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NORTH ANDOVER BUE WING DEPARTMENT
• �RRTEO �y .1600 Osgood Street
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North Andover .
Tel: 978-688-9545 .
Fax: 978-688-9542
.BEMES.S FOI? i FOR TOWN CLR.RK
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TYPE OF 13USINESS.: �(• �D��� /� C� Q�
13MDING LAYOT)T.PROVIDED: YES NO
ZONING BY LAS" USAGE: YES NO
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BUSMSS FORM FOR TOWN CLERK
2.40 Ronne Occupation (1989132)
An aecessoty use conducted -within a dwelling by a resident who resides in the, dwelling as bis principal
address, which is clearly secondai), to the use.. of the building for luring purposes. Home occupations shall
'in fide, "but not limited to the following uses; personal services such as firnrished by an artist or instnzctor,
but not occupation involved with motor vehicle repairs, b=4, parlors, animal kennels, or the conduct of
retail business, or the maaufacioxir g o£goods, which impacts lite residential nature of the neighborhood.
4. For use of a dwelling in any residential district or mull-hmily district for a home occupation, the
following conditions shall apply.
a. Not more •than a total of three (3) people may be employed in the hoome occupation, one of
whom shall be the Mazer ofthe home occupation and residing in said dwelling;
b. The use is carried on strictly withinthe principal building;
c. There shall be no ex-torior alterations, accessory buildings, or display which are not customw
with residential buildings;
d. Not more than iweni , five (25) percent of the existing gross floor area of the dwelling unit .
so used, not to exceed one thousand (1000) square feet, is devoted to 'such use. 7n
connectionwith
such use, there is to be kept no stock in trade, commodities or products which occupy space
beyond these limits;
e. There will be no display of goods or wares visible from the street;
f The building or premises occupied shall not be rendered objectionable or detrimental to the
residential character of the neighborhood due to the exterior appearance, emission of odor,
gas, smoke, dust, noise, disturbance, or in any other way become objectionable or
detmnental to any residential use wiffi the neighborhood;
g. Any such building shall include no features of design_ not customW in buildings for residential
Use.
Signature
0
Date.................... ,.......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that`
..........................................................................
has permission to perform - -T� -
wiring in the building of ....................................`
at................................................. .................... ...... , North Andover, Mass.
Fee... ``.............. Lic. No�:'...........' .......... ,.(„;,��.......................
ELECTRICAL INSPECTOR
Check #
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Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No.
Occupancy and Fee Checked ---�
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] 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 AL INFO ATION) Date:
City or Town of-. To the Inspector ofares:
By this application the undersigned v s noti of his or e intention to erfo a electrical work des 'bed below.
Location (Street & N her)
Owner or Tenant#A holTeleh ne No.
Owner's Address /
Is this permit in conjunction with a building permit? Yes ❑ No (Checr Appropriate Box)
Purpose of Building
Existing Service Amps / Volts
New Service Amps / Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of Security system
Utility Authorization No.
Overhead ❑ Undgrd ❑
Overhead ❑ Undgrd ❑
No. of Meters
No. of Meters
rn[nf:,,,. ..f li.., 1:.77,......... —L 1_ _ - L _ _ J t
No. of Recessed Fixtures
----- --__- _ -i -••- �••�•••••
No. of Ceil.-Susp. (Paddle) Fans
•».... ..•w vv rru. vcu u LiLG !/tJ G"ur U YY lrt Jy.
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
No. of Receptacle Outlets
Swimming Pool Above ❑ In- E]
rnd. und.
No. of Oil Burners
No. of Emergency Lighting
Battery Units
FIRE ALARMS No. of Zones
No. of Switches
No. of Gas Burners
o. 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
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 00
No. of Water
Heaters KW
No. of No. o
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:
nrracn aaaltlonat aetau y 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 ❑ BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
Estimated Value4pDai
cal Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under tndpenalties ofperjury, that the information on this application is true and complete.
FIRM NAME:Ser�gices LIC. NO.:
Licensee: John S. Bassett Signature LIC. NO.: 1533C
(If applicable, enter "exempt" in the license number line.)Bus. Tel. No. 606 594 591$
Address Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Li*see see 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
Signature Telephone No. PERMIT FEE: $