HomeMy WebLinkAboutMiscellaneous - 13 DEVON COURT 4/30/2018 ��.
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2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: in accordance with theprovisions of M.G.L,c.143,§.3L,the y
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 Wiresappointed pursuant to M.01 c. 166,§32,an
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 M.G.L.c.143,§3L.
Permits shkbe limited as to the time of ongoing construction.activity,and maybe deemed_bytheJnspector_of_Wires abandoned_and_iEwalid.if he—. ._
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 month 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 owner or the installing entity stated on the.permit application.
❑ The Permit Extension Act was created by Section 173 of Chapter 240 ofthe Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job;growth and long-tern economic recovery and the Permit Extension Act furthers 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 othrwise applicable expiration date,any permit or approval that was
`m effect or existence'during the qualifying period beginning on August 15,20.08.aad extending'through August 15,2012.
❑ Mule 8—Permit/Date Closed: Z.�^l *Note:Reapply for new perm!
Date......t.
ORTPI
t"`°
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
-4ACH
This certifies that ....................4 .:f. ...r.,..............................................
has permission to perform ......... ..5,5Ze.�e........
wiring in the building of............&47-15.��......................................
at... `...G.(.. ............. North Andover,Mass.
.......... ......... ................
Fee.3/� Lic.No.....L'- $ CTR[CAL&SPE
CfO
Check #
10625
- v f i� Official Use Only
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Lar7+ll:G �of I/tC1�42:ru:CiErr.1'- - -� �
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,- �ar�-ttr�rr.a;.mere erutE� -
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Ot:cupai?cy and Fee Checked
FOn^>J OF FIRE �REfL!`I T ION RE SONS `[Rev. i/(}7J (leave bran!;} I
APP
Vii ` gL-
PERFORMVVORK
ill ivGri;to be DCr brined in accordance NSit eleVY saausettsElecu`ical Code(PAEC),527 Cl,12.00
(PLEASEPPLj1VT H LACK OR -TYPEALI-LiAT'0`11rAT_j0PO Date:
�`riv r To;x�n 0 1`I l�IN Q 0u Gi�� T o the Inspector aJ Wires:
By this application.the u!dersIgined gives notice o.P1S O-Iter inientlOn t0 peiror;7i iE2e electrical work,described below.
Location(Street&Number) 13 (l/ox) e*
Orrrler•or Teaant.. I r �C�l(/(1 f/P,lw T'e/lephone!lo.
Owner's Address ��1• �/y Z?"X/� A r,+'
Is this permit-in conjunction r�iih a_building permit? Yes ❑ No. E,1 (Check Appropriate Box)
P-urpose of Building Utility Authorization No.
Lxistir3'g Service Amps i Volts Overhead ❑ Undgrd❑ No.of PJfeters
New ServiceAlrips l Volts Ovcrh.2d❑ Undgrd ❑ No.of Pleters
Number of Feeders aridikinpacjry
Location and Nature of b_oposed EIecirical 4Y4r1:: 1. 0:(.
Completfor:of the following table may be waived by the Inspector of"li'ir:-.
INC.of
'- - - e =ed Liinir tires- lNo_of Ceil.-5110.(Paddle) ens T_. er KVA
(1 0.o,Rec s_ I _ I�.ansrorm s
z
(No.of Luminaire Outlet Wo.o Hot Tubs Generators I'VE
c ! above in- +�o.of Y>iiergency Lll?iirtg
�iYo. 4i Ltrri1i11 'res lL .7;rlr:'..�P44_ Qrnd. LI
Ict; ina t _ Ba�terY Units -i
�No.of Receptacle Outlets 1140.of Oil Eurners FIRE ALARIV�S -INo.of Tones � 1
i I --.
INC.of Detect=:on and '
+No.015tivitchFs 'i o.of Gas Burner; � IriflztdnG Devices �
i �'
No.of Ranges ft To_of Air Cond. 3 4.3! No.ef.4leri;r_g evnces
Tops
j-
No.of Waste f?is 4sers ffHearPuTnp,11V uer irons KVO Na,of cIf-Cortained
F i T et3I5:j l I - IDet _tdon/Aierfina Devices _
_ t'�unlCip a I El 6-h
� I
No.of Dishwashers ISpHeating cating X t
Loca3❑mon lection. er•
(-r R r (security-J1'sternS-"
No.o:`Dryers �lzc3ti:i; pplianecs KW_ No.of Devices ar Ecluiraient 3�
ilo.C,f W9ter _� ={\0.of 1\'0.t}f IData Wz;rincr: i
E Ile3ters - I''.' Suns Ballasts i No.er Devices or Ec�u1v31ent
lecorTimurications'rvi ng:
No.IYyirolriassnee Bathtuo5 - INC.cf?rlotars Tntal HP I No.of Devices or Epeivalent
ti✓
OTHER: y _---�
�� � -c�33 9 v 1 r - -
r t..ach a..dz. n d t_l y'd T d, s r .ur d by t o frspecter Gl l'.•rireS.
maLe VxiuP of ileCie] cl Y^!Orr:: CW`hen required by nuiilcipal policy.)
Work _ 1rls�cciiOLS ra be rc i3eS'te�1�2CCOrCcT C$Stiitll 1'YI�C Rule 10,and upop.completion.
\ittor+k ry Stem: q
!NSUp INCE COVERAGE: Unless waved by the ori_.er,no peirn1t for.he pe"Lr0ManCe o`elect cai viork may Issue ur_!ess
the licensee provides.proof of liability insurance Iiicludinla"comDleted operci4n-'COvera�e Or Its Sul]Stant?EI CGuiVa!ent. 1 1?c
sinderSlgned cel<1�ZS that such coverage IS l fOrCe,a3-d has e hibited proofof sante to the permit Issuing Osslce.
diECK ONE: INSURANCE f EONL ❑ OT TIER ❑ (Specify:)
f certi�y, F1�!ll2r rite pairs GTzd jJ�TitLTtf2S Qf perj»'7�s,=r'•c?rite in Qrmation-on 1h:S tSppl:ceiTQr is trite and comp eve.
! T NO.:
IRiM ,AME: �5 ,
�
Licensee: fY?0.S' LiSignar:i \ p v
_ 'r.-
-
taus.TeL No.: :/;
(ij a a/ic bl=.'nFnr Q i' in
he license rzrziber trre.� ` l.! O a0 L;t
Address: _ r\ C.� —lcrrl -5t. �-� ,tS, Alt.Tel.leo.'__--
_ License:
Lic.N10. o j53
"Per M.G.L.c. 147,s.57-61,secunit WOr."requires Depa—i rept Of Public Sateiy �
OWNI ER'S P,'SURAN('E-WAIVER: I elft awzre ilial ifle LiceflSee�i02S rot liGV2 the liability insurance coverage,R4iT lily
l me;'s agent.
reyaired by-law. rV my Slgfla i Ic hely*+°1`hereby::div6 this:eg4irenent. I am the(check one)[I owner
Owner/Agent PEkV1IT PEE:
Signature Telephone No.
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=A PEGis i�RE� sYs 3 cM cai�I.I RAC'OIC .
1SSU=5THEAS VE•LICEN5210 �{
URI�_y,SEP.V3CE�: -.ZhC- .,
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A BRGPI Y. SR
- -.•t:r�b;=U•�l.?VER�ITv-•AVE : . ..' - . - - �: -
r[ [13r C. 07/5111.3
__• �fic�sJr•est.�i,t-�-�-:��>='tt-ta; -� -• -
f" - =a1d_than DGt1G�:L-nLi E FeL^r_txs
_ Keep?op,or receip�and change of address notification.
epc.ck. u eu�e�aos6zo�euc=�=Fo:,rrs -
✓J�-{�slisn.D,..f1tEc�Ut.��,r'�af;:cu.�i�:�G• - ;
D ART►j,ENT.OFPUBLICS.FET
1? ^ S-License
O =W.
Number.'SS CO 000553
Expiras:-oy0!lZ013 IT.no: 783.0 '
-c.License: ABT
t,ARK A-SRO?HY•5R - /X.
410 UNIVi RSITY AVE J �
V10 i VJOOD. NSA a20g0 /'/J�1 DIC SA=E CALL CENTER: (566j 3 72x3
Commissioae%
- 1
347 .!
Date..:... .......
NORTH TOWN OF NORTH ANDOVER
pf ^oto ,e'6
o? p� PERMIT FOR GAS INSTALLATION
♦ t � i
�9SSACHUSEt�
This certifies that . . . . ?�'� . . . . . . . . . .
has permission for gas installation .. '. ... . . . ```. .... . . . .
in the buildings of . . ./.";./`�. . . . . ' '. . . . . . . . . . . . . . . . . . . .
. . . . . . . .. North Andover, Mass.
Fee.;.?. .—.'". . Lic. . . . . .. . . .
`GAS INSPECTOR
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATON FOR PERNUT TO DO GAS FITTING
ype or print) Date ';�_Z IF_�J
NORTH ANDOVER, MASSACHUSETTS J/
, /f
Buildina Locations ad �� _D v Permit 9 3`171
mount S -�f'
Owner's Name ��-
New❑ Renovation ❑ Replacement Plans Submitted ❑
m
J Z _ C�
v n
Z ?
-• i C:
sua -Br+ SE .M EVT I
B ,kSE .h ENT
IS•r. FLo0R
2:y D . FLOUR
3RD . FLOUR
4"r it . F L U O R
5T 5 . FLooR
6T [I . F L U U R
7Ti1 . FLUUIt
13T If . F L U U R
(Print or e) Check one: Certificate Installing Company
Name a, d 1 U4$Lv Corp.
c
Address e.,,, ❑ Parmer•
Business Telephone ❑ Firm/'Co.
Name of Licensed Plumber or Gas Fitter u [
INSURANCE COVERAGE Checkn .
I have a current liability Insurance policy or it's substantial equivalent. YesNo❑
If you have checked yes,?r: l
i dicate the type coverage by checking the appropriate b . .
Liabilinr insurance policy Other type of 1ndemniry ❑ Bond ❑
Owner's Insurance Waivm aware that the licensee does not have the Insurance coverage required by Chapter l4':' of the
Vlass,.General Laws,and that my signature on this permit application 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 ofmy knowledge and that all plumbing work and installations o d rider Permit Issued for this application will be in
g
compliance with all pertinent provisions of the Massachusetts Stat and Cha 14'' re-General Laws.
By: Signature 6f Licensed Plumber Or Gas Fe
Title Plumber
CitviTown Gas Fitter (cense Numoer
Master
APPROVED uSF r)NI.YI Journeyman