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Home My WebLink AboutMiscellaneous - 18 DEVON COURT 4/30/2018t Date ... 3.72 -.Z. -a.-1 ..... TOWN OF NORTH ANDOVER PERMIT ; FOR WIRING This certifies that ..... ............ ........................ has permission to perform .......... wiring in the building of ..... ................... at ....................... & XV0 ti- _ L97 . ............ ...................................... North Andover, Mass. Fee..Lic. No. ............... . .......... ELECTRICAL INSPECTOR Check # Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. S �J BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,p / [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 INK OR TYPE ALL INFORMATION) Date: 03/08/2006 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) #18 Devon Court Owner or Tenant Wood Ridge Homes Telephone No. 978-423-7867 Owner's Address 10 Wood Ridge Drive, North Andover, MA 01845 Is this permit in conjunction with a building permit? Yes ❑ No X (Check Appropriate Box) Purpose of Building Residence Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: Removed medicine cabinet and installed new one Completion of the following table may he waived by the Incneetnr of Wirac 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. o. o Emergency Lighting Batte 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 g No. of Waste Disposers Heat Pump I Totals: Number ** . ..................:... Tons KW .......... No. of Self -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 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:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) 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 th71� lication is true and complete. FIRM NAME: Landers Electrical Co., Inc. Z LIC. NO.: A5912 Licensee: Terrence J. Landers, Vice -President Signature LIC. NO.: 9743 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 978-686-3828 Address: 1000 Osgood Street, North Andover, MA 01845 Alt. Tel. No.: 978-686-3829 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE. $ 20.00 f� 0�:- I fid�—aJl.. e� Location No. Date NORTH. TOWN OF NORTH ANDOVER „ Certificate of Occupancy $ Building/Frame Permit Fee $ ,SSACMUSEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ �^ Water Connection Fee $ n TOTAL $ IN Building�lnspector T* , ". .5 i Div. Public Works PER-urr NO. !2t� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40. LOT NO. I 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE Z E SUB DIV. LOT NO. — LOCATION t p� V o ri CV PURPOSE OF BUILDING OWNER'S NAME yl� /, 9.�� J7„ + F f� 1 NO. OF STORIES �D� SIZE /h(! OWNER'S ADDRESS <r/Cj��J�7J� BASEMENT OR SLAB ARCHITECT'S NAME _ SIZE OF FLOOR TIMBERS 1STayj rylr 2ND 3RD BUILDER'S NAME � � y �0 SPAN '0/ DISTANCE TO NEAREST BUILDINd DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS w oo DISTANCE FROM LOT LINES — SIDES REAR ”' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION _ I THICKNESS jy SIZE OF FOOTING `-emen*t 6ioclr X I�BUILDING NEW IS BUILDING ADDITION.!! C. j MATERIAL OF CHIMNEY Tlpv— IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ALL BUILDING CONFORM TO REQUIREMENTS OF CODE Ye r J IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY r lu 1 V V IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS "PLANS MUST BE FILLED AND APPROVED BY BUILDING INSPECTOR FI ED b Y SIGNATURE OF OWNS R AUTHORIZED AGENT FEE %0 PERMIT GRANTS .L 19 CONTR. TEL, 6LU252 roNTR. LIC. 3 PROPERTY INFORMATION LAN COST EST. BLDG. COST [ t' Q "b EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR 'NV-ld 101d S30V1d3M SIHl 'a380dWiM3df1S '013 'S3vvu -VV 'S3H0M0d H11M 'S9NIa1ins d0 SNOISN3WIa L:)vx3 ONV S3N11 101 WOMB 30NV.LSla ONY 101 JOSNO1SN3Wla 10VX3 MOHS.LSf1W N01103S sl HI Is 1 Z 1�AON Hd f1000 IHd (1000 t 01033V JNIG11ns E)NIIV3H ON —1 P E _♦ _ P"L SWOON 40 'ON L DIUD313 110 SVO SM31V3H 11Nn 0.1.H 1NVIOVM ONINO110NOD MIV _ SM31dVM (lOOM MOdVA 210 M.1.M IOH 'SIOD V '$W9 13315 WV31S 'Nbnd MIV IOH 03J2103 3JVNMnd SS313did '510:)'8'Swad39W11 isior (3006 ONIMH 11 I ONIWVad 9 OOVO 3111 MOON 3111 S3Mn1Xld NM3IOW ONId00M 1106 83MOHS 11VIS 13AVNO V MVI `JNI9Wnld ON 31V1S ANIS N3H:)11JI S30NIHS 0006 AMOIVAVI S310NIHS 11VHdSV 13501 831VM 03HS 1Vld 13M9WV'J ('Xid LI WM 131101 08VSNVW 'Xld EI HIV9 d1H 319 V0 Mownld 01 100a 5 MOOd I --O1M3dnS ONIaIM _I MOON 8 'SnS DIIIV 3WVMd NO 3NOIS AMNOSVW NO 3NO1S 'X19 M30N0 bO 'JNO:) 3WVMd NO 110169 AMNOSVW NO X0I89 —� E t 9 3WVMd NO ODOn1S AMNOSVW NO O:)Dn1S 3111'HdSV ONIGIS '183A N, WOD ONIOIS SOIS39SV CIA\GMVH ONIGIS 11VHdSV HIMV3 S3IONIHS LOOM 313MDN0D 080 SadVOgdVlD Sa001d 6 II S11VM j b N3HD11X.Nd3GOW S3DVld 3613 VRV DIIIV 'NId V36V .1.W.9 Nld WOOM 0V3H I.W 9 ON 7C IA 1/1 llnd VRV 1N3W3SV9 £ E Z — Q NIANn 11VM AMG SM31d 831SVld G,M(1MVH 3NOIS MO )IGIM9 3NId 11.19 313MDNOD 3138ONO0 HSINId VOIN31NI 9 NOI1VONf10d Z NOi-L:)n i1SN00 S1N3W1MVdV MHAO_— AIIWVi 'I1lnW S31M0! Z O NOW c r m V) tn En3j co _ -n.cn :D 'n 'n n 3 m 0cW o m 41 o o C s o C to �. fc T ^ K r- o a 1 ,� W o T > z z v v o T m Z Z Z T m m O � n a �o 0 .� X i o Date. ./71-/� --'� ................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ............................ ........... has permission for gas installation ................ in the buildings of ........ 4/ fv at .............. North Andover, Mass, 4i Feer.'. Lic. No. .,�.). GAS INSPLOR Check 4 MASSACHUSETTS UNIFORM APPLICATON FOR PEIMT TO DO GAS FITTING (Type or print) Date )9' A PPL NORTH ANDOVER, MASSACHUSETTS Building Locations % Permit # ^ J� Amount $� Owner's Name � & �f New ❑ Renovation ❑ Replacement 0 Plans Submitted ❑ Namece . ;. . AftessY a� JS C 1S i t t..) i 0t l Business Telephone (� Name of Licensed Plumber or Gas Fitter �� one: Certificate Installing Company L) Corp. ❑ `Partner. 029 7 J— ❑ Firm/Co. VA -x A) In � )q L`4-9 i) I C INSURANCE COVERAGE Ch one: I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ If you have checked yes, .pl m' the type coverage by checking the appropriate box. Liability insurance policy C Other type of indemnity ❑ Bond ❑ 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 ❑ Agent ❑ I hereby certrfy that all of Me details and information t have si best of my knowledge and that all plumbing work and installs compliance with all pertinent provisions of the Massachusetts (OFFICE USE ONLY) (or enterea) in above application are true and accurate to the f der Permit Issued for this application will be in apter l42 ofthe General Laws. Signature ofLicensed Plumber Or Gas Fitter Plumber 1 ;7,-2-u Gas Fitter License NUMDer Master Journeyman