HomeMy WebLinkAboutMiscellaneous - 125 MARBLEHEAD STREET 4/30/2018 �-� _.
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Vivint Solar
29 Draper St
Woburn, MA 01801.
Phone: (781) 305-3065
North Andover Building Department
%Donald Belanger
Dear Mr.Belanger,
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This letter is to inform you that the following account(s)have been canceled,and therefore will not
be installed:
125 Marblehead St PN#: 287-2017
11 Stonecleave Rd PN: 182-2017
Please cancel the associated permits and close them out in your system.Are there any additional
steps to complete a refund?If so please reach out to my office adminstrator katelin,her contact
information is katelin.brown@vivintsolar.com and we will be happy to complete any steps needed.
Thank you.
Best regards,
Kyle Greene 108068
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U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ......... .......� ................. BUILDING INSPECTOR
Foundation
*semissio erect .......................... buildings on .......!.�r'�... ...1�'I��l1x7n7"�..�!IA Rough
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provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to tbe Inspection, Alteration and
Construction of Buildings in the Town of North Andover. 4q61::A9 PLUMBING INSPECTOR
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VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRU STA Rough
Service
.. .. .. .............................................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
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10/25/2017 'Electrical Permit#21415-ViewPoint Cloud
21415 Expiration Date Complete
'Electrical Permit—IN Conjunction with a Building Permit(Commercial or Residential)
O Permit Issued
TIMELINE
OSubmission
received I
i
Sep 16,2016 at
7:55am ,
OPermit Issuance
Issued Sep 19,2016 at
7:27a m
OElectrical I
Review
Completed Sep 19,
2016 at 7:27am
OPermit Fee
Paid Sep 19,2016 at
7:27a m
'Electrical Permit#21415 IN Conjunction with a Building Permit(Commercial or Residential)
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Location
Applicant 125 MARBLERIDGE ROAD , NORTH ANDOVER, MA
Katelin Brown
Owner
�. 781-305-3065 WILLIAM P. ARLIT REVOCABLE TRUST(View Owner Information)
@ katelin.brown@vivintsolar.com (mailto:katelin.brown@vivintsolar.com)
Attachments
pdf 125—Marblehead—Fri—Sep-16-2016-11:55: _
Uploaded by Katelin Brown on Sep 16,2016 7:55 AM
pdf 5112102_CAD-1_Fri_Sep_16_2016_11:56:
Uploaded by Katelin Brown on Sep 16,2016 7:56 AM
pdf 5112102_ENG_1_Fri_Sep_16_2016_11:56:
Uploaded by Katelin Brown on Sep 16,2016 7:56 AM
pdf Phi ls_License_8.16.16_Fri_Sep-16_2016_11:56: 4
Uploaded by Katelin Brown on Sep 16,2016 7:56 AM
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Primary Contractor
Search for your Electrical License using the search bar below.Either the Firm's Name or license#is required.
Firm(Business)Name Licensee' License#* License Expiration Date* License Type' License Active License Status Type of Business
Philip F Zampitella 13141 07/30/2019 Master Electrician Class A O Active LLC
Mailing Address' Preferred Telephone#:` Alternate Phone# Email
3301 N THANKSGIVING WAY STE 500, LEHI UT 840434126 7813053065 78130530565
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I certify,under the pains and penalties of perjury,that the information on this application is true and complete.'
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1
Project Information
By this application the undersigned gives notice of his or her intention to perform the electrical work described below
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Is this permit in conjunction with a building permit(select yes or no)
Yes
Q Building Permit Dollar Amount 0 Building Permit Number
9911 287-2017
Occupancy Type(NOTE:For any residential structure larger than a two family please select Commercial)'
Residential Singe Family
Total Number of Units'
1
Location and Description of Work to be Performed'
install solar system 17 panels
i
Are you installing a generator?'
No
Date Work is to Start(inspections to be requested in accordance with MEC Rule 10,and upon completion)'
10/16/2016
Panels
Please complete all that apply to the scope of work.
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Is This a Service Change Is This a New Service? Existing Amps(Existing Service) Proposed Amps(New Service) Existing Volts(Existing Service) Proposed Volts(New Service)
No No
Utility Authorization# Number of Feeders Location of Work Number of Ampacity Panel Change? Proposed Amps(Panel) Number of Sub Panels Temporary Service
Proposed Lighting/Outlet/Circuit Work
Please complete all that apply
#of Recessed Luminaires #of Luminaire Outlets #of Luminaires/Exit Signs #of Receptacle Outlets #of Switches #of New Circuits
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For fee calculation purposes, please add up the total number outlets, luminaires,switches, and circuits and enter it below
Total Number of Outlets/Luminaires/Switches/Circuits
f
Proposed Appliance Work
Please complete all that apply
#of Ranges #of Waste Disposers #of Dishwashers
#of Heater/Boiler/Furnace Wiring(Oil or Gas)
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of Water Heaters #of Dryers
#of Air Conditioners(room size or roof top)
#of Tons #of Ceiling Suspended(Paddle Fans) #of Hydromassage Bathtubs #of Heat Pumps Electric Baseboard Heat #of Heating Appliances #of Transformers
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#of Washing Machines #of Microwave Ovens
i
Repairs to wiring,outlets,and/or fixtures
#of Other Appliances Not Listed Description of Appliance Not Listed
I
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Please add up the total number of appliances and enter it below(including a yes answer to minor repair to wiring,outlets, and repair of fixtures)
Total Number of Appliances
Miscellaneous Fixtures
Please complete all that apply
#of Hot Tubs Swimming Pool Type of Pool #of Solar Panels Septic Pump Re-Wire #of Motors Motor Total HP Smoke Detectors Other type of work to be performed
O 17 O
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Fire Alarms/Security System/Data Wiring/Telecommunications Wiring
Please complete all that apply
Residential Fire Alarm(multi-family)
Security System#of Devices or Equivalent
Commercial Fire Alarm Data Wiring:#of Devices or Equivalent
Telecommunication Wiring(phone cables):#of Devices or Equivalent
i
Insurance
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.
I have a current liability insurance policy or its substantial equivalent.If NO is selected a copy of the signed Owner's Insurance Waiver form must be attached to this application.
Yes
If yes,indicate the type of coverageIf other,specify
Liability
Worker's Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
. Tobe filed with the permitting authority
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`Are you an employer?Select the appropriate type.Any applicant that selects#1 must also fill out the section below showing their workers'compensation policy information.'
1. 1 am an employer with employees (full and/or part-time)
i
Type of project'
7. New Construction i
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information.
Failure to secure coverage as required under MG>c.152,25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
Insurance Company Name(Attach a copy of workers'compensation policy declaration page showing the policy number and expiration date)'
Zurich American Insurance Company
Policy#or Self-Ins.License# Expiration Date°
WC509601401 11/01/2016
Workers' Compensation Affidavit Signature
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.'
G
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