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HomeMy WebLinkAboutMiscellaneous - 106 UNION STREET 4/30/2018N C4 Z Wr Date.. ......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ has permission to perform ............ 6' .....�� .. ja .......... wiring in the building of ..'F .......... g .'.7�' V ............................ at .....( A'11ZR ..................... . North Andover, Mass. Fee.. /� ........... Lic. No./,—//, �/ .................. ELECTRICAL INSPECTOR Check #036-11 9 10 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. Occupancy and Fee Checked (ev. 9/05] (leave hNnIA APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEJ), 527 QMR 12.00 (PLEASE PRINT IN INK ORTY ALf�INF RMATION) Date: ,2 0 6 City or Town oh. T. �h ay—e/"— To the Inspector of Wires.- By ires.By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) / U6 — (/f yl Owner or Tenant -YL/Telephone N} %� �Q -Sal Owner's Address .� t Is this permit in conjuncti with a b ' ing permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building GJ`f/ 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:, Com letion o the followinatable ma be waived b the Ins ector o W're No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans' No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ -Lu-, ❑ rnd. grnd. o. o mergency Lighting Batte Units No. of Recepfacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches I No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges —� No. of Air Cond. Tom-, No. of Alerting Devices No. of Waste Disposers eat Pum Totals Number * ' " �­­f* Tons K No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating K Local ❑ Municipa ❑ Othe Connection No. of Dryers Heating Appliances ------RW Security Systems:* No. of Devices or E uivalent No. of Water �_ Heaters o. of of Signs • Ball sts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs--- No. of Motors p Telecommunications Wiring: No. of Devices or E uival t OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Eoctriq6l Work(When required by municipal policy.) Work to Start: 12 Ail Inspections to be requested in accordance with MEC Rule 10, and upon completion. 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 issu' g office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Spec i :) I certify, under the pains and penalties of perjury, that the informs o on t1 ' a lic ton is tr comp eta FIRM NAME: Castle Electric, Inc. IC. NO.: A16191 Licensee: James R. Prescott Signatu LIC. NO.: 26186E (Ifapplicable, enter "exempt" in the license number line) Bus. Tel. No.; 781-762-9891 Address: Bldg. # 21 Endicott Street Norwood MA. 0206 Alt. Tel. No.: *Security System Contractor License required for this wor ; if pplicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that t, e icensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive is requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent G� Signature Telephone No. PERMIT FEE. $ ��� TOWN OF NORTH ANDDVtR Of,.•o ,1M0 PERMIT FOR PLU,BING This certifies that .,5�'G.t i � f ..... f.... `.1 ................ . has permission to perform ...5/r.'? !-r.1W 1'. CT. 4 .............. plumbing in the buildings of ... `* or 4'.'./................... at. �O.l ..?: �?'! O 1^ .. . ' .. ...... , North Andover, Mass. Fee. 3 .... Lic. No. t�. t. S.. ....... ..t .� ...... PLUMBING INSPE TOR Check # V `7 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) / �n / _ AV400U� Mass. Date `� 1� V tP Permit # t d-117 -' Building Location 606 6JIV ( oAJ sr 14 % d Owner's Name SYM Type of OccupancySil)PJ�.. New ❑ Renovation ❑ Replacement W/ Plans Submitted: Yes ❑ No ❑ P* Installing Business T FIXTURES Name of Licensed Plumber O RXAk!! j1169 -1/v (- Check one: SE ❑ Corporation 4- 0/70 ( .❑ Partnership 3o _ 36- 3Frm/Co. ©`ice soSTi�`� Certificate INSURANCE COVERAGE: I have a cu ent ility insouO ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes If 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 application waives this requirement. Check one: Owner ❑ Agent ❑ I hereby certify that all of the details and information I have subm ed (or entered ' above application are true and accurate to the best of my knowledge and that all plumbing work and installations peeuentte pe ism this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing ter 14 Laws. By Sgnatur licensed Plumber Title Type of License: Master Journeyman ❑ City/Town t0 1SS ONLI1 License Number / 3 0 Date. �1. ?/e. 4 ......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLAT This certifies that .. �x?. 5.-4. l � ... N. A./" z ............... has permission for gas installation ...... in the buildings of ...,?fir n-: e.-. ! - ......................... at ........ North Andover, Mass. Fee. ..... Lic. No. ..... GAS INSPECTOR Check 4 t ' S I