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HomeMy WebLinkAboutMiscellaneous - 19 HAROLD STREET 4/30/2018 19 HAROLD 2101014.0-0 STREET -000p.0 L I R Date...... �.....(�y..... t NORTH, 0:;•'�`` :•_�."�O� TOWN OF NORTH ANDOVER PERMIT FOR WIRING �, .. ,. �SS�cHU This certifies that ... =. . hhs permission to perform ..............:::. - -��.....�-r .j:f "�............. wiring in the building of......�,.w: ��'�� - : . -?—f ... .............. at..�.........�...................:��'........................`........ ,North Andover,Mass. Fee.. .................. Lic.No. ! . .............................. ELECTRICAL INSPECTOR Check # � 6j vuiuldl Ube Permit No-fS i-- ���t!ylZd72ZU�ri?.C'�6�: 10 ss� 7s y9� Det o��uGk'a Occupancy&Fee Chec BOARD OF FIRE PREVENTION REGTS 27 CMR 12:00 APPLICATION FOR PERMIT TO PER ORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 , (Please Print in ink or type all information) Date / .-�-�7/ To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number 19 /7iq/r/d 5-�re r'4 Owner or Tenant �'Y/J�/e, LSu l�,P / C!t C/K IL Owner's Address tQ Is this permit in conjunction with a building permit Yes 0 No f (Check Appropriate Box) Purpose of Building &��j-f�iy j Utility Authorization No. Existing Service Amps Voits Overhead 0 Undgmd 0 No.of Met( New Service Amps--_-__— Volts Overhead 0 Undgmd 0 No.of Met( Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total 1 No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In a No.of Lighting Fbdures SvAmming Pool gmd 0 2md 0 Generators KVA a No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone _ Total No.of Detection and No.of Ra es No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices _ NoJ of Self Contained No.of Dishwashers Space/Area Heati KW Detection/Sounding Devices _ n Municipal 0 Other f No.of Dryers Heating Devices KW Local Connection No.of No.of Lovv Voltage No.of Water Heaters KW S' ns Bailases Wiri s No.Hydro Massage t�Tuds ✓J No.of Mot/o�rs L Total HP OTHER: L .,k)o 07 10 bJdrlc. INSURANCE COVERAGE_ Pursuant to the requiremen6ts of Massachusetts General Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= No - ha Favi valid proof of same to the Office YES= NO - If you have checked YES please indicate the type of coverage by checking the appropriate box. BOND - OTHER - (Please Specify) Estimated Value of.E rical Work$ /��(J Work to Start 1'f� (Expiration Date) a0oa� Inspection Date Resquested Rough Final Signed,undeFIRM NAMEr the P ;tt r rPe�uryk///! LIC.NOW/,�S rr 1 Licensee—AdIAe 7 6,Ile t Signature44�oe LIC.NO./ 65T S ��iAeAWc1Ae SV/CC'l �1� Bus.T .No. /f f7 Off/!// Address '� Aft Tell.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does nof have the insurance coverage or its substantial equivalent as required by Mass General Laws.And that my signature on this permit application waives this requirement. owner Agent (Please Check one) (Signature of Owner or Agent) Telephone No. PERMIT FEE f Date....f p `fir. r l .............................. NORT►I of° `` TOWN OF NORTH ANDOVER '° PERMIT FOR WIRING SSACNUS� �. This certifies that .... '...1.... ........................................................................ has permission to perform-,...... '-'�' .- �.... .......................................... wiring in the building of........:.: ?. ............................................. �-` -r ,North Andover,Mass. ................ Lic.Nom-' � ................................................. ELECTRICAL INSPECTOR Check # �� 8le'? 4 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 C R 12.00 (PLEASE PRINT IN INK OR T E ALL FO ATION) Date: City or Town of: To the Inspector oy Wires: By this application the undersigned Ives n i e of his or er in tion to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. Owner's Address S� Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ 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: Installation of Security system Completion of the ollowin 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 [I In- El o Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ENo. f Zones No.of Switches No.of Gas Burners o.o Detection and t Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices ns No.of Waste Disposers Heat Pump INumber Tons KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Sec r yyofDevices or Equivalent No.o Waterof No.of Heaters KW No. signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs INo.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 ❑ BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Q Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the Jains 6ndpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: John S. Bassett Signature LIC.NO.: 1533C (Ifapplicable, enter"exempt"in the license number line.) Bus.Tel.No.- 603 594 5928 Address: W-TAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Lid9hsee 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. $ • Date. . . . . .-�. . 01 40 RT:14, TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING 40 �1SSACMUS� This certifies that . . . . . . . . . . .: -1. . . . . . . . . . . . . . . . . . . . . has permission to perform . . . -1..... . . . . . . . . . . . . plumbing in the buildings of �� .... . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . North Andover, Mass. Fee`.. . . . . . .Lic. No.. � .. . . . . . . . . . . . . . Check # PLUOTJ4 INSPECTOR 574 .5 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 02 (Print or Type) o r J 1� Mass. Date 9/)7/03 19_ Permit# 11 � � — Building Location 1 ! f�]�'`©L b 5 T Owner'sName r � Map:�/ Lot: Zone: Type of Occupancy_ New Ud Renovation ❑ Replacement 0 Plans Submitted: Yes O No ❑ FIXTURES Fee: N Z N = Z Y J y O Z > Ul W Y J N U Q y ~ W W N Z Q Z j O H W F W N F 0 2 y - 0 Z Z Z a 7 U z ¢ M y ai W s a W y = ¢ a U. Q a Q 3 x M W O 0 4: Q W CCF' H _ O Q N O 0: 0. O LL W = H H W 3 0 C Q J H 4: J Z 0 D J 1- U Q = 3 = a Z = 3 Y d O H Q )9 LL Q W LL Y W Q F- O H N O N H Z O O N Z Z W H 0 U = x �- ai 'J` c a 3 ¢¢ m 0 SUB-BSMT. BASEMENT 1ST FLOOR c 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name I/ ir7 5 r C.E& Check one: Certificate Address • O . G 3 D ❑ Corporation Estimate Value of Work: ❑ Partnership Business Telephone Q 1 7 'S 3 O� Q CiFirm/Co. Name of Licensed Plumber or Gas Fitter ILI 1Jr4 5 (Lf, S INSURANCE COVERAGE: I have a current li bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YesPNo If you have checked ygs, please indicate the typs coveraga by checking the appropriate box. A liability Insurance policy 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 Owners Agent Owner O Agent 0 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Co a and ter 142 of/fth�e�General La By Title Signature of Licensed Plumber City/Town Type of License: Master 91"'- Journeyman ❑ APPROVED OFFICE USE ONLY License Number I,)% % R"sW 5/27,92