HomeMy WebLinkAboutMiscellaneous - 1600 OSGOOD STREET 4/30/2018 (85) - 600 OSGOOD-ST - -�
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Date....\~'�.............�.........
Of MORTI{1ti
3: ;_';�`' -•'�.°oma TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
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This certifies that �. 'z i��.......................'.....:v.........(:6....................
has permission to perform,..,:- - .._ c `�......� ..........................
wiring in the building of..: ''- ?^!f
..`..`...........`.:. s.. .......... ... .. .....North Ando r,Mass.
' A5�? ....Fee` ...r../. LicNo . .......... ...
ELECTRICAL INSPE k/
C Asa
Check #
8750-
Commonwealth of Massachusetts Official Use Only
V Department of Fire Services Permit No-
1
o.—
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '
[Rev. 1/07] Qeave blank
APPLICATION FOR PERMIT TOPERF
All work to be performed in accordance with the �sachusetts Electrical ORMCode(MEC),527 CMR ELECTRICA ELECTRICAL
(PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date:
City or Town of: NORTH ANDOVER
To the Inspector of Wires:
By this application the undersigned gives notice of=or her intention to perform the electrical work described below.
Location(Street&Number) 1606 St, 61'1td/,K 26
Owner or Tenant`f d Osfdd WSJ 0), �oj�++fi i e S
Owner's Address&0 �S dd d cS�, bu, [d f ,1A(5 Z u � Telephone No.
� od1
Is this permit in conjunction with a building permit? Yes
Purpose of Building NO ❑ (Check Appropriate Box)
d7 M--- Utility Authorization No.
045 Existing Service Amps / Volts Overhead
Undgrd ❑ No.of Meters
New Service Amps / Volts Overhead
❑ Undgrd ❑ No.of Meters
Number of Feeders and.Ampacity 1- 3� 7'G✓!r 22-SK-1-1p l 20!2ve$ U0L_ -
040S Location and Nature of Proposed Electrical LJ Work. t l d r 2p t
C;G r1111 U!1 w flsc}-(I OU f-(S
Completion of the ollowin table may be waived b the Inspector of Wires.
No.of Recessed Luminaires No�ofCeiL�-Susp. (Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool =e
o. merge
gd. Bat
Units
—, No.of Receptacle Outlets No.of oil Burners
FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
No.of es Rang Total InitiatingDevices
No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump
Number ons KW _ No.of Self-Contained
Totals: —.__._._...._. ._. . ..
Deteetion/Alertin Devic
No.of Dishwashers �
Space/Area Heating KW ��❑ Municipal
Connection E] other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.ofo. No.of Devices or Equivalent
Heaters KW Si s Ballasts . Data Wiring:
No.Hydromassage Bath No.of Devices or Equivalent
g tubs No.of Moto Teleco
Motors Total HP mmunicalions Wiring:
OTHER:
No.of Devices or E uivalent
�d� Attach additional detail if desired, oras required by the Inspector of Wires.
Estimated Value of Electrical Work: �t/�
`` (When required by municipal policy.)
Work to Start:S l2- n Inspections to be requested in accordance with MEC Rule 10,and upon completion.
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"
undersigned certifies that suchPcoverage or its substantial a uivalent. The
cov ge is m force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury, that the information on this
application
is true and co
FIRM NAME: complete-
FIRM L� rc o.
� r -7-tic
LIC.NO.: ,�sv3 14
Licensee:�
h( .S i rf
R Signature
(If applicable, enter "exempt"in the license number line.) T � LIC.NO.:
Address: /73 yr �/P S�r( ,•� C 3 6-7Bus.TeL No.Q3'765- `1'7 2
*Per M.G.L c. 147,s. 57- 1,security work requires D Alt.Tel.No.:
Department of Public Safety"S"License: Lie.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 g y
q went I am the check o
w ( ne
O ner/ own
A ant ) owner Owner/Agent ❑ ❑ owner's agent.
Signature
ery
Telephone No. PE"
IT FEE. &-f,1
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Date.......ff—..
i N°RT/1
°�,�`'° '•�"° TOWN OF NORTH ANDOVER
° _ p PERMIT FOR WIRING
;7SgACMUSE�
This certifies that ...................... t .G........ ... .........................
has permission to perform T
..... ,......
wiring in the building of....LU��. ...... . ��.�?.Z�?�1..:` ..........
at........1.�1�� 1 .�Cr"...............................North Andover,Mass.
j Fee..�.z oo... Lic.No.���.:5�:3............... #cA7WA>.....
/ ELECTRICAL INSPECTOR ..
i Check # ` 14 611? !
84 �
S-S\ Commonwealth of Massachusetts Official Use only
Q
Department of Fire Services Permit No. 0 7�
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 9/051 (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:
City or Town of: NORTH 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) J6cS aU S ,
P2nM`t Owner or Tenant( )o Wd A , DZ2 y PropftbeS LL-C. Telephone No.
L' Owner's Address 16(yo 6,s,and S}• , 61A iai At 30 22N4 R=(.I
3O�1 Is this permit in conjunction with a building permit? Yes Rr No ❑ (Check Appropriate Box)
+ Purpose of Building q Fe, / Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
s
t New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:BU1110k9 30, 2,A FL4on &J'', EN4 rola Cade' L•oc ia-\)
d+S oANe& Kl' c�eutegoipmevvi-ot Se2V-f�, WAKA� exfiev\a e)Csti►jci brdi-CkTs-`to uew %skona.IoCAJV(cvX
Completion of the followingtable may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.o Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No. of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting
rnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
+ No.of Ranges R No.of Air Cond. Total No.of Alerting Devices
Tons g
No.of Waste Disposers Heat Pum Number Tons KW No.oSelf-Contained
Totals I I Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ElMunicipalConnection
❑ Other
No.of Dryers Heating Appliances Kir Security Systems:
No.of Devices or Equivalent
No.of Water No.of No.o
Heaters KW Data Wiring:
Signs Ballasts No.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.
Estimated Value of Electrical Work: ,3 60Q (When required by municipal policy.)
Work to Start: 1/1141 6 8 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE O 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 cove 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 and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: MIL Rpdttic Co• SNC• LIC. NO.:IL5034
Licensee: w ap e W_Sn 12r S Signature W z LIC. NO.: 165034
(!(applicable, ent r "exempt"in the license number line.) Bus.Tel. No.:-1-6a3-76 5-R-722
Address: mile. &(PM f V it 030-A Alt.Tel. No.:
*Security System Contractof License required for this work; if applicable,enter the license number here:
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. j
Owner/Agent
Signature Telephone No. PERMIT FEE: $
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