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HomeMy WebLinkAboutMiscellaneous - 16 SAMUEL WAY 4/30/2018 BUILDING FILE q5 Date.. .�`"� `........ TOWN OF NORTH. ANDOVER f p PERMIT FOR WIRING CHUS This certifies that ... ;;;......�-�. ........................ has permission to perform . �a! ................................................. wiring in the building of........ s 8r r o_- ,fry ., �� at............:....�.......--::;-,.�'................. .�. ......... . ....... ,North Andover,Mass. 1 Fee..7�`?........ Lic.Nd94ot/ ELECTRICAL I PE R Check # © r `$ 8696 k yF '1 Commonwealth of Massachusetts official Use Only Department of Fire Services permit No. ?41 >o Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical CodeME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: A) , A Q W V F R To theIns eclor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) S Q - LSA y Owner or;Pexeait gy' , rw o z Telephone No. Owner's Address 5:;5 nscwz Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building M �)P'1 L I i-J& Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters / Volts Overhead Und rd No.of Meters Ams 2 ❑ g Service 9® L4� New S 2 P I /?-+Q —Volts of Feeders and Ampacity ,. 7-0 0 A Yvi P Location and Nature of Proposed Electrical Work: td�i p{� 1►�C� ��prll�.J 'Dw Ir il')a Completion of the following table niav 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 OutletsNo. of Hot Tubs Generators K-VA Above In- o.o mergency Lighting No.of Luminaires q I Swimming Pool rnd. grnd. ❑ Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detectiom.and No.of Switches Initiating Deices No.of Air Cond. Total No.of Alerting Devices No.of Ranges I Tons Heat Pump Number Tons KW No.of Self-Contained No. of Waste Disposers ! Totals: Detection/Alerting Devices rP S ace/Area Heating KW Local Municipal ❑ Other No. of Dishwashers P b Connection No. of Dryers , Heating Appliances KW Security Systems:* 't No.of Devices or Equivalent • No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: i No.Hydromassage Bathtubs No. of Motors Total HP No.of Devices or Equivalent 7-- OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of El ctrical Work: (When required by municipal policy.) Work to Start: i1-� O Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO 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 co v ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties of perjury,that the information on this application is true and complete. FIRM NAME: Interstate Electrical Servi srpor..at ', LIC.N .:A-5217 Licensee: Pasquale A. Alibrandi Signature I (If appl icabl rater "exe z t"in the license number line.) Bus.Tel.No.:978-667-5200 Address: �� Tregie Cove Rd. , N. Billerica, MA 01 862 Alt.Tel.No.: *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hm e 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 PERMIT FEE': S t7 oll Signature Telephone No. Y ,Y i✓ Date.�?�� . .. ... .. HORTh or Orya�..ao e,�o m TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION CHU Thistcertifies that . . . . . . . . . . . . F,. has permission for gas installation . . . . . .. . . in the buildings of . . .C. �?. . . . . . . . at . . . . . ., North Andover, Mass. �r Fee. �ea Lic. No. ?Y, : . . GASINSPECTOR s_ Check•# L- 3 681 77 gyp`` MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING CitylTown.-,yo Y (JO MA. Date: I. r Permit# BuildingLocation: l b s<..$.rvi u e k wc�-\ Owners Name: Rei) t'P h e �-- Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential New:!D' Alteration:❑ Renovation:❑ Replacement:❑ Plans Submitted: Yes❑ No❑ FIXTURES Q til W V = F m0 -w.1 > Z W O M W W ZDC Ili ul OC pC O > tID iu Z e O O uQi rJD C ~ W 2 _ 0 W 16w I u� W o d O % lu a 1W- F m J Z O w Z UA a W SUB BSMT. BASEMENT 1 t `.1 FLOOR 9 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR T FLOOR 8 FLOOR C -Certificate# heck 0r�0nt� Cg installing Company dation Ad JaCGt1� 1 - - ', Business �T$ � � Partnership F'nrdCompiu y Name of Licensed Plumber/Gas Fitter INSURANCE COVERAGE: -- - - I have a current Nabi Insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 Yes® No❑ N you have checked Yeas please Indicate the type of coverage by c hoddng the appropriate box below A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OVYNER'S INSURANCE WAIVER-I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General taws,and that my signature on this permit application valves this requirement, Check One Only of Owner or Owroes Awd Owner ❑ Agent ❑ By checking this box ;1 hereby Berth►that an of the details and tnrormation I have submitted(or entered)regarding tht appncadon are true.and accurate to ribs beet of my Knowledge and ttd an pkunbing work and inshdiatio n performed under the permit Issued for tht appncation win be in compliance with an Pertinent provision of the Messadwsetts State Phhmbl ng and Chapter 142 of the General Laws. Type of License: BY ❑Plumber El Gas Rttm Tme im Master Si nature Pfu Filter AAPPPIKIM OFFICE USE OWL ❑LP(�° License Number: 1 4 7 Date. 3ro�<" T TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING . ,SSACMUSE� j This certifies that has permission to perform . . . .U. i. �G�� . . . . .. . . ... .. . . . . . . . . . . . plumbing in the buildings of . . . . . .A. wU .. . . . . . . . . . . . . . . . . at . . Y` . . . . . . . . . . . North Andover, Mass. k Fee7.2-cl: . . . .Cic. No. 3y� . . . , �� �. . . f PLUMBING INSPECTOR Check # 3 804 rl -- r . • w • • • 1.1 '!. IIIIIIIII�I�II • 1 a rj • • . t ' it ■ _ NOTWATIRTANK8t� _ C LAU.iND3'YTi� ■ WATER CLOSETS WAT9R PIPING .OTHRRIFIXTUREMS _ ■ ii�iiNiiii