The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 1317 SALEM STREET 4/30/2018 / 1317S ALEM STREET J 210/106.A-0124-0000.0 1 1-02 69 Date........�'..�.../' / � H°R7M TOWN OF NORTH ANDOVER A PERMIT FOR WIRING . z � a US This This certifies that v .................................................... ........ z has permission to perform So r wiring in the building of.................la.. .�...r/L'. ..................................... � 7 S•�1L� ST"" ,North Andover, ass. at......................................................................... .. . . � .Fee..................... Lic.No............... ............... ....... .. .... ....... ...��........ ....... ELECTRICAL INSPEG OR Check # u AVAk1VA<Wb4CILUbVLWV,1Uk:L11Ua1tUUCft111C11UWCJ11S9L/lAVlffi1L.U11$xweS: inaccoroance`witnttleprovisionsotM.U.L.C.1433,§.31,,the n 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 Wires appointed 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 shall..be limited as to thetime of ongoing construction.activity,and maybe,deemed bytheJnspector_of_Wires abandoned.and.invvalid,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 of the 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 jobpgrowth and long-term 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 otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008.and extending through August 15,2012. Rule 8—Permit/Date Closed: Note:Reapply for new permit ❑Permit Extension Act—Permit/Date Closed: C.oaatwnweaki.o�MamacImi.& Official Use Only cc� cc77 Permit No. .(Je�arfirtets�o�.}ira�eruiceA ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ` All work to be performed in accordance with the Massachusetts Electrical Code( Cy/1 527 CMR 12.00 (PLEASE PRINT IN INK O T PE L INFORMATION) Date: C City or Town oPggn/aed � ,J �' To the Iris ect r of Wires: By this application the undergives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1,�F? SA& 4G-r Owner or Tenantb t cve-h Telephone No. Owner's Address Is this permit in conjunction with a,buildin permit9 Yes ❑ No (Check Appropriate Box) Purpose of Building r7rvwt I Utility Authorization No. Existing Service Amps ! Volt 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: rg 17c> Coo hm,2 'S um Com lesion of the followin table m be waived b the Lis ctor of!fires. No.of Total it No,of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVO► No.of Luminaires Swimming Pool Above ❑ In- ❑ oa o Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ]No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers eat ump umber ons K _ o.oSelf-Contained Totals: —" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unic'pa ElOther Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.o atero,of No.of Heaters_ KW Ballasts Data Wiring: � • Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring r No.of Devices or E uivalent OTHER: Mell Attach additional derail if desired,or as required by the bispector of)Vires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 inpirance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cover is in force,and has exhibited proof of sagie to theermit issuing o. ce. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) ��J9 /C� I certify,under the pates and penalties of perjury,that the information on tl is applicatioti is true and comtple 0 � FIRM NAME: : 121 C LIC. Licensee: S 0 D UA Signature LIC.NO.: (If applicable,enter'exern "in the 1'c Ilse number line /1/1 Bus.Tel No.•L �_ Address: .$� ) a:/ I l F I -Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security won equines 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: S I l i ' /� �l��y � f �� lJ' `�� . . r ti II LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8590 , March 7, 2015 Building Commissioner/Inspector of Buildings NORTH ANDOVER, MA 01845-4915 Board of Health/Board of Selectmen NORTH ANDOVER, MA 01845-4915 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: DEBRA A HOOVER Loss Location: 1317 SALEM ST NORTH ANDOVER, MA 01845-4915 Policy Number: HP747035 Date of Loss: 02/27/2015 Cause of Loss: Water LA File Number: MA-2-27421 I On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Joseph Walkup Adjuster LaMarche Associates,Inc.-800.349-1525 Page 1 of I