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Home My WebLink AboutMiscellaneous - 148 MAIN STREET 4/30/2018 (42) 1 \ f, 1 `. 1 i i i i i ,a Date...... .0'..��.: NORTH °�+"`°:•�"� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ;�SS�1CMus This certifies that ............ .......L. .` '�.X.f— �............................... has permission to perform � f!! — wiring in the building of........... f. !v C `� Tt??'d�:............................. s�rrnn- %��( at............... 1. .....................................0�:2. ...... ,North Andover,Mass. � Fee..Rae-0 F.3�/.9.77 ELECTRICAL INSPECTOR y Check # 573 S-2— 9U6 �) elm.monwealth o f Ma8Jac4u.4effJ Official Use Only //�� cc cc77 eL partment of im Semicej Permit No. Occupancy and Fee Checked r` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFOTION) Date: /C5— 2-0 9 City or Town of: ArA AArw," • To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrinc 1 work described below. Location(Street&Number) � I4.1 t) 53{-ee 1-(Sk yon P0/1G{� Owner or Tenant p q eA &t7 1.17!�If-/Yl Telephone No. Owner's Address 5A pl1 . Is this permit in conjunction with a building permit? Yes ❑ No F] (Check Appropriate Box) Purpose of Building e-S 1A e 11 CCS . 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 r Location and Nature of Proposed Electrical Work: W i re 6n S F-) r� 2e,&Aceme- 4 Completion of the ollowin table may be waived by the Inspector of Wires. 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 ❑ In- ❑ 1VOT-0rumergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No. f Gas Burners No.of Detection and I Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ 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: C Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: J�a (When required by municipal policy.) Work to Start: o n f e--V_, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV 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 equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND ❑ OTHER F1 (Specify:) Z-Ut/C'/� j�►s a/-e? if C-� I certify,under thepains and ena ties of perjury,that the information n this application is true and completes FIRM NAME: P,S C) t1 LIC.NO.: r3J19,7 Licensee: Signature LIC.NO.: (If applicable,enter "e pt"i the license tuber line.) Wn� Bus.Tet.No.: 97rj1' 7 Address: /`"1 Q��I`� Alt.Tel.No.: 2.5�S/• *Per M.G.L.c. 147,s.57-61,security work requires 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: .$ Use On Office Use u17>' �Qmm�n�u� i of { 5a1hu'�Ett PAirnit No. ? Occueanc/3 Fee C:leckea '3� (leave blank) (� `r BOARD OF FIRE PREVENTION RE:�UtATiONS ZZ7 CMR 12:J� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be oerformed in accordance with the massacnusetts Electrical Code, 5.27 C. R 11J:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date I DWA CO QM or Town of NORTH To the Inspector of wires: The uderstgned applies for a permitto perform the eiec:rtcai Ncrk described below. Location (Street & Number) tL4 !tt ) ��`--� U Owner or Tenant C•,vr,er's address _ Is .his ,permit in conjjuu�lic-zio�n with a building oerrnrt: Yes Y'— No _ (C~eck Appropriate 3Cx) ?urccse of Suildinc `�-'�-'� -�'��-� Utility •Authcrization No. _ Amos l� r �a \/C;!s Overread Unccrnd No. of Meters �z;stinc garlic - r: e amps —J /clts Gverhe_c Uncgrna _ No. of bteters Ne", cz is Numcar of =eecers ana Amcacty ` '!-!�`-- ` ccaucn anc Nature or ?rccoseC Tatat NO. a. '::SI .NO. 7ransf°rmers :<:A No. at .:g^ting Cuaets SD I No. of L.cnung =;xtures I Swtmmtnc =Catgree. — crnc, _ Generators KVA No. of Emergency '1-4-mg No. a. Cil =_.hers 3areri units Cutlets No. at =ecectacie /6� No. of Swttcn Outlets ' I NO. Oi 'aas _Urners 'ALARMS No. at --Ones Tocat VO. at Oe(ec::on ana No. of Rances ' I No. of Air 'Cars. 1 :Cris � ! inutattng 'Oevtces meat ,otat Total ` No. at oiscosals No ar P -as :ons K�! I No. at scuncing Cevtces No. of salt cantatnec No. of Cisnwasners / I Soacerarea r'eat:r.e �'! 0etec,.r seuneing Oevices I Muntccat —Other Na. of Orrers ' 1 Neat;na Cev,ces Kw _ccat CCnnec-:Cn — ' NO. at NO. at w Voltage No. of .Vater Heaters �j K`!! Scns 3adasts I Winnc C�z No. :-+ycro ,Massage iuos No. of MCICfs Otat : f OTHE=. INSURANCE -CVEPAGE: Pursuant :a me recutrements a' aassacnusacs general '-aws _ I have a current Liaetiity Insurance ?oucy C-^a:inciuctng _erec Oceraacns Coverace or ,ts sues:anual ecurvatent. YES NO nave suomtrea vatic ;;.,cat of same to the Cttics. vS3 NC _ if ycu nave cnecxea YES. tease naicate :he type of coverage ay _ cnecx ng the a°oraorlate Cox. INSURANCE = 3CN0 = OTHER = (Please Saec:' ) (Exotrauon 0atet sttmatec Value of E'qc:tical Works _ 'Ncrx :o Start � y-g to lnscec::on' Oata Aacuestac: Rough ��--�-- A`�-� -'hat Signea unser :ns Penalties of perjury: =:RM NAME tl - �%' s�Ol-r NO. _:pensee Sus. �CCre55 �� 1QOn ' Q el�,�hN I��i �1� Alt. Tet. `lo. . OWNER'S INSURANCE WAIVER: I am aware triat ne '-:cerseO Saes ,at nave trie insurance coverage or its suostanaal eautvatent as Agent cutreo my Massachusetts General Laws. ana :hat my signature on :n:s cerrr.tt application waives ;tits reautrament. Owner (P!ease cnecx °ne) -eteCnone NO. °E=+MIT =c= 5 (Signature at Cwner or Ageno "'=O' } T05 Date... ..... ...a... TOWN OF NORTH ANDOVER PERMIT FOR WIRING o cHu5� This certifies that ...... ..... .. . .... ...... ... . .. ...... ..................... has permission to perform ..................... ...�.. ... wiring in the building of.............. ... . ....... ......... .................................w. at...,l.. .Q....`2 `'"'... ...... ,., .,North Andover,Mass. Fee.. ... Lic.No.............. ............................................................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING t (Print or Type) NORTH ANDOVER Mass. Date J� �uilding Location Z h IT Permit # dhQ j3�tQ�, Owners Name 551)"/1/11 CC, '? ;F New '�7VRenovation D Replacement Plans Submitted FIXTURES Z tc ai a N .10 N S F a Nus x t- a r o s o w a CC a o o a z Us W w 046 a w 4 t- > w zz a °7 w •r a a t- x LU InCc Q tft W L7 Q tW- W o z a «s x Q ur } C W 2 4 cc 4 st O O W O W t- a x 0 O z u. = a o ., v x ca a t— o SUE(-6SMT. BASEMEMT t ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TK FLOOR Y L�T49:1-GOR ,_..--d .--- 1-1 — I '-�— I d - (Print -or Type) `n Check one: C.er! ficate Instahing Company Name q p f7 10-%e, CC-- rorp._t oe _ Ade!; e�s_ Q� �V� (�CJ� Ej Partner. Business Telephone:_ _ Name of Licensed Plumber or G,-s Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond Insurc-oce Waiver: 1 , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F] Agent El 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 of my knowledge and that all plumbing work and Installations perfomied under Permit issued for this application will-be-la compliance with all pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the Genual lAws. — By T LICENSE: iuirtber Title G fitter Signature of Licensed City/Town: Master Plumber or Gas tter Journeyman l' APPROVED (OFFICE USE ONLY) License Number T,sn2 2 5 7 Date J'. .2 .?.. �'......... I ti RTM TOWN OF NORTH ANDOVER pf o ,a, p 0 5• pA PERMIT FOR GAS INSTALLATION �4SSACHUSe G 6 1 This certifies that . . .r.A 4'1 t. . . . . . . . . . . . . . has permission for gas installation . . . -+. . . . . . . . . . in the buildings of . . . . (P.0— . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i at . J .�.�'"!9.!�. S.f 'y L. . . . . . . . . . . . .. North Andover, Massa Fee.2�. .'. . Lic. No.).W A J . . . . . . . . . . . . . . . . . . . . . . . . . . . ii GAS INSPECTOR :i WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD: File