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Home My WebLink AboutMiscellaneous - 15 MOUNT VERNON STREET 4/30/2018 15 MOUNT VERNON STREET 210/067.0-0077-0000.0 I I 3859 Date....6. ............. .... — HORTol TOWN OF NORTH ANDOVER ,.'° OL PERMIT FOR WIRING �SS�cHUSE� This certifies that l fy�.........Z .. has permission to perform �� /J a.! i7 . ... :.. .............................................. 'r wiring in the building of....... .. .c... .!...................................................... Ill t / d , at ... ..... ...... ........v..�......`...�`..�..:................... .... ,North Andover, ass. "'�`'l / -2 2 Fee.�S 6.... Lic.No.! �y /� 9 ELECTRICAL INS CTOR Check.# Official Use Only Permit No. Is•�'�%!P�"�"'��1'.Y�Y V/•�//• •// •/fHnSS//'I/'"_SSV / IS Ve waow,t 4,7D4f8&&Sad# Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 552277146 R 12:00 (Please Print in ink or type all information) Date G A-- To the Inbectfor of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number. 1AA"1 If r#V8 tJ Owner or Tenant �Ju_..i ��% S ( k�P Owner's Address S Is this permit in conjunction with a building permit Yes ❑ No\(Check Appropriate Box) Purpose of BuildingS 17 _ C��c� " _ Utility Authorization No. Existing Service /Oc.) Amps /U?C,AV,cits Overhead 9--_ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number I Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ran a No of Air Cond Tons Initiating Devices Heat Total Total No.of Di sal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwil shers Space/Ar a Heatin KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP / OTHER S�-�: C.. '� � C U L&A INSURANCE COVERAGE.-Pursuant to the requir men6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER =.(Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME �Z&ice � C-- L c LIC.NO. �`r3�"Sf/� Lkensee Signature ) LIC.NO. - Bus.Tel No. C��8/ f^ I S—'r't Address Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my,signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ ✓ vV (Sigrfature of Owner or Agent) 6035 Date..... ............ 6 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHUS This certifies that ...—"Id ......................................................................................... ............... has permission to perform . .....:n.... wiring in of .................................... the building .....................7 ........................... ................. .North Andover,Mass. Fee:?............... Lic.No.............. ........ ELECTRICAL INSPECIOR # Check DEPAR M YTOMMMSUM permit No. 6 z' BQARDOFFIIaPREVlNIICli1►RIIlA11OV163Z7(11Dflys 0 Otxapancy&Fees Checked APPUCA71ONFOR PERMITTO PERFORM ELE CAL WORK ALL,WORK TO BE PE MRMED IN ACCORDANCE WrrH THE MASSACHUSM ELECTRICAL COD 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 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) 1-5 10t[ Owner or Tenant •^ P C �' Owner's Address is this permit in conjunction with a building permit: Yes[n No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Ampa� Volts Overhead Underground C3 No.of Meters New Service Amps Volta ovedhead Underground No.of Meters Number of Feeder and Ampaeity Location and Nature of Proposed Electrical Work 1-451411 3tj t4 ,2ye)yr C'e '- el- Na rNa of Lighting Outlets Na of Hot Tubs Na ofTma bnom TOW KVA Na of Ughtiag Fixtura Swimn hq Pool' Above Beiow OeMraears KVA No.of Receptacle Outlets No.Of on Buenets No.of Emergency Ughting Battery Units Na of switch Oudets No.of On Barriers No.of Ranges No.of Air Cand. TOW FIRE ALARMS No of Zones Toga No.of Disposab Na of Has TOW TOW Na of tkbetion and Pon@ TOM KW inidWag Devices No.of Dishwuhm Space Area Heating KW Na of Sounding Devion NO.Of Self Ca ushred ° i DrAces No.Of Dryers Heating Devices KW Load !� p Other, No.of Water Heaters KW Na Of No,of D Connection. Sku silads Na Hydro Mussge Tube Na Of Mown Told HP i OT�iER• y l�aaaneCo�Ar®ntbmetB�Senaoscflvfealda8stiC3es�lLsws jlTmeaaamtlia6tkyhs�rxPt�icyrt�rdr�Cbmplsti t?�s r8llegtivaist YB9 NO udwolm's-ft q--PF—Mj—=v0—N ti Itxw&hriwdv Nysx(cf==1 tZCdkZ Y$4 crypts ddyg��j��rjpwwVby cf Rji 'k Do WOrkIDSM �- " jr�mnDptelq� Ra* EstmxbdValreefPvcffip�IWaks FBtMNA11fE Per�imtfpe� �� S a^ UeriseNa �Y7 Add= �l /�C� i L �t�i � U AL IdNa Y 1 S OWI�It's II�SURAi�LWANH;IamawaeQtetQreLi�eeitreirssaneao�e,�orkt s�rirlec�ivaiasas arddretffW* i"cnftkpesrhppica y-NOW-fiareq�iterrmt cert}it+dbyMaraadaa�ttc�araeiLa+�ts (Please check one) Owns C3 Agentaillpiature or Uwner or Again a Telephone No, pgRNUr FEB 3 �Cl?b DEDIIMMOF)EUX AFEly BQ4RD0FF2EPREVEVIWRIRILA?Ig1 527C1dR&* permit No. �` !png &Fees ChtxkedAPPUCA71ONFORPERMITT�OPERFORMEU .� WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WrM THE MASSACHUSSTS @1.WMICAL COD1027 CMR 12:00 (PLEASE PRW IN INK OR TYPE ALL MORMATION) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. i Location(Street d:Number) ' Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes[3 No (Check Appropem Hoa) Purpose of Building Utility Authorization No. Existing Service Amps../.Volts Overhead Underground No.of Meters New Service Amps Volts Overhead Underground Q No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work l-i5t et 3--,i4 Z Vc)c/ C."? Na of 1.10ti g Outlets No.of Hot Tubs Na of Trono bmnusa TOW Na of Ltghti g Halms Swing per. Mm" Cloommore KVA KVA No.of RacepucM Outlets No.of 011 Homers Na of Emergency Varma Bony Units Na of Switeh Outlets No.of Cho Bomms Na of Ranges Na of Air Con& ToW FIRE ALARMS No of Zones Toss No.of Disposals Na of Has Told Told Na of Detecdm end Pumps Tons KW Wdatiog Dem No.of Dishweshers Space Area Hosting KW No.of Sounding Devices Na of SON Contained d Dryer Hosting Devices KW Detections msps;Devices �o tLoad Mmddpd Other o.of Water Hewers Kw Na d Na of 0 Con ectiorts n S Bell" .Hydro Message Tdo Na Of Motors TOW HP i t i7�ER• tatoeCo�ari�Asaartbmere4as3naih�Me�dssetltCier®ILawa �iieaammtLi&fthar�r Rftitrirdr QUOiorhsu fiftawagiAw y� NO �stt=rittfedvtidpoddssnebhet�m Y>as 1l'ymhmftdoDdYB4,Pteas® �{ tre bacb'pe °01'e°��' cRArid rM B= O7I>flR "fe .1 K5 l D - BgtioYonDo EgknWVaklecfIIZtdarlW0&$ tlund,r afpajrtl. fkw soon [ioritaerlo i s IINSCIRAINCEW �Iamawaedretlhe Tdbh At trrp+s�aeondispearrtappioyienvt�eafirentQlenss$aaeaotea�akrs>trtagiavabitatreq�byMagtbc�araalLavt. so check one)_ Owrrar � Agent Telephone el hone No eP PE>:turr FEESc�