HomeMy WebLinkAboutMiscellaneous - 104 CASTLEMERE PLACE 4/30/2018TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..��"►� �T±..L,-.............................
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has permission to perform .....c�. P, y 0 ;(,/Am..
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wiring in the building of...........l1h Q.
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Fee./! .....:.... Lic. No. iq..... ..Mr..............
ELECTRICAL
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INSPECTOR 1
Check #�}�
11 A51
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Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only kj
Permit No.
Occupancy and Fee Checked
[Rev. 1/071 (leave blank) w`
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Z
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: \3-n J
City or Town of. NORTH ANDOVER To the Inspector of Wires: \
By this application the undersigned gives notiAof hid 9r 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 Utility Authorization No.
Existing Service Amps _ / Volts OverheadF-1 Undgrd ❑
New Service Amps / Volts Overhead ❑ Undgrd ❑
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
No. of Meters
No. of Meters
No. of Recessed Luminaires
__... ._.. _.. .. ..... ...... .. ...
No. of Ceil.-Susp. (Paddle) Fans
......... ...w vv rr.n. va.0 ✓ ...c ♦..J cl.t Vl
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑In- El
rnd. rnd.
o mergency ig ung
Batte Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiatin Devices
No. of Ranges
No. of Air Cond. Total
TonsgNo.
Alertin Devices
of Waste Disposers
Heat Pump
Number
..............................................................Totals:
Tons
KW
of Self-Contained
[No.of
ection/Alertin Devices
No. of Dishwashers
Space/Area Heating KW
al ❑ Municipal ❑Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Water
No. of No. of
No. of Devices or Equivalent
Heaters KW
Signs Ballasts
Data Wiring:
No. of Devices or E uivalent
No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wring:
No. of Devices or E uivalent.
OTHER:
C�
N
4 Oro- Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Elec ncal Work: { — (When required by municipal policy.)
Work to Start -;6 -
ins itions to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COV K RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless 1,
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such c,,o_v,e�r is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE L� BOND ❑ OTHER ❑ (Specify:)
I certify, under t'pains and penalties .ofperjury, that the information on this application is true and complete.
FIRM NAVE: LIC.
NO.:
FIRM
me-
Licensee- f(A Mwp gni e LIC. NO.:
(Ifapplicab, enter "ex 1" in the lic a numb ine:) Bus. Tel. No.
W-4-6
Address: Q1+ Alt. Tel. No.:
*Per M.G.L c. 147, s. 57-61, se&dity work requires Department of Public Safety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No.PERMIT FEE: $
1
''C 3MMONWEALTH, OF MASSACHUSETITS
Feb. 28. 2013 3.55PM
N
9
No, 7614 P. 1
GENERATOR APPLICATION
DATE: .&- I -a-
LOCATION:
OWNERS NAME: 9
GENERATOR i<w
r-�
NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS*
v
CONTRACTOR:
PHONE NUMBER:
ELECTRICAL
RESIDENTIAL
1
GAS
COMMERCIAL TEMPORARY
v
LOCAL -ION OF GENERATOR:
*ZONING DISTRICT:
*CONSERVATION APPROVAL"