Loading...
HomeMy WebLinkAboutMiscellaneous - 1 HIGH STREET 4/30/2018 (3)&JI, Date .... ��— / '? - / ......................... OORTFt TOWN OF NORTH ANDOVER PERMIT FOR WIRING 7-& 12 _LZ-, Z7 �-ZZ-r7— SZ461 Thiscertifies that ............................................................................................. has permission to perform ..... .2 ............................................. wiring in the building of ....... ............................................................................ .y- S, -- at ........... 4.!.� I . .............................................. . North Andover, Mass. Fee.. I . Z . .5— Lic. No./��5-,�/ ......... .. ..... ....... ... ......... &A.; ............. '.- 1306 ELEcrRicAL INSPECiOR Check # 13 ZZ,') -El 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance-withtheprovisions of M.G.L. c. 143, 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed' on the prescribed form. After a permit application has been accepted by an Inspector of Wires aplointed pursuant to M. 01 c. 166, § 32, an electrical permit shall he issued to the person, firm or corporation stated on the permit application. Such eutty shall be responsible. for the notification ' of completion of the work as required in UG.L. c. 143, § 3L. Permits shalLbe limited as to the time of.ongoing construction activity, and maybe..deemed-by-theJnspec�pr-of-Wires abandoned-and.invaliddfte,— or she has determined that the authorl�ed-*%York has not commenced or has not progressed durly,;ithe-preceding 12 -month period. Upon written application, an extension of tim@,for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the. permit application. El The Permit Extension Act was created by Section 173 of aiapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 23 8 of the Acts of 2012. The purpose of this act is to promote7jobi'growth and long-term economic recovery and the Permit Extension Act filrthers; this purpose by establishing an automatic four-year extension to certain -permits -and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otheiwis e applicable expiration date, any permit or approval that was "in effect or existence' during the qu"alifying period beginning on August 15,2008.and extendingthrough August 15,2012. 26iWe 8 — PermitDate Closed: Note: Reapply for new pe 0 Permit Extension Act — PermitfDate Closed: •r,.�..1,...-. F��V•� ��C:e.:'..�,"3t �a�il uo:.L' r' •.�.�uuni vg�vlL jr �Dc 14 0. UN- `Y; O,^� � ? U' - �i �'' -t !_ f`10I - ^ 1 Occu-oanc-y aIlC i ee r,--jred r._v_: I B:• r% _�� L,�I I.?�,i� Jfrev. i1!o4� -.�-_ (leave blank) 0 ` °C�kr l r ''�'°��°—Iqq ��� =f� AD wort:rnbe I' a k cv; �6 . : .� -f.' _ - - nerrormed in accordance with the Massachuseit s �iec�i:al -ode {Pv.:.C1; _27 (y G5 ' :`i'_f1\i 11Vi:O � ``�= r^ 117_ � y1',1, m`Ri".Oil n�1It�L�i^ I 1 �d C2-'tV 'I'OWI� _.i � • ' Mato. -'i :Lig, c��_ICatIOn tr e rmde. Slml'd g i es notice of Il' 0; - her lIlLe_ 'Ion LC pelOz= file eieC :ai woil€ $zrib,d o > e ,ocatiGU 9 street Number) tow. Ovirner or Teman Owners Address Telephone No. thus JDe-rout nr C01iJUMern®tr, vet a �unia fneA, p_r>rauitry . es ❑ No (C Pappose ofBuilidint /G iuecl:l ppu®p late o T dht:y Autborintiou No.7— �'�ist;I>eD Service.r�.nnps / Volts CrVerinead ❑ find .. mrd ❑ 1%, of teeters Le"I Se_r`ice Amp u — Numbe rt1T� - s -Vo'ts ra :,er'LAa=z n _,-_ • J T �n I�un>mlber 4 fn eA 4 �I VSi�CL vA ❑ I?o. of Metten- csers and Ampaci:f +� Bocatiort aid I"�;atur e of P'sa�aos.. Eiiec>rr' n -t, ... a wvori_: v M i � Cmm�ietion n{the nllnii�iitg table mar. � , Ito• of ^:°sacci F' -rt. e �- x aped nv the i�nDec..... rgg IIva. oL Cc -I -Sup. (aaodiej Fans INo. of r ,, P' IVo (Pt F a�alrtnim� OLth�t, r Hot T r -� Tn`21PIl5][®lfnelrS 1Q''ar oa IOeatera¢ors -�-� �i�t ��� Fero of ]J> Sl�aiaee Fitunares ... S��iffiumino Fobi, a � �_ 1 0. o>; �uarae ae>me�' n.agnh�n2p T U �rnd. ;�atterw vaults ° ., ; `I i No. ofReceptaeie ontlets - INo. of Oil Burners — > RMS No. of Zon es Ivo• of siitches' Ilio. of Gas Burners o. of Detection and Ivo. of Rancres llmitiafimg Devices IN-- of fir Fond. Total — A Tons No. of AiNeuting Devices I°do. of ase Disposers �---^ l�ea4 @� Nunnber Tons IYr<V �— Totalis: I �� Ivo. of I III Iountained Detectiotn/Aieraing Devices No. of lC�nsinv:�asheu3-------� S ace p //area Heating 1 W'at uunic� . No. ofDzTers ® nn t'on ther Conn_ Appliances t- ✓ — Seeurit• , No. of dater N S3sa,uans: _G I I�1o. of No• of Devices or EauiQ'aie Heaters"' K�'w Indo. o — at. 113ata �irI ng Signs )(yaliflaStS I c• r---� INo. E ydfro�na�sa A atinicui�s I Ivo. of Devices or Eofui�.,.alent Ivo. oflbliotOn-----'' Total ITeieeonnuinuunicaeions ilirnaib_rn IO'�71$ R. Ne. of devices or E�n,>afiPT,4 I �riach addriiona/ derail ij desired, oras reou ed br the inspector of 4f'ires. Unless waived by the ovmer, no p is it for the ' rorm�ce of electrical wort; ma is the licensee proof of liability insurance including "completed o er fon y sue unless undersigned ce tir:es that such coveraR� force, a P at coverage or its substantial equivalent. The is in force, and has exhibited proof of same to the permit issuing orifce. CI -BECK ONE: n4SUP-.ANCL BOND ❑ OTHER r ❑ (Spe iiy:} � Estimated `Value of E -e rical Work: � �O (" •pirai' n Date; " • l..�!` (When required by municipal policy.) VJorI: to Start: el���P611aldeg Inspections to be requested in accordance with MEC Pule 10, and upon completion. tcertify, a2ty er aae ojperjury, that the informatjore on this rap fica2ion is true )1;'IRMN1A —erstate Electrical S-rV1C �Co - p and complete. Licensee: p e IC- NO•: z� - 5 217 �guale A. E1 ibrand.i Si -nature - (/f applicable, enter "exempt " in the license numher lute.) IlC� !s dub�ss: _ rca l A vA P A us. Tel. N C))VV FER`- f•� r A7 Ri 1 1 ori ca MA 01 862 o.:. �LT]F1�NC" *AJV-t- ` !am aware that the Lfc nsec woe, net hove the liability insurance Tel. coverage required by law. By my sienature below, I hereby waive this re uirern� c normally owner/ ...aegit 9 requirement. I am the (check one) ❑ owner ❑ owner's agent, 5i�ature 'E'eiep6one h+io. PEP MiT FEF. S '-7 -7 � ov 4-1's Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Nt!� This certifies that .. ... has permission to perform ... . ............................. s plumbing In the building of .......... f a t. .... ....... :-":� North Andover,'Mass. ' /. k V .......... Fee Lic. No. � ...... Check PLUMBING INSPECTO�/- '4'v 6463 MASSACHUSETTS UNIFORM APPU¢ATION FOR PERMIT TO DO PLUMBING Mw or Ty9el Burd" Rm atfon Maes Date i4 �daa l `a P W VA # (J Fere �QhVP�^S e Replacement O FIXTURE$ M t 0 Pians Submitted: Yes)( No [] Sub—BSMT. BASEMENT IST FLOOR 2ND FLOOR 73RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name er Aller e s s -NP (f-fr"n S4- 2�6 d m m bl' Business Telephone 7�f 7'`f d ' y;Z00 Name of Lkensed Plumber [/�%licy2 �✓i/�I�1/�l'' i check one: Cartlfkale ❑ C-OrP• ❑ partnershlp Ag-fkm/co, INSURANCE COVERAGE:ck gne I have a current liability Insurance policy or As substan(lat equNvalent. Yes XP No ❑ M you have checked In, please k-,dlcste the type coverage by checkk)q the spproprlale box. A IlablRy Insurance policy eww Other type of Wem Ay O florid ❑ OWNER'S INSURANCE WArVER: I am aware that the Ikensee does riot h4ylL the insurance coverage required by Chaplet 142 of the Maas. Genenw L.awe, and that my signature on this permll appilcallon walves thle requirement. Check one: Owner ❑ A g e nl ❑ S*ahxo a a Agent I hereby cortlty that a!A of N de t ails and In for m Don I haw submWed (a sntsrs4 In above app&4 tion are tr A and acax a l e to the b4 si o( n and that J pkxnbkV work and h s t all, bw s perfor n*d wxk( tM WrrA laved Io( W a tion be In oon-vi anca wi th aA pertkwii prosi s lon s of thd A,t a aaaclw s• H s State Pkxnbkv Code and Chapter/1 2 of Mw al SignSILK T1tSe _ ucenso Number 1-a CltylTo," APP rUNT 0 tOFTIC E USE OtJI_'n Type of Pkxnb�rx7 l�c.n sa : Mmx � C)•Ym mm � C C a a O 7 a o C3 � �a o: c W W \ a m C tt O a x 2 w +' �i A w° aG Uw" wo' wno' � w o04 w oo vi o cn z CL 1 y F 291, I ccm O•— � p� mm c CD C p i_ cc O d cma Cc o c v CL 0 CD C Z tsO v y O c c•- '- c cc y p C C O 7 o C3 �a o: c W W \ m C tt O E a wc - " m O ion y OM O0o c Tj o'. c E ` m c0 y m 3 y.r Cl m y =0 Cc C y O L" y m O 'fir RIB Co y • • M Cf COQ 32 O f0.1.LA O gZ O m C C 0 CIO W 0 w •aD O C O 'E 0 +' 8 .y o LWUca a H d •� O� = w � o� �m O t $a.M 5 1 y F 291, I ccm O•— � p� mm c CD C p i_ cc O d cma Cc o c v CL 0 CD C Z tsO v y O c c•- '- c cc y p www.svdesign.com 126 Dodge Street Beverly, Massachusetts 01915 t 978 .927.3745 f 978 .927.6365 Siemasko + Verbridge Architecture Interior Design 2 March 2007 Office of the Building Inspector 1600 Osgood Street North Andover, MA 01845 Re: Renovations to the Converse, Inc. 3rd Floor One High Street, North Andover MA To Whom It May Concern: Siemasko + Verbridge, Inc. has reviewed the 3rd floor workstation layout designed by Office Environments for the planned renovation to the Converse office building. The layout complies with Massachusetts State Building Code 780 CMR and all other applicable codes, with the exceptions noted on the attached drawing plans. Sincerely, PACommercial, Current\Converse 2007\Converse 4th and 5th Floor\02 - General Correspondence and Project Info\2007 03 02 Letter to Building Inspector.doc CONVERSE INC. PERMITS FOR WORKSTATION BUILDOUT 6 -Mar -07 3RD FLOOR Sales/Licensing Area $20,581.11 Marketing Area $46,086.58 Ray Etzo' Area $27,777.84 Sales Area $53,790.42 Total: $148,235.95 X.012 Total Permit Amount: $1,778.83 ROUGH INSPECTION CONSTRUCTION CONTROL AFFIDAVIT PROJECT LOCATION: One High Street, North Andover, Massachusetts PROJECT NAME: Converse, Incorporated NATURE OF PROJECT: First floor renovation including fitness room and associated storage areas ARCHITECT: Siemasko + Verbridge, Inc. ADDRESS: 126 Dodge Street, Beverly, MA 01915 TELEPHONE: 978-927-3745 In accordance with Section 110 and 116.0 of the Massachusetts State Building Code, I, Thaddeus S Siemasko, Registration No. 6028, being a registered professional Architect, hereby certify that I have reviewed the work at One High Street, North Andover Massachusetts, and to the best of my knowledge, such work meets the applicable provisions of the Massachusetts State Building Code, all accepted engineering practices and applicable laws and ordinances for the proposed use and occupancy. I fiirther certify that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the remaining work is proceeding in accordance with the documents approved for the building permit. Pursuant to Section 116.2.2, I shall submit periodically, progress reports together with pertinent comments to the Town of North Andover Building Department. Upon completion of the work, Architect, and/or Engineers, shall submit final affidavits as to the satisfactory completion and readiness of the project for occupancy. ,hen personally appeared the above r hat the above statement by him is true. RLEY chusetts res reuruarr IJ, 6VIJ ��e S12I1 and made oath Befor Me, l':`.Cornmercial, Current\C=onverse 200T:First Floor 2007`,3 0 - Construction :\dtnf ihU„tion\RotEgh lIa Construction C onirol Affidavit 08-02-1 2.doex 5 ��e S12I1 and made oath Befor Me, l':`.Cornmercial, Current\C=onverse 200T:First Floor 2007`,3 0 - Construction :\dtnf ihU„tion\RotEgh lIa Construction C onirol Affidavit 08-02-1 2.doex 12/18/ 92 - 13: 35 h F LEND SPE(AAL I EB JEB MECH. ; 55201 t -x -x -x —SKYLIGHT AWVE F-7 atIMNEY FLUE TO MWAW J= "A -wt* FUNCTION RWM 5S205 V- E -1-A-1 C BUILDING 5S MECH ix ELEV 42 LOSHr XISr SSM4 E -1-A-1 5 1 ELEC. U-1 E8 55202 FE x -x -x -x viii,:, V ki AEG/MODICON CCS--Mit4M) IZ-1wo i 0# 7X 0 NORTH ANDOVER MMLS VAT= & WON MUM NORTH AtMOV=. MA 000 2 I 11w X:zj gyp" bun " Cmz= Uf 0 fdA Kew ?�A4 li I N -`7f ixx# (VVY 10 pleiqS anle ssojo anIE]) r -N, 5–x—x# MY Jo plelqS anIq ssojo anle) aniq Odd GJBDIPGW 5x --x# (Vvy jo pleiqS anle ssojo anle) ME] OWH eJBOIPGW --2 NI 10 euo wojj pjeo diLlsjeqwew B-GAet4 noA 11 z :sseippe leei4s (WISJUlse-1) :9weN 11308A GA!GOOJ 04 UOSJed eig Inoqe uoilewjojul 9W Pue 'ou ' looeA eqj 9AeB oqm uoved eqj jo allp pue Gweu q AuedwoO GW JO aweu atil 'UGA ' 15 SeM OU ' WeA eqj W914m RA RIM PJOOej ll!m Aeq-L 'Pjooaj ja�ipaw inoA uo j! pjooei IOOP u8llYm eq� doi uuoj syq� asn Aew oplo jo joloop eq_L jieN ojdssBW/dHVW JPV OU1338A ;InpV tx ezuengul SN"d Hlrvm fo NouinDossv silEisrmvssvw Fit 11 Date .... 7—e 7 .............................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING ............................. This certifies thatplqyffr!�E.t.k�!!� ... '-I;zr "" :5,-, -c- has permission to perform ....... 7-k ........................ ............. V wiring in the building of ......... 59h1viF.!P� .... ....................... at ........... ....................... North Andover, Mass. Fee.. Lic. No...N.8 ......... .... ....... A -L* : iNSP . ECTO/ ... V ....... Check# Alf7 �i 7352 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 7 j .S "2. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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 TYPiEALLINFORMATION) DY ate: 7 City or Town of: To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) yti SAr.-e Owner or Tenant 5cAm i r lee. ✓.c Telephone No. P Cfi7g-Z6�-Icy Owner's Address / 4i m Is this permit in conjunction with a building permit? Yes ❑ Purpose of Building a 4,,„,�n1,L Existing Service Amps / Volts . Overhead 7. New Se r-ke - Amps- Volts Overhead ❑ Number of Feeders and Ampacity No 0 (Check Appropriate Box) Utility Authorization No. and Nature of Proposed Electrical Work: Unvdgrd ❑ No. of Meters Uudgrd ❑ No. of Meters r.n ietinn nra v rnnnu:ino l hi. —, ho—f.....1 a oz... r«..«,.,...... ,.frv:...... No. of Recessed Fixtures No. of Cell.-Susp. (Paddle) Fans o. of otal Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures No. of Receptacle Outlets Swimming Pool Above ❑ n- ❑ rnd. Urrid. No. of Oil Burners o. o mergency Ligliting :. . Battery Units `> FIRE ALARMS No. of Zflnes No. of SwitchesNo. F ' of Gas Burners o. o Detection as Initiatin Devices No. -of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers eat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ MunicipalEl Other Conneectiction No. of Dryers Heating Appliances KW ecuritySystems: No. of Devices or E uivalent No. o Water KW - Heaters o. o o. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP TelecommunicationsWiring: 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 FA BOND ❑ OTHER ❑ (Specify:) 9/2007 (Expiration Date) Estimated Value of lectrical Work: g'OCb , op (When required by municipal policy.) Work to Start: 7 4 Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this FIRM NAME: -"Pi uette $ Howard Electric Sere' complete. :. No.: MR392 - Licensee:-, _, Robert -B. Howard. Signature LIC. NO.: MR392 avapplicable, enter ."exempt" in the license number line.) Bus. Tel. No.:_978-685-614S Address: 59 Ames Street- Lawrence MA 01841-' Alt. Tel. No. -978-685 0029 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ 12,,574a Signature Telephone No. 7 -le Date.. -E ......... ...... 0Y TOWN OF NORTH ANDOVER . �Ww� PERMIT FOR WIRING Thiscertifies that ........... ................................................................................. has permission to perform - �& ........... ��: ........................................... wiring in the building of ............................ ]� ............................................. North Andover, Mass. at ........................ V..'Y1 ............................................. . ........... Fee.?� .......... Lic. No. ...................... Check # z/" �--ELEcTRICAL INSPECTOR 5G75 The Commonwealth of Massachusetts Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 527 CMRjr Otflcee Uae Only '� /erott :b. r� Occupancy S fee CTeckeO 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM- ELECTRICAL WORK AU work to be psriormcd In accordance with theatsachutctts Electrical Code_, $27 CMR 12:00 (PLEASE PRINT IN INR OR TYPE ALL INrORK&TI.ON) Date City or Town of i �� a�%� �� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. lavation (Street. b Number) (JI IQ C11,(i 1'r W�7 I coif_ r1- c- Owner or Tenant c Owner's Address, 1 Cr Is this permit in conjunction with a building permit: Yes rV7No ❑ (Check Appropriate Box) Purpose of Building (IFF 1. L& Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters New Ser -rico Amps / Volts Overhead ❑ Undgrd ❑ No. of Y.eters Humber of Feeders and Ampacity. Location and Nature of Proposed Electrical Work fall) 11 r(,I r I LP C5\ No. of Lighting,Outlets No, of Hot Tubs No. of Transformers Total KVA o, of Lighting Fixtures Swimming Pool Abnde ❑ rnd. ❑ Generators KVA Mio. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units a, of Switch Outlets No. of Gas Burners FIRE ALIJOIS No, of Zone3 No, of Detection and Initiating Devices No, of Sounding Devices No, of Self Contained Detection/Sounding Devices Local[] Mlunicipal Connection ❑ Other No. of Ranges Total No. of Air Cond, tons Disposals No. of Dis P No, of Heat Total Total Pumps Tons KW No, of Dishwashers Space/Area Heating KW No, of Dryers Heating Devices KW No. of Water Heaters KW o Sns Ballasts of No. of Voltage Wow V it No. Hydro Massage Tubs No, of Motors Total HP R: 1N5UK"QX cvvERAGEt Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES (3 NO CD I have submitted valid proof of sane to this office, YES Q NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND OTHER 6 ® ❑ ❑ (Please Specify) Security System/Public Safety Lic # Expiration ace Estimated Value of Electrical Work $ 2 Work to Start —3:::An Inspection Date Required: Rough 3 Final Signed under the penalties of perjury: FIRM NAME Barker Electric Service, Inc. LIC. NO, A15392 Licensee David Barker Signature ,.+;A d LIC. N0, E24156 Address 50 Lakeshore Road, Boxford, MA 01921 Bus. Tel. No. -(978) 352-9188 Alt. Tel. No, (978) 35.2-9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or LCS sub- stantial equivalent as required by Massachusetts General L.3W3, an Chat my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. ( 978 ) 352-9188 PERMIT FEE S Signature of Owner or Agent Date.... -57�.46.. -- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... ....... �-'A! . ....................... .......... ........... has permission to perform ............... . wiring in the building of ..... �"! �4 ........................................... at .... ............................. ..... . North Andover, Mass. Fee.76'�,! .... Lic. Nd. a, ......... ..... . �4 .......... . . ....................... ELECTRICAt IN$RfiffOR Check # 6/ ,I -, 571 1- IN L31 V of ffiassnr4 US OFFICE USE ONLY Department of Public Safety Permit No. Utility Authorization No. 'BOARD OF FIRE PREVENTION REGULATION 527 CMR 12:00 APPLICATION FOR ,PERMIT T PERFORM ELECTRICAL WORK All work to be Derforme4� In accordance wl the Massachusetts Electrical Code, 527 CMR 12:00 please print in Ink or ty, all City or Town of:. To the Inspector of Wires: The Location (Street & Number): _ Owner or Tenant: for a permit to perform the Dater r —Z Owner's Address: Phone: Is this permit In conjunction with a building permit? XYes ❑ No (check appropriate box) Purpose of Building: below 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:(�IV(},6 tms " 42LL ki No. Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. Lighting Fixtures dO Swimming Pool amd e ❑ gnIn- ❑ Generators KVA No. Receptacle Outlets ` p d No. Oil Burners No. of Emergency Lighting Battery Units No. Switch Outlets No. Gas Burners-: of zones _ No_--------------- No. of Detection and Initiating Devices ------------------------- No. of Sounding Devices ------------------------- No. of Self Contained Detectlon/Sounding Devices Local❑ Municipal[] OTHER: Connection No. Ran es g No. Air Cond Total Tons No. Disposals N0. Of Heat Total Total Pumps Tons KW No. Dishwashers Space/Area Heating KW No. Dryers Heating Devices KW No. Water Heaters KW Noof Ballasts No, of SignsNo. Low Voltage wiring Hydro Massage Tubs No. of Motors Total HP OTHER: 1;:r -A_ INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy Including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ I have submitted valid proof of same to this office. YES ®. NO ❑ If you have checked 'YES', please Indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (please specify): Estimated Value of lectrical Work: $_ r%���1i1 (expiration date) Work to Start: q Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: FIRM NAME: Parker Electric Service, Inc. Lic. No: A15392 Licensee: David Barker Signature: Lic. No: E24156 Address: 50 Lake Shore Road, Boxford, MA 01921 Phone: 978.352.9188 Alt #: 978.352.9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this Pequirement. OWNER AGENT (please circle one) Signed: Telephone No. Permit Fee: WHITE - OFFICE COPY • YELLOW - CONTRACTOR'S COPY • PINK - POSTED COPY q5ilhi; Department of Public Safe BOARD OF FIRE PREVENTION REGULAT APPLICATION FOR PERMIT All work to be performed In accordance with please print In ink or ty all information City or Towffof' To the Inspector of Wires: The unc Location (Street & Number): Owner or Tenant: Owner's Address: Ich ttg OFFICE USE ONLY Permit No. ;7W Utility Authorization No. 527 CMR 12:00 T PERFORM ELECTRICAL WORK the Massachusetts Electrical Code, 527 CMRi;2;A0.j{ Date: r r r .for a permit to perform, the electrical (work described Wbelbly. Is this permit in conjunction with a building permit? 3(Yes ❑ No (check appropriate box) r Purpose of Building: 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: r No. Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA" No. Lighting Fixtures Swimming Pool Ab... ❑ gmd. ❑ Generators KVA No. Receptacle Outlets No. Oil Burners No. of EBatterylmer ency Lighting-_ .. No. Switch Outlets No. Gas Burners 1111=4113, W-R.-Evio No. of Zones i ----------- No.-oDetectl---and- Initietln Devlcea -- _ No. of sounding Devices ------------------------- No. c Self Contained Detection/3ouDevices ----------------- Local❑ Municipal OTHER: Connection No. Ranges Total No. Air Cond Tons No. Dis osals p N0. Of Heat Total Total Pumps Tons KW No. Dishwashers Space/Area Heating KW No. Dryers Heating Devices KW No. Water Heaters KW gi 'n; No.Balof Low Voltage Wiring No. Hydro Massage Tubs No. of Motors • Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws'l have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES ❑ NO ❑ 1 have submitted valid proof of same to this office. YES ®. NO ❑ If you have checked 'YES', please Indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (please specify): Estimated Value of lectrical Work: $ ��h _1' . (expiration date)' Work to Start: Inspection Date Requested: Rough Final Signed Under the Penalties of Perjury: FIRM NAME: Parker Electric Service, Inc. Lic. No: A15392 Licensee: David Barker Signature: Lic. No: E24156 Address: 50 Lak shore Road, Boxford, A 01921 Phone: 978.352.9188 Alt #: 978.352.9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent'as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. OWNER AGENT (please circle one) Signed: Telephone No. Permit Fee: — N WHITE - OFFICE COPY • YELLOW - CONTRACTOR'S COPY • PINK - POSTED COPY r4rr 5 /Ub% „roc: Z 7 —0 -)o /"7-",tl ho A ,q/t 97V 22—fmj N� k..I c lqc cuvtee EO The Commonwealth of Mossachuse ,0 Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS rcroilt ;to. Occupancy S fee Checked CMR 1200 1/90 cleave blank) APPLICATION FOR PERMIT TO ERFORM. ELECTRICAL WORK AU work to be performed In accordance with th Mauachusetu Electrical Code, 527 CMR 12,00 (PLEASE PRINT IN INK OR TYPE ALL I-0 TION) Date City or Town of To the Inspector of Wires: The undersigned applies for a peruit to per Location (Street & Number) Owner'- TinlAt v w : Owner's Address e electrical work described below. J Is this permit in conjunction with a building permit: Yes � No ❑ (Check-Wppropr,ia:teBox) Purpose of Building Utility Authorization H' Ll Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Serviea Amps / Volts Overhead ❑ Undgrd ❑ No. of !'eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work :70 ref lA) 'C �fJ(I f � T4— J1 No. of Lighting Outlets No, of Hot Tubs No, of Transformers Total KV ,1 No. of Lighting ftxtures Swimming Pool Above n-KVA rnd, Elrnd. ❑ Generators No. of Receptacle Outlets No. of Oil Burners No, of Emergency Lighting Battery Units No, of Switch Outlets No, of Gas Burners FIRE ALAXIS No. of Zone3 No, of Detection and No, of Ranges No, of Air Cond, Total tons Initiating Devices No, of Sounding Devines No, of Self Contained No. of Disposals P No, of Neat Total Total Pumps No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Local ❑ Hunicipal ❑ Other No. of Dryers Heating Devices KW Connection No. of Water Heaters KW go' o Ballasts No. of W w Voltage No. Hydro Massage Tubs No, of Motors Total IIP OT?lER : INSURANCE COVLRAGEt Pursuant to the requirements of Massachusetts General Laws I have a current Liabillt Insurance Policy Including Completed Operations Coverage or its substantial equivalent. YES C3 NO EJ I have submitted valid proof of same to this office. YES ® NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE Z BOND ❑ OTHER ❑ (Please Specify) C7 Securityy System/Public Safety Lic # xpiracion ace `astLeated 9alue of Electrical Work $ Work to Start Inspection Date Required: Rough Final Signed under the penalties of perjury: FIRM NAME Barker Electric Service, Inc. LIC. No. A15392 r. ,. Licensee David Barker Signature LIC. N0. E24156 Address 50 Lakeshore Road, Boxford, MA 01921 Bus. Tel. No. -(978) 352-9188 OWNER'S INSURANCE WAIVER: Alt. Tel. No. (978) 35.2-9189 I am aware that the Licensee does not have the insurance coverage or is sub- stantial equivalent as required by Hasscchusetts General�an tt at my signature on chis permlt application waives this requirement. Owner Agent (Please check one) 3Signature o er or A ent Telephone No. (978) 352-9188352-9188 PERMIT FEE S g FROM : 'VCENv FAX -NO. : 14077848594 Oct. 17 2001 02:58PM P1 CT �o.. _......_7'��._.... _..A !3ove /Z /oft,?;.n.o ..�o.e.S. � 4. llq-n.fse 13�j. Ad? X,R.v*e .4n...y..._. �.�s...��.�u . `5 /.... W---4 _.._....____.... _. i.�� �o�,�......�'..✓�5...._._%�/'.� ��.'.�.�.5.4� ..���.�.s.� .... met .����....-.. --....__.......__ .._..._-.._... _/ � tf?..lf .> � n..i.l_....�dZo�.Pc / ��..5.. ..moo../... �✓ PPt� Sff.v1 ...._.... _...-.... l Date.�� ... .............. ....... OWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .......... I ....................... ............ has Permission to perform ... ..... . ... - ........................... : .................................... Wiring in the building of ...... .................................................. North Andover, Mass. ......................................... I I Fee/f:�-� ..... . ..... Lic. N(,--. ......................... Check # 14 -ELEcTRIcAL INSPECTOR _ //9,4' 4 3:z 2 The Commonwealth of Massachusetts 0(ftca Use Onty p�p� N rnit 80. Department of Public Safety Occupancy & fee checked BOARD OF FIRE PREVENTION REGULATIONS 517 CMR 1200 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM. ELECTRICAL WORK ' All work to bs psriurned In accordance with the Mauachuseru Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFOR11=10H) Date C% City or Town of To the Inip cto of Wires: the undersigned applies for a perait to perform the electrical work described below. Location (Street & Humber) !n IC_ 41 & 4 � 1 Owner or Tenant ( �_i�6 V C YZ-S (—::- Owner's Address aLm E - - -- --- — — Is this permit in conjunction with a building permit: Yes ❑ No © (Check Appropriate Box) Purpose of Building Utility Authorization NO, Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Servico Amps / Volts Overhead ❑ Undgrd ❑ No. of Y.eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ,AINSURANCE COVERACE: Pursuant to the requirements of Massachusetts General Laws I have a current LiabilityInsurance Policy including Completed Operations Coverage or its substantial equivalent. YES(3 NO [ I have submitted valid proof of same to this office. YESE] NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Q (Expiration ate Zstimated Value of lectrical Work to Start Signed under the penalties of Work $ Inspection Date Required: perjury: Rough Final FIRM NAME Barker BlPetric SPrvicP, Inc. LIC. NO, A 1 5 3 9 2 Licensee nayic3 Barker Signature lE.�,Li� LIC. N0, E24156 Cq�7M ) 88— Address 50 Lakeshore Road, oxford, MA 01921 Bus. Tel. No.3 Alt. Tel. No.-T9-781--3-'52-9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or It3 sub- scancial equivalent as required by MassachusetCs Ceneral ws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S %Q2�S~ VS Q - — —AMI VL141` • / No. of Lighting Outlets No. of Hot Tubs No. of Transformers TKVA No. of Lighting Fixtures Swimmin Above In- g Pool rnd. ❑ rnd. ❑ Generators KV:1 No. of Receptacle OutletsNo. of 011 Burners No., of Emergency Lighting Battery Units No. of Switch Outlets No. of Cas Burners FIRE A1,MI S No. of Zoneo No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal[] Other Connection No. of Ranges Total No. of Air Cond. tons No. of Disposals Heat Total To Tons KW No. of No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No, o o. OT_ Si ns Ballasts Low Voltage Wtrin No. Hydro Massage Tubs No. of Motors Total HP ,AINSURANCE COVERACE: Pursuant to the requirements of Massachusetts General Laws I have a current LiabilityInsurance Policy including Completed Operations Coverage or its substantial equivalent. YES(3 NO [ I have submitted valid proof of same to this office. YESE] NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® BOND ❑ OTHER ❑ (Please Specify) Q (Expiration ate Zstimated Value of lectrical Work to Start Signed under the penalties of Work $ Inspection Date Required: perjury: Rough Final FIRM NAME Barker BlPetric SPrvicP, Inc. LIC. NO, A 1 5 3 9 2 Licensee nayic3 Barker Signature lE.�,Li� LIC. N0, E24156 Cq�7M ) 88— Address 50 Lakeshore Road, oxford, MA 01921 Bus. Tel. No.3 Alt. Tel. No.-T9-781--3-'52-9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or It3 sub- scancial equivalent as required by MassachusetCs Ceneral ws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S %Q2�S~ VS <J Date ... 141-4.-M.0.�7.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that.. ....................................................................... has permission to perform ....... ........ �.o .............. ........................ "-I wiring in the building of ....... ....... ... ...................................... at ... / ..... ....... .............. 1.14e, ................................... . North Andover, Mass. tee,/,-k� ... . ..... Lic. No . ............. ........................ .1 .................. ELECTRICALYINSPP k- 'hec k # 56b 0, The Commonwealth of Mossachuse Jr Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS occupancy & rte Oh%4044 CMR 1200 3/90 U.ave blank) APPLICATION FOR PERMIT TO' ERFORM. ELECTRICAL WORK AU work to bs psriorn+cd In accordance with ih M+uachusccts Electrical Code, 527 CMR 12:00 (PLEASE PRZNT IN iNK OR TYPE ALL I 0 TION) Date "' 4J '— CIJ� City or Town of To the Inspector of Wires: The undersigned applies for a permit to perflrm'the electrical work described below. Location (Street & Number) Owner or Owner's Address Is this permit in conjunction with a��building permit: Yes jaiNo ❑ (Check Appropriate Box) Purpose of Building t���C�. Utility Authorization NO. Existing Service _ —Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Nei, Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Y.eters Number of Feeders and Ampscity Location and Nature of Proposed Electrical Work ��}o cTj II L1V �� l� No. of Lighting Outlets win No. of Hot Tubs Total No, of Transformers KvA No. of Lighting FLNturss Swimming Pool Above ❑ n- ❑ red, red. Generators KV:\ No. of Receptacle OutletsNo, of Oil Burners No, of Emergency Lighting Batter Units tlo, of Switch Outlets No, of Gas Burners FIRE ALARMS No, of Zone No,No, of Detection and Initiating Devices No, of Sounding Devises No, of Self Contained Detection/Sounding Devices Local Municipal 11 ❑ Other Connection No, of Ringer No, of Air Cond, Total No. of Disposals No, of pe�ats Total Tol No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW o, of No. of Sixns Ballasts Low Voltage Wrins No. Hydro Massage Tubs No, of Motors Total lip OTHER: INSURANCE COVERAGEi Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES (3 NO I have submitted valid proof of sane to this office. YES Q NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ® . BOND ❑ OTHER ❑ (Please Specify) �p C.J'— Security System/Public Safety Lic # xpiration ace EstimatedValue of Electrical Work $ Work to. Start Inspection Date Required: Rough Final Signed under the penalties of perjury: FIRM MAKE Barker Electric Service, Inc. LIC, NO, A15392 Licensee David Barker Signature _ LIC, NO. E24156' Address 50 Lakeshore Road, Boxford, MA 01921 Bus. Tel. No. (978) 352-9188 Alt. Tel. No, (978) 35.2-9189 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage orwIts sub- stantial equivalent as required by NassachuseCts General.lows, and that my signature on this permit application waives this requirement, Owner Agent (Please check one) Telephone No, (978) 352-9188 PERMIT FEE S Signature of Owner or Agent