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Home My WebLink AboutMiscellaneous - 17 ELMWOOD STREET 4/30/2018 17 ELMWOOD STREET 210/006.0-0025-0000.0 y 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be-deemed-by-the_Inspector_of-Wires abandoned_and_invalidaflme— or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written / request of either the owner or.the installing entity stated on the permit application. v/JfCJ�v The PermitExtension Actwas created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending1hrough August 15,2012. I�Rule 8—Permit/Date Closed: 3�- \\ Note:Reappl or new permit Permit Extension Act—Permit/Date Closed. �� f Date... Y.r....... ,40RTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING 4L L SACHUS .............................................................. This certifies that ............ has permission to perform,;,,?—,.. .................... wiring in the building of... : * . ....................................................... at....17..... ..... ..................... .North Andover,Mass. Fee.,/-'o........... Lic.No� &'ZOF.... ELECTRICAL INSPEc-rof Check # 6650 Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC)527 MR 12.00 (PLEASE PRINT IN INK OR TYPE'AL�INFO ION) Date: �S I, Q�j City or Town of: lV o nty�i' To th e Ins ector o Wires: By this application the undersigned gives notice oJf his or her intention perform the electrical wk described below. Location(Street&Number) ,--I Al Wood 87— Owner or Tenant o U i cf 6 it r Telephone No. Owner's Address S'otM Is this permit in conjunction with a building permit? Yes ❑ N<2) (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overheadl�� 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: do o < Completion of the following table may 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 Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency ighting rnd. rnd. 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 Initiatin2 Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ns No.of Waste Disposers Heat Pump Number Tons KW No.of elf-Contained ..... 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 WaterNo.KW No. o No.o Data Wiring: Signs Ballasts No.of Devices or Equivalent r No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ` Attach additional detail if desired, or as required by the Inspector of Wires. 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. 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 covers e is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND ❑ OTHER ❑ (Specify:) I certify,under the pains and enalties of perju thatthe information on this application is true and complete. FIRM NAME-Dirt papa c-_ 7C W,,- C LIC. NO.: Licensee: //1101a0S 4 aok�c- Signature LIC. NO.: 336.20,6 (If applicable, enter "exempt"ie j�cense umb r lin .) Bus.Tel. No.:60 3-j'37;S�s3 Address: / [�W ( G" !O 4 cfa,4 r�/ i'� 030s-3 Alt.Tel. No.:_97p aGs=6M *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 have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. $ ALN i TOWN OF NORTH ANDOVERE ttORTN Co Building Department '' p 1600 Osgood Street Building 2-Suite 2-36 Building Dept TED North Andover MA 01845 S"c Tel: (978) 688-9545 Fax(978)688-9542 COMPLAINT FOR INVESTIGATION DATE: TEL#: NAME OF COMPLAINTANT,• ADDRESS, /7 'f IN' �c� 5�, COMPLAINT TYPE.: Elec]ricaL• Plumbing: Gas-, J f J G41 • G cU (vao r.S .n �'�C Wer P �l' Building: I*I J1d) - - I'�1 D �G V Property Owner: 8fO AhG�) rl Address; 10 Other: / �J h l S /h/-P� 1 r) b —.2AC- /%Y - &'Afj-y 'Irl A�y �Olgs- 6� tk jo'ld)"�?� �0�t /)r&/l � r r� s Pc 7� Signed: Complaint Form-Revised 6.2007 �yx �►� 's � � � 5,0 I 1 r �t, OBOE w Pr d� � I� . If J II J I ' Of NORTH TOWN OF NORTH ANDOVER �,,�•� °,ao Building Department RAE/CEI D/J * 1 1600 Osgood Street Building 2- Suite 2-36 Building Dept - JUN 12 2009 sS"r`°5 North Andover MA 01845 9 /Y-' '5S) � 'OCMU Et TOWN OF NORTH ER HEALTH DEPARTMENT Tel: (978) 688-9545 Fax(978)688-9542 COMPLAINT FOR INVESTIGATION J DATE: _ l TEL #: NAME OF COMP.LAINTANT.: & vJ SJ V ADDRESS: /7 FIA Vv-J COMPLAINT,TYPE- - - Electrical: Plumbing: — Gas:, S n ��C iv�i�dl kclftc Building: Property Owner: ,oto f�c�S 1&Gk ho rl Address:- Other: 1 (�) h l S �J >rJ I� I �1 �� J a) b Tie �U)I��,� ��,v�'� /%y �fokc 7� �)c ctaw- �c tcAyrd_ Signed: J -' J ' Complaint Form-Revised 6.2007 fLL cn 1� �1,,,, Iry Y,*2,-V>c � r l V bU1�I� �n U (2 t .. f , +.� Date.�,�!��`�/ !..l... i NORTH pf 3j TOWN OF NORTH ANDOVER - PERMIT AS INSTALLATION lo . � � F�ISS :. Ix This certifies that . . . 1 I, . .- . . . . . . . . . . . . . . . . has permission for gas installation.. . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . at �� 7. l!!'. . . .`. . . . . . . . . . . . ,; North Andover, Mass. Fee. . A.G Lic. No.. . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# 5618 MASSACHUSErIS UNIFORMAPPUCATONFORPERMITTODO GAS FITTING (Type or print) Date t—, NORTH ANDOVER,MASSACHUSETTS Building Locations 1,-7 Permit# Amount$ �r�� Owner's Name New❑ Renovation ReplacementJ351 Plans Submitted � w a `a W OF O Owx a o w 94 o z H 0 H Z F z .T W Oz G SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) j Check one: Certificate Install�g Co pany Name / � �tr rj�/� /.,1 (�' �orp. -2,/,�7 Address 11 Partner. Business a ep one Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check n I have a current liability Insurance policy or it's substantial equivalent. Yes No If you have checked Les,please' icate the type coverage by checking the appropriate box. Liability insurance policy POther type of indemnity 0 Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 13 Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations erfo ed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts at Code and C ter 142 of the GBneral Laws. r By: ignature of License Plumber Or Gas Fitt Title Plumber City/Town Gas Fitter License Number aster APPROVED(OFFICE USE ONLY) Journeyman MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �A Date Building Location / r� 4 Permit# Amount Owner New Renovation Replacement Plans Submitted Yes D No FIXTURES WEVEW ISI:HDOR 2Nn FIDOR 3RD RIM Mi FUM 5[H HfM 6IH RIM 7IH HIM SIH n DOR (Print or type) � Check one: Certificate Installing Company Name A.�e— -Corp. 2 J �' Address Partner. 7 Business Telephone -77-771575— Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indic a the4ppefinsurance coverage by checking the appropriate box: Liability insurance policy l Other type of indemnity D Bond D 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 Signature Owner D Agent I hereby certify that all of the details and information I have submitted(or entered)' ove application are true and accurate to the best of my knowledge and that all plumbing work and inst o erformed r ermit Issued for this application will be in compliance with all pertinent provisions of the Massac s to e P Code and Chapter 142'of the General Laws. By igisralare-ol Licensea riumoer Ty e of Plum g License Title i� City/Town icense um er Master P, Journeyman APPROVED(OFFICE USE ONLY