HomeMy WebLinkAboutMiscellaneous - 1 KINGSTON STREET 4/30/2018t4:��012 Massachusetts Electrical Code Amendments 527 CMR12.00 § Rule 8: In accordance-withtherprovisions ofM.CT.L. 0. 143,'§.3L. the
ermit application form to provide notice of installation of wiring sh . all be uniforin throughout the Commonwealth, and applications shall be filed
ba the prescribed form. After a permit application has been accepted by an Inspector of Wires 'ointed pursuant to M. 01 o, 166, § 32, an
app
electrical permit shall be issued to the person, firm or corporation stated on the permit application, Such entity shall be responsible for the
notification of completion of the work as required in UG.L. c. 143, § 3L.
Permits shLbe limited as to the time of ongoing construction activity, and may 'beleemed-by-the,-Tnspector-of-Wires abandoned-and-inv.alid.Me—
or shobas determined tli�t the aulborized worl� has not commenced or has not pro'gressed during the preceding 12-momth period. Upon written
application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon . the written
request of either the ovimer or the installing entity stated on the� permit application.
Th e Permit Extension Act was created by S ecti on 173 of Ch apter 240 of tb a Arts of 2010 and extended by Sectjons.74 and 75 of Chapter 23 8 of
the Acts of 2012. The purp os e of this act is to promote7job, growth and long-term economic recovery and the Permit Extension Act farthers this
purp ose by establishing an automatic four-year extension to certafirpermits -and licenses concerning the use or development of real prop erty. With
limited exceptions, the Art automatically dxtends, for four years beyond its othqr'wis e applicable exp ir�tlon date, any p ennit or approval that was
"in eff-ect or existence' during the q�alifying period beginning on August 15, 20 0 8- and extend-ingthrough August 15,2012.
IKUle 8 — Fermit(Date Closed: 3-- /3 =/
Note: R I f r new permit
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A66mit ]Extension Act —Permit[Date Closed:
DateA . .... ��7..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
j
This certifies that ............ . . .......... . ?4"'..
...................
has permission to perform ..... ..... .....
wiring in the building of .... "'.-
at ....... .. I ........... . ...... ......... N rth Andover, Mass.
Fee.d'�S�
........... .... .. ......... ..... ... ...
Lic. N,,1711 .. ...... ....
E R CA E
Of I L
Check #
7696
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BOARD OF FIRE � PREVENTION REGULATIONS 527 CMR 12:00 F3/90 (leave blank)
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A Ll -CATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date September 21, 2007
North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) 1 Kingston Street
Owner or Tenant Property Management of Andover
Owner's Address P.O. Box 488
Is this permit in conjunction with a building permit: Yes ❑
Purpose of Building Residential
Existing Service Amps / Volts
No ❑ (Check Appropriate Box)
Utility Authorization No.
Overhead ❑ Undgrd ❑ No. of Meters
blew Se ica --Amps- I Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity —
Location and Nature of Proposed Electrical Work , Lighting ..in, -boiler- room
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
KVA
No. of Lighting Fixtures
9
Above In -
Swimming Fool grnd. ❑grnd. ❑
Generators KVA
No.,of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting
Battery Units
No._of Switch Outlets
No. of Gas burners
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No. of Sounding Devices
No: of Self Contained
Detection/Sounding Devices
Local Municipal
❑ Connection ❑ Other
No. of Ranges
No. of Air Cond. Total
tons
No. of DisposalsNo
of Heat Total Total
Pumps Tons KW
No. of Dishwashers
Space/Area Heating KW
No. of'Jryers
—
Heating Devices KW
lo.l. of�Water Heaters KW
of No. of
Signs
Signs Ballasts
Low Voltage
Wiring
Nw Hydro Massage Tubs
No. of Motors Total HP
U I
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 L 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 Q BOND ❑ OTHER ❑ (Please Specify)
Estimated Value of Electrical Work $
Y Work to Start
Signed under the penalties of perjury:
FIRM NAME CROWE & SONS
Inspection Date Required: Rough
ELECTRICAL CORP.
Licensee JAMES B. CROWE Signature
(Expiration Date)
Final
_ LIC. NO.17168A
_ LIC. NO.17168A
V 96
Address 5.76 MIDDLESEX STREET, LOWELL, MA 01851 Bus. Te►'No. —
No. ty'78)453-6�9 7 8 -
Alt. Tel.
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 check one)
(Signature of Owner or Agent) Telephone No. PERMIT FEE $ 55.00
Date. // .-. �-� -. �� �
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
US
This certifies that 4X,�� ..........
has permission to perform ... ...........................
plumbing in the buildings of . ! ....................
at ... ................. , North Andover, Mass.
Fee.) -.q Lic. No.."�;�� ? .. ......
LU MING INSPECTOR
Check #
5019
MASSACHUSETT'S UMFORIA APPLICATN--ON F.OR. P i t °y r 0- :. PLUMINCa 2. a
(Yv(�t a( TypeQ)
A6 LAW , Mass.
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Building
New ❑ Renovation ❑
Date 40 l Permit #71)
N 'O' wwner' Ns ame . 6 L-, J v sov
Type of Occupancyr11__
Replacement 2 Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name P Ot-iE -T IMA TAe i Check one: Certificate
Address Inc;'gC 4 mA n) y, pi, ❑ Corporation
IV E ! N I ' FA) -. M A 0 �,�VL/ [I Partnership
Business Telephone �� _ _ 1q -7 1 9-A—rm/co.r
Name of Licensed Plumber s , 3 T rrQ ec ,.
INSURANCE COVERAGE:
I have aY usrrent jability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked res,ease in
Pl �dicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Slnnafi lro nl (luinnr nr (1.•,.e.'.. A......•
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws.
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Title
re of Licensed Plum r
City/Town
Type of license: Master % Journeyman C]-
APPROVED(OFFICE USE ONLY License Number IiZL
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Installing Company Name P Ot-iE -T IMA TAe i Check one: Certificate
Address Inc;'gC 4 mA n) y, pi, ❑ Corporation
IV E ! N I ' FA) -. M A 0 �,�VL/ [I Partnership
Business Telephone �� _ _ 1q -7 1 9-A—rm/co.r
Name of Licensed Plumber s , 3 T rrQ ec ,.
INSURANCE COVERAGE:
I have aY usrrent jability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked res,ease in
Pl �dicate the type coverage by checking the appropriate box.
A liability insurance policy Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Slnnafi lro nl (luinnr nr (1.•,.e.'.. A......•
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws.
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Title
re of Licensed Plum r
City/Town
Type of license: Master % Journeyman C]-
APPROVED(OFFICE USE ONLY License Number IiZL
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that
............. .....................
has permission for gas installation . . ..............
.............................
in the buildings of . .
.......... North Andover, Mass.
Fee/. . Lic. No... ...... ... ...........
GAS INSPECTOR
Check # P
-MA...N
•-••-- -.R r;., v���r"nm Mrt-t�lt;q�10(� Fpm PERMIY TO DO GASFITTING
(Print or Type)
Mass. Date 20 01
Permit #
Building Location Hip? Owner's Name
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Type of Occupancy l T) N r, ra t
New ❑ Renovation ❑ Replacement 2111' Plans Submitted: Yesn No n
installing Curnpany name - _ 0
Address H /A A P) L:- (
7 H 1 riD k
Business Telephone /- ,�72'_ cj c/' -7 (
Name of Licensed Plumber or Gas Filter At) AE e A -
Check one:
❑ Corporation
❑ Partnership
2-'Firm/Co.
Certificate
INSURANCE COVERAGE:
I have a current Dability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 12' No ❑
It you have checked ,yes, please indicate the type coverage by checking the appropriate box
A liability insurance policy
Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit a
' pplication waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the pe ' i ed for this
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner Laws.application be in compliance with all
T of License:
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ......................
has permission for gas installation ............
in the buildings of ...................
at .......... ....... North Andover, Mass.
Fee.... Lic. No ........... ... ........
GAS IINSPEC-ft"'
61eck # 4�
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InstaNing Company Name - T1 — �'C� Check one: Certificate
Add•.'ess � nA r u h A tj `. (
❑ Corporation
M T N: F n} r11 a. D 1 k �{ y ❑ Partnership
Business Telephone 6 )�Z _ � (7 -7 (
g�irm/Co.
Name of Licensed Plumber or Gas Fitter )
INSURANCE COVERAGE:
I have a current fpbility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes G2' No ❑
If you have checked yes, please Indicate the type coverage by checking the appropriate box_
A liability insurance policy ,
Other type of indemnity ❑ god ❑
--- a r:., Lnxor%inm Pkr-t-uc:ATIpN FOR PERMIY 1'O DO GASFiTTIIVG
(Print or Type)
f _ Ay ,, h
Mass. Date P rmit #
Building Location Owner's Name&
Type of Occupancy__n LI - N T r�
New ❑ Renovation ❑ Replacement 21-11
Plans Submitted: Yes❑ No ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit a
pplication waives this requirement.
_. Check one:
Signature of Owner or owner's Agent Owner❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the pe i ed for this
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner Laws. application be in compliance with all
T of License:
Plumber
Title tter Whure f cen u _. or fitter
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OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit a
pplication waives this requirement.
_. Check one:
Signature of Owner or owner's Agent Owner❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the pe i ed for this
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner Laws. application be in compliance with all
T of License:
Plumber
Title tter Whure f cen u _. or fitter
•••- •---^--•
Qty/'Town Jo� elan License Number
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