HomeMy WebLinkAboutMiscellaneous - 148 MAIN STREET 4/30/2018 (53) I
a
Date....!/p�1.,/... 7
922
P f NCR7M'1
"o0 TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,SSACMUS
fe
This certifies that .......
has permission to perform .....kk k& m............ t
�x rmg in the building of.... �� ..... ..9.l. ...> ......! 1 ... .h!.f..s.s
tc[
....Q.v..N.V\G....P.!.�.�..................................... .North Andover,Mass.
I
Fee...3.3—LA.) Lic.No. .. .3.. ...............................................................
ELECTRICAL INSPECTOR
C 1047
45/12/97 14:16 35.00 PRIG
WRITE:Applicant CANARY: Building Dept. PINK:Treasurer
.)
p--;a The Commonwealth of Massachusetts "` `'S` u''r
r..r,It %n.
Department of Public Sofety
IF
BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12fkcupancY S Fee Checked
00 3/90 heave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed In accordance with the Mamachusecu Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK AOR TYPE ALL IITFORHATION) Date S- Z —97
City or Town of AA1A90t/E',e To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) 1119' 117,0/NcST'PEET,I�G�S LiNlr #S.-
Ot.•ner or Tenant POAI AIA
Owner's Address 5.4#n6 (Soo:) '- Pi- 8479
Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization 110.
Existing Service ---- Amps / Volts Overhead ❑ L!nda:d❑ If-,. of :;Ciers _
New Service Amps / Volts Overhead ❑ Undgrd❑ 110, of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work Installation Of Alarm System
No. of Lighting outlets No. of Hot Tubs ' No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In-
grnd. ❑ grnd. ❑ Generators KVA
No. of Receptacle Outlets No. of Oil Burners. = No. of Emergency Lighting ' .
Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of .RangesNo. of Air Cond. Total . No. of Detection and
tons Initiating Devices
�. No. of Disposals No. of pumps TotaTons T0KW1 No. of Sounding Devices
` No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
t
Munici al
No. of Dryers Heating Devices KW Local❑ Connection❑Other
No. of
No. of Water Heaters KW Signsf Ballasts otow_Wiring Q
J No. Hydro Massage Tubs No. of Motors Total HP FIL.H
OTHER:
MAY
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES❑ NO ❑ I have submitted valid proof of same to this office. YES❑ NO
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE ❑ BOND ❑ OTHER [J (Please Specify)
e e
Estimated Value of Electrical Work S %9o2.S Expiration Date
Work to Start IV-19-92 Inspection Date Requested: Rough Final
Signed under the penalties of perjury:
FIRM NAME A.D.T. SECURITY 'SYSTEMS NORTHEAST INC. LIC. No. 1231C
Licensee_ DONALD A BROOKS Signat a N0 1231C
Address 60 William- Street, Wellesley, V28 s. " l.: No.'413-732-4400
Alt. Tel.'No.617-431-5831
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this requirement. Owner Agent (Please check one)
Signature of Owner or
Telephone No. PERMIT FEE S cis 06
Agent