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HomeMy WebLinkAboutMiscellaneous - 19 KINGSTON STREET 4/30/2018 Kew Fsr .--; BUILMNG HLE s i HORTM �a�;',r`��•` �°oma TOWN OF NORTH ANDOVER p .PERMIT FOR WIRING �-Is HUS This certifies that .............1 ..`..... ............................. has permission to perform ........ .............a. e. wiring in the building of... .......... ....... .r ... � at...../...q.... ............... -- ........... North Andover,Mass. j. ...... Fee.�..4�........... Lic.Ncn 7.,..... . ELE RICAL I PE R v/ � Check # 7693 The Commonwealth of Massachusetts Office Use Only G] ? Permit No. Department of Public Safety Occupancy Fee Checked /r BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 �. (leave blank) APPLICATION FOR PERMIT TO PERFORM 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 September 21 , 2007 North. Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street& Number) 19 Kingston Street OwnerorTenant Property Management of. Andover Owner's Address P.-O. Box 488 Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Residential 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 Li gh t in g in boiler room No.of Lighting Outlets No.of Hot Tubs Total No.of Transformers KVA No.of Lighting Fixtures Swimming Pool Above ❑ In Generators KVA g gmd. ❑ No.of Receptacle Outlets No.of Oil Burners No.of Emergency LightingBattery Units 1 No.of Switch Outlets No.of Gas burners FIRE ALARMS No.of Zones Ranges No.of Air Cond. Total No.of Detection and No.of Ran g tons Initiating Devices Heat Total Total No.of Disposals No.of Pumps Tons KW No.of Sounding Devices No.of Dishwashers Space/Area Heating KW No.of Self Contained Detection/Sounding Devices Municipal No.of Dryers Heating Devices KW Local❑ Connection❑Other No.of No.of Low Voltage No.of Water Heaters KW Signs Ballasts Wiring No.Hydro Massage Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws _ I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ® NO ❑ I have submitted valid proof of same to this office. YES © NO ❑. If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE® BOND❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start. Inspection Date Required: Rough Final Signed under the penalties of perjury: r+ FIRM NAME CROWE & SONS ELECTRICAL CORP LIC.NO.17168A Licensee JAMES B. CROWE `� 1716 8A Signature LIC. NO. 17168A No. ( 9,78 )453-6696- Address MIDDLESEX STREET LOWELL MA 01851 Address 9 7 Alt.Tel.No. 8 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE$ 55 .00 1 (Signature of Owner or Agent) � �w f I f Date....... ..i..' (3_o 7 t NORTM'1 3?�•'��`� "�,� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACHUSES A This certifies that ........ .... .Sd/1...pS1- G/ �p has permission to perform ...... �� wiring in the building of.. at............ ..... .............. -North Andover,Mass. Fee.: .............. Lic.No. / 71/?. �f ELECTRICAL INSPECTOR ` / Check # 5 P 7 7 7793 (f1mi LonweaR o f Ma6dachusett. Official Use Only � cc Permit No. ? 3 2erartment 01cc77 ire servicee Occupancy and Fee Checked /BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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 , E JNTININKORTYPEALLINFORMATION) Date:NwemhPr 7 _ 2007 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) 19 Kingston Street Owner orTenantVillage Green Association Telephone No. Owner's Address PMA (978) 683-4101 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Residential I Utility AuthorizationNo.3663251 Existing Service200 Amps 120 240 Volts Overhead ❑ Undgrd K❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Motet socket replacement 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 Above In- 17o—.—of-Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No. of No. of No.of Devices or E uiyalent .Heaters Ballasts Data Wiring: Signs No.of Devices or Equivalent V No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Eq uivaleat, OTHER: i 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 coverage is in force,'and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑x BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Crowe & Sons Electrical Corp. LIC. NO.: 17168A Licensee: James B. Crowe SignatureLIC.NO.: 17168A (If applicable, enter "exempt"in the license number line.) ✓ Bus.Tel. No.: (978)453-6696 Address: _ 576 Middlesex Street, Lowell, 01851 Alt.Tel. No.: (978)251-8-573 *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S" License: Lic. No. SS CO 001051 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 PERMIT FEE. $55 .00 Signature Telephone No.