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Home My WebLink AboutMiscellaneous - 16 KINGSTON STREET 4/30/2018 16 KINGSTON STREET J/ 210/023.0-0004-0115.1 .1 Date . . .� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . . . has permission to perform . . . _j.,�-;C U..&I�` wiring in the building of . .�1.�-L . .�.�'l.� . . . . . . . . . . . at . . .�,. . .l.i�)rfS T��11 S �. . . . . . North Andover, Mass. Fee . , "O- Lic. No. . .P . . ELECTRICAL INSPECTOR Check# 97 10927 Commonwealth of Massachusetts Official Use Only Permit No. 10q Department of Fire Services q 2-7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] 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 INFORMATION) Date:June 28, 2012 City or Town of: N.Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)16 Kingston Street Owner or Tenant Village Green Telephone No. 978-683-4101 , Owner's Address Property Management of Andover Is this permit in conjunction with a building permit? Yes ❑ No ❑■ (Check Appropriate Box) Purpose of Building Residential 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 Location and Nature of Proposed Electrical Work: New Security Lighting 1 Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In-rnd. rnd. Ba❑ o tte Units cy ighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total Tons g o.o No. Alerting Devices No.of Waste Disposers Heat Pump I Number I 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 INo.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. INSURANCE COVERAGE: 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: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) (Expiration Date) 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. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Crowe & Sons Electrical Corp. LIC.NO.: 17168A Licensee: James B. Crowe Signatur LIC.NO.: 17168A (Ifapplicable, enter "exempt"in the license number line.) Bus.Tel.No.; 78)453-6696 Address: 576 Middlesex Street, Lowell, MA 01851 Alt.Tel.No.: (978)453-66% 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: $55.00 MASSOCHUSETTS UNIFORM APPLICATION FOR PERMIT ' � t To 00 oASFITTtH� (Print or Type) ,( FORTH ANDOVER Mass. Date buildin Location � , ,� � 9 _ I'G ��c,s�.� Permit # Owners Name 0i New '—t Renovation Replacement Plans Submitted FIXT IRFS N ti � W N as v z o: CC f- a a vt Cr .O y = t- LU t, a m = p V m1- ,. x us x ayj r Qo r e O , Wa W WQ M H � O us W y J z 4u LU _ ca WW W 0 Q cc FW•• a W ~ W H' x to tL O F. Z � h z f. W W O O T U. h V J i- W Z 4 W < tt ... H y. NW Q W > C W 2 4 a 4 d O O W O W 4- tL x O C1 1' tL O g O J U > Q C. t- O SUR-6SI.IT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STK FLOOR 6TH FLOOR 7TK FLOOR 8TH FLOOR - (Print or Type) Check one: Certificate Installing Company Name S'�/co �1 v�r� Corp. 1 '72S Address 0 C.'iAp-Ve Partner. S+0-,'j rC , VV�(, (1Z 1 Firm/Co. Business Telephone: 61�- 113k- E-1 Name of Licensed Plumber or Gas Fitter Gera L� �,�UPi'io Insurance Coveraqe: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity F Bond Insurance Waiver: I , 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 Agent 1 hereby certify that all of the details and information 1 have submitted (or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and installs ions performed under Permit issued fox this application wW-be in compliance with all patin provisions of the Massachusetts State Gas Code and Chaptes 142 of tho General Laws. By TYPE LICENSE: umber Title Gasfitter Signature of Licensed aster Plumber or Gasfitter City/Town: Journeyman �7 APPROVED (OFFICE USE ONLY) L-icense Number t / 2549 Date. . . . .... ,FORTH TOWN OF NORTH ANDOVER OE t.,,ao ,^,ti0 0 '� `p PERMIT FOR GAS INSTALLATION s i a - 'Js ,SSACHUSEt This certifies that . . .—! /. d . . . . . . . . . . . . . . . . . has permission for gas installation . . .ltd .l . . . . . . . . . . . . . . . . . . in the buildings of . . 1/., .( ( -P /{ cc a . . , , . . . at . . . •S f . . . . . . . . . . . . . ., North Andover, Mass. Fee. ? U. . . Lic. NoS.7. f. . .. . . . . ASINSPECTO WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:Fide MASSACHUSETTS UNIFORM APPUCATIOH FOR PERMIT TO 00 GASFI-MUG (Print or Type) t NORTH ANDOVER Mass. Date_ G� tuiiding Location 16 ✓- Permit # K Owners NameLW r -7�0 New 77 — Renovation II Replacement " Plans Submitted a FIY -I o c Y T � V2 tu C7 LU < c C oes tL m w L w _ _ }- < m c u�r _z v w L7 -c c c n �_ -- Irl Hi Y F� .. W O O ? ti - < LUO to = sea-3S,.LT. BASEMEXT I IST FLOOR j J3 FLOOR i I I I ! I I I `I I I. .. .I. .. j 3 R II FLOOR .._'_.. I -A. I STK FLOOR ..I-....I 1 .1 STK FLOOR 6TH FLOOR 7TK FLOOR 8TH FLOOR ( ._.. (Print or Type) Check one: Certificate Installing Company Name V Y 1141,21'1t, Cor p. Address 12? Partner. kJ W CZISC). Firm/Co. Business Telephone: Name of Licensed _Plumber or _Cas Fitter C�✓`(1yG�` ��ItIp I6 Insurance Coverage: I,ndica.e -e tyke o: insurance coverage by checking the appropriate. box: Liability—insurance—policy, 6z, er tvice of indemnity 0...Bond Insurance Waiver: 1 , the undersicne-4, have been made aware that .the.licensee.of this application .does not have any one of the above three insurance -coypi ages._-..-. Signature of owner/agent of property Owner Agent - - - - I hc:c3y ccrtify that zU of the details and irtformadoa I 'Lave suhmitted (or entered)in above application are true ud aecunte to the best of my knowtcd;e and ttut awl plurnbinr worst and inttAuAtioas ;=iorseG and !-.rr.-.it i:zuzd for this sppuatioa will be to compfianee with alt pertlactt provisions of the MAAsachuaecis State Cas Gadc And QA;rter 143 of"-C,==ZJ Lara. •,� 3v A vt c 9O Wit—`-5L=LISer Title ( Gasiitter Signature of License< Citr/Tcwn �• aster Plumber or Gasfitter : e. Journeyman 5z7aG—ZZ' APPROVED (OFFlc_ USE ONLY] License IX=ber --„cyi --:•rr 4,,.•w;r'�cr-:*'�_++.'_._„�.,...�...... �.��_`y.s_....^.��.:_�..,,_ e.n...s.:. ,;c,�-:.e-..;�..-;-.;i',_1«--” 1,TO 2558 Date6/ .` .>.... . . .... N0RTH TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATICNI �9SSACHU5Et This certifies that . 51.Z. C: . . . . .. . . . . . . . . . . has permission for gas installation . . u . ty. . . . . . . . . . . . . . . . :R. . in the buildings of . .�).i. _ . . . . . . . . . iat =/ /.� y f. ��. . . . . . . . . . . . . . North Andover, 4ss. C Fee. .J, .`. . Lic.No. 1 . . . . . . . GAS INSPECT WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD: File