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Home My WebLink AboutMiscellaneous - 178 HAY MEADOW ROAD 4/30/2018 (2)Date ....:. Z ..-.7........ "ao� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that .........? w. ........PQ ....... has permission to perform ............... /...... .�, .klIx4.................................... wiring in the building of ....................................................... at ... �.�t .... ?�� }! I?� ................. , North Andover, Mass. �7 Db 7vq� Fee ...Lic. No ---r-- ................ . ............ 4!, ...... ELECTRICAL INSPECTOR Check # 7554 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. 2-.5 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 (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,JX4K OR TYPE ALL INFORMATION) Date: e�� 36, 2-00 7 City or owof: /� b nd b�� l� To the Inspect of Wires: By this application thFundersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity UMM�FAOI ((:heck Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Location and Nature of Proposed Electrical Work: Install security system at above location No. of Meters No. of Meters Completion of the following 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. grnd. o. of Emergency Lighting 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 No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: J.N Tons KW No. of Self -Contained Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: 1 No. of Devices or t No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: 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. 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 X BOND ❑ OTHER ❑ (Specify:) (Expiration nate) 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 cert, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Brinks Home Security LIC. NO.: 749C Licensee: Paul Defuria Signature LIC. NO.: 10028D (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-657-0443 Address: 155 West Street, Suite 7, Wilmington, MA 01887 Alt. Tel. 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. I am the (check one) ❑ owner ® owner's agent. Owner/Agent O PERMIT FEE: $ -2–S orbSignature �� Telephone No. 978-657-0443 YG f� 7_09 `/ ............... Date ... / -.. � � r TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... .............. ...... ............................................................ y perform .. ........ has permission to pe '4 wiring in the building of ..... -..I . ... . .............................................. at ...k:?, , k.- 2-" North Andover, Mass. Fees . ............... Lic. No.152I .(�.r7 ................. .....;. .......... E cmicAL INSPECTOR Check # 5- APPLIrATNM FOR PSI : TO Aa WORK Atwa�bLepe�ioa�ea�ae�a�oa.�1t�S,eli�eeLSel�I ee�d�eataoda(lffim MFCMK ma.... - - - - i (PLUWPRIMMMWORTJTXAUDabm /_0 Z 9- a OwnwaeTmumt Owsarps Iff I Plfl.. b da m ee: i sw�el�awlli a i�ii■Spe�iit Yes U we ❑ (ChakA Pea pa.s.r %I es t � � u�.�.u.�.o..x.6 Bdowaawdm Am" vatic OWdMd p veNVip x06MMO s MWANAM AMW ...es o..elited0 u■wkpi ❑ rf,errs N...er.rFaieeserAmpeft iffrompalmd RNN*Afnd� Rer IL erg erBes �es�nes wefA■aes erA%CINi.' Tis w a[Wa�leDfepeers ' Titafe wPVwMlAnwBma bg KW R arDrYOWN Apmimaes Kw w Heelers IM � 16 idbkis arllifaa 1�Mat>W Wa&lssent C -O MRA HOURAMM slam tite Goeaaee paNidesMaroc ur�edaafi�es�.csd CHKOM: BOURAlCK icvA ❑ OiQ � Q sdMW4F�OP4Wf VirMdbYiehp�brWyi►+r� Whimm I a, 11 �P�T) Iae�eeiasstnbetegisnledidsoRdblO m djvmftft*bm, iasswai�edb�araow� aspeer"tfortieperroa�� issiomk� �►�As�DO�P��"coMa�ear�p�aaieek 1be mpRisinfo�iogad�Ssaddiiiedp�oo�fc�E'alb ppm«6�o4 BOM 13 onm❑() ZuylC rsoeaae� —we�+� (9''� �aaee�c-e,se�ns Adorem .1('G) Q �4LL_iv� Dec Td W '1�erMt�L.�I47,�SR61,aocm"ly�od� Daps etafp �y O NUM WAMM Iasas mmom&dieLioseseedassAw&=widsLmbaiy�res �►ae9sDeel�ebalaetiIls:ebywai�el�siegainnms�k Iaie(� e�wnar dwds ` 1�iepberex.� ,'RBE• s �–� N.. fc44 7�g ��'fj� - - DATE: Town of N . SYSTEM PUMPING RECORD SYSTEM WNER & ADDRESS F7 9� SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: q QUANTITY" PUMPED: [ GALLONS CESSPOOL: NO v YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE OBSERVATIONS: GOOD CONDITION HEAVY GREASE ROOTS EXCESSIVE SOLIDS SOLIDS CARRYOVER EMERGENCY FULL TO COVER BAFFLES IN PLACE LEACHFIELD RUNBACK FLOODED OTHER (EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste