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Home My WebLink AboutMiscellaneous - 1459 TURNPIKE STREET 4/30/2018j Date......�.`.S "`�.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......... `f..0'�%..C<QN!U4.... ��T ....... ......... has permission to perform ...... ,,:.5'��2v.....! D'? ......CJI wiring in the building of .......!....El! %...................:................ j� at ...... '..�....,9....��i21Z��%�....`.`...^....... North Andover Mass. ..p Fee.. 35..... ... Lic. No.24.6'2 2 ............. .......................... .............. ELECTRICAL INSPECTOR 0 Y Check # � � -74Z71 27 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. ! 1,,7--7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 o 'T City or Town of: NORTH ANDOVER To the Insect r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) `qes 4 e Al R1 W e & Owner or Tenant Telephone No. Vk- 4 3 aY340 Owner's Address Is this permit in conjunction with a building permit? Yes E4 --No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ju No. of Meters No. of Meters cz Completion If the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans TransTotal Trsformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑o. rnd. grnd. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons g No. of Alerting Devices No. of Waste Disposers Heat Pum Number ons KW No. o Sel - ontaine Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Munlclpal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring. No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Elec. ical Work: i.(J 0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE RAGE: 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 equivale t. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the p mit i.ffice. CHECK ONE: INSURANCE k2- BOND ' BOND ❑ OTHER ❑ (Specify:) i:�l'' SPf D% I certify, under the pains and penalties of erjury,111471 the information on this application is true and complete. FIRM NAME: N OJ/ A/-IIWO rl�.Cy- LIC. NO.: Licensee:,/ 9 t%' Pv Signature < w LIC. NO.: L,76 (If applicable, enter "exempG ' t" in the cense number li e) �j Bus. Tel. No.: Address: A� 't� N AtA— Alt. Tel. No.: *Security System Contractor License required for this work; i applicable, enter the license number here: 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. $ Date ...,..Z/— 2c? 51,/ ............................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... Q,� ....... ......................................... has permission to perform ... .. ............. ............. . . . .... .... .... wiring in the building ..... ......................................................... at ... ...... &-e ..... ...... -. .. ................ . NorthAndover, Mass. Fee.*r.5 .. . ........ Lic. P10,9f .. .......... .................. ............................ ELECTRICAL INSPECTOR Check # 5154 THE COA MONWEALTHOFMASSACHUSETTS Office Use only DEPARTA1ENT0FPUX1CS4FETY Permit No. BOARD OFFIREPRLVENHONREGULAHONS527CM 12W Occupancy & Fees Checked APPLICATTONFOR PERMIT TO PERFOIMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date '7 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) )14S9 TU 2)JNl I j F SI - Owner or Tenant K E V IN T) (i a Owner's Address '� A,nm r -- Is Is this permit in conjunction with a building permit: Yes 1:3 No Purpose of Building ) FAm,L,/ (Check Appropriate Box) Utility Authorization No. 3$ Existing Service /OCA Amps;440/ 2& Volts Overhead El Underground M No. of Meters New Service 000 Amps,;)G O / I �,y Volts OverheadUndefground- l� No. of Meters Number of Feeders and Ampacity -;S tQj%D CO f JUZ iC ' To f /y Location and Nature of Proposed Electrical Work e--NAhJ %ff. % r-2 V 1 t` T._ -t :��— ,aa_c I p No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round 1:1round No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pum s Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Si ns Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER- I"'u ST /A L_1 1t rL5E7. e -A iarN co i rf 7S K A;2t/}t� f1► Instr&=GDWfage. Rnsuanttotlr,I ItsofMasswl iscitsGerfralLaws' IhaNesubn ittcdvalidpwofofsmwtotheOffi� YES g INSURANCE LA BOND OTMR Wodacistatt � 1^ (^V hfonDateReWestrxl signed underTeP&Aesof �� FIRMNAME Svk OS_ 7 CAR%—Snalr equivalent. YES r7l NO F1 Ifyoubawd ec edYES, pleaseindicatethetypeofcovaaWby MeaseSpedfy) t_ r2A N %,;_ MU TU A L EvilahonDale Fstnr *d VAxofElectdcal Wotk $ =033 rLbl IicanseNo. limnree r°� r'z, Slgnahue IiomseNo B"mTel.No. g 7V 777 99 3 9 Addmec /6 L S 3 r-i2T Y S i Alt Tel No. .9 711 26 S Z 77-S OWNER'S INSURANCE WAIVER; IamawatethattheLimwdoesnothavetheitmnanoecovaageoritssubsmhalequivalentaslegnedbyNt%sachusts GemWLaws and that my signahuue on this permit application wtives this Iegtmement (Please check one) Owner Agent Telephone No. PERMIT FEE $~ Signature ot Uwner or Agent