basis to be able to make reasonable conclusions about latent conditions in all other deck constructions. 3. Provide a report to the Client for review detailing findings and conclusions resulting from the evaluations. 3. ENGINEER IN RESPONSIBLE CHARGE Robert J. Burns, P.E. will be the Engineer in responsible charge of the project. John A. Seger, AIA will be the architect of record. -3- 4. COMPENSATION For the work described in both Phase 1 and 2 above, the Engineer pFoposes a fee of $4,300 of which $2,600 will be due on delivery of all stamped drawings and $2,700 will be due on delivery of the report of evaluation of decks. Robert I. Burns, P.E. 08.29.12 Engineer Date 51 -a /l2 9350 Date •9../ �<<;�•� :��o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 2 -6w X -1M � This certifies that ..... I .. ....... . has permission to perform aN-`�-\AkN.- �A�'z'-4 plu bing in the buildings of . J . .� v: -f r.. Rck •...........1 at .` �.l Q�.�.r�N `Q-A Cv-'-IJOS ' ...... , North Andover, Mass. FeeJ !Lic. No���.... ......... r... ¢ PLUMBING IN P TORI h Check # MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERIFORM PLUMBING WORK 1 j CITY 1�Qr -Alily� DATE ��— /--��.-_ I PERMIT It J00SITEADDRESS 1/��lk�- �, �-/ OWNER'S A E ,q�Q `t.f�f [�� �� ) i N M J /�'r P /AG. OWNERADDRESS ( ,� !(l��' /�,� I TELJ IFAXI I TYPE -dtz OCOUPANCY TYPE COMMERCIAL JLo4-- EDUCATIONAL l l RESIDENTIAL PRINT CLEARLY .. L ✓ NEW., I � I RENNATlgN:I � REPLACEMENT: II/( PLANS SUBMITTED: YES 1 I NO,P100" f1XTl1EtES 1 FLOOR-*' $slut 1 2 a 4 -5 i; 7 u 9 10' 11 12 13 14 BATHTUB _........ : ..... _ __� ..__.._ _ CROSS CONNECTION DEVICE - DEDICATED SPECIAL WASTE'SY$TEbf I .. _ . _+ .:. --...-_...:. :... __.. ;..... r l ..... , ..... .... .... . . __.. DEDICATED GAS1OIUSAND SYSTEM DEDICATED GREASE SYSTEM I . _ _ .:. .. . ..:.....:+ ....._..:...... - _.. _ DEDICATED GRAY WATER SYSTEM ...' .-' ....:' .........:............ ...... _....: --...... , _ , .... , ,. DEDICATED WATER RECYCLE SYSTEM - DISHWASHER DRINKING FOUNTAIN I ... .. , . ..., ..... :... .. ; FOOD DISPOSER FLOOR IAREA DRAIN -•.--- INTERCEPTOR (INTERIOR) - — i .. . ; ... • , ` _. i . i ... .....I .. I I,. ,._ i KITCHEN SINK ..... ... -. 1. —__ — -• LAVATORY ROOF DRAIN SHOWER STALL i RVIOEIMOP SINK TOILET URINAL _ ..I - tA/AS14ING MACHINE CONNECTION WATER. HEATER ALL TYPES WATER PIPING •w_ — _ __—' INSURANCE COVERAGE: have a ctirront.liat. )jljty iiisttratice poficy.or its sufistantial equivalent vrhich meets the fegiirenie»ts of MGL*Ch.142. YES 1 NO I I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY C14ECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ( OTHER TYPE OF INDEMNITY I BOND [, { OWNER'S INSURANCE WAIVER: I am aware that the licensee -does nt have the insurance coverage required by Chapter'142 of the Massachusetts GeneralLaws, and that my signature on this permit application siraives this regui(etitelit. CHECK"DNEONLY:. OWNER AGENT. - SIGNATURE OF OWNER OFt AGENT 1 hereby certify Thal all of lime details and iriforrnallon I ImavesubmItted of entered regarding;this application aPe lme and accurate to the best of my knovilddge and that all plumbing work and Instailallons performed under the permit issued for this application will be in compliance vQlh all Pdrtin nl provision oilhe Massachusetts State "Plumbing Code and Chapter 142 of Hie General Lames. Al� PLUMBER'S NAME �U�1�— BJ�i� ILICENSE11I//r%] ( IGNAT- E MP ,1P1 CORPORATION) J# IPARTNERSH.IPI' 1111' lLLC1 10 COMPANY NAME ADDRESS(� �� lVd- CITY I STATE (Rq, ! ZIP . CI �i� I TEL I ( 7 t� S_H`- �-� fovi FAX t'7 V 6 y?j6Y4 CELL j EMAIL z z U f 40 F 0 O Ri � V J LU LU cI] t� (;tat J.E]Bill it gellefal wilrdefortlith I C -S 11fr-al IaiOL7pA1Uciq).!e- paj X MIUCA Sore-JUPrIctor-or 11sted 61ifrio pa qgor- 111wheit glim.4 MA 02111 rtr givi'mi-11A, Are, a Int"m iii V.I. M^,, I; fi-vw-k.- W9. (;tat J.E]Bill it gellefal wilrdefortlith I C -S 11fr-al IaiOL7pA1Uciq).!e- paj X MIUCA Sore-JUPrIctor-or 11sted 61ifrio pa qgor- 111wheit glim.4 Stup altillw&II0 cluptoyco vlcso ;Ilb-c- 0-4(646rs limo %tOrUlig for. NO ta vnv Opadicy. %voikere evilipAllsilral". Wto lvvoc F1 Cbippraji bu mfd Its: -6 { Flistirflitc6retyleed t tel,$ c III "Insill "Itcorc,quir41T.1 ily m .130611f. C.11w %Its:lra!lce:ronl1lan�,�lliuit'fs .. G: �I`fCltCdiisliiicti4!( fifun CIO drill Fillptholliliellti. as 1110.16 form O'rh Invesligaliousator ills LIMACO coyerage ve►.irfcjtjOjj. 'If qffl 140*64 - PO flat 111TOhINS are,7, [0 2, Ruilding Dell'ar.111toll 3. G&roxvji C0011" 111a bIrffekk fostrai a MaSA&U top, atew 11*11 cliff 41{ii,gIlouspoftiiiot�ierenwice., to,, SthfUld b' I:01 I 901 tplelv?Txlta Pogo PY Perillitto-Oger.fte-a blilldiliks ill file Collulf0jaydalthUraiky iFfEt'WO 0III? coijtraet'fbr (Tiqvi-fompfito of plibliq iYork .11 gcqCYffdT"v7(Td!lc,,- OrCOIDPIralitolvidl. thain-surame RVIreirte-EltS. of 1WST1lij3FOt)l,-lVafi-' flio co)drA6tft!g pyjjloejjy.2,, t Plefise Al fQ11f .1% iV7 If filong with fhelrcertif6h(s) Vr 7fillifedflilbukY COMP to theJ)OPMIlienrok 11AISIdAl A.Tsb baSIRL'afosigil nlid (1ptetilbriffifInvit. 'Thoelfridavic-0110111d l,erefurned[o the Cify or toilvil lillat (110.1p))RCROOD -for the permit or license is being re, CiN or Twit &,ejas ha&f; ulon, gn it a I s t tb I b I c j i i (i I ijil o p am i W1 ic pplicent policy In U01111AL.On (Ifne-CessAry) mid ulidat"MT ifeAddrese, th-, lipplicalit'shoold -vvrj (e %R locif ioll.s fq�Vll.)Y-A copy ofthe affidaVit-tharblisbeen ok ill arkdd by iflO.CiVor. town litay , be -provided (a ViapliplicantasProaf(hattvaffdOffidivi ;s611 forh1treionift�oflicensfS. AIfelrAidavitliusftfllledoi[eadl i 0& adog liccilso oel;eenukto burn leaves CIO-) said pefs.01&xo)rrquirad to Collipler"trds afid,114f. Tile. ft�Oel'.11190 bryPqP60 ie (10 not lleslfala tagllvahkA,(rfdL ffliy Thu Office Of-111yog', Toj. 41 617-127-4POD W406 of 1. W-MASSAVE --q-26.0s. A:�- Vt 61 M21-:7749 11111-WARSS,gov/dia t f A