HomeMy WebLinkAboutMiscellaneous - 2 Abby Lane r
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Date...... ........................
f NORTH�
° ."`°;•_-"O TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
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This certifies that .................CN/ r L<Q
has permission to perform .......... Vit/ PV...... ?!.b.4?"C..r—7..................
wiring in the building of....C4 &.1....�f .nom ...........................
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at..... o.�... ............ ... ,North Andover,Mass.
Fee..;?74�Lic.No. ......... .................................1
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ELECTRICAL INSPECTORQ r
r Check # U
673
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Commonwealth of Massachusetts Official Use Only �•��
--'�--k19Department of Fire Services Permit N°.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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 TYfro
YC'L INFORMATION) Date: �� Q�
City or Town of: 4� 7e— 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) L07Ao
Owner or Tenant ,2i2 a_ ,(/ � /d,,/ Telephone No.
Owner's Address
Is this permit in conjunction with a b/iy.Iding permit? Yes E No ❑ (Check Appropriate Box)
Purpose of Building &� y/�IC Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps 420 IWO Volts Overhead ❑ Undgrd Eg" No.of Meters /
i
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: fi01AP-1,U6
i
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 3� No.of Ceil.-Susp.(Paddle)Fans No.o Total
t Transformers KVA
No.of Luminaire Outlets /d No.of Hot Tubs Generators KVA
Above In o.o Emergency Lighting
No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches �—D No.of Gas Burners Z No.o -Detection and
1 Initiating Devices
No.of Ranges / No.of Air Cond. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pum Number I Tons I 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 Kms, Sectio.of Detvirces or Equivalent
No.of WaterKms, No.of No.of Data Wiring:
Heaters Signs Ballasts 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.
Estimated Value of Electrical Work: (When required by municipal policy.)
i
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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under the�Zv
and+�enalties of perjury,that the information on plication i true and complete.
FIRM NAME: LIC. NO.: C>23jr-,47—
Licensee: — 4 J, e Signature LIC. NO.:c?3P9'Z
(lfapplicable, enter 'exempt"in the license number ine.) Bus.Tel. No.:Of-�7F
Address: ,,`(� Dlj /);-ADO Q1,5 tt°��flfig/` Alt.Tel.No.:
*Security System Contractor License required for this work; if applicable,enter the license number here:
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. $
Signature Telephone No.
5
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6e'ina5 5hdurai LLC Phone
978,465,5435
Daniel L, Gelinas,'RE, Fax 978.465.5160
579A North End.Blvd,
Salisbury,.ti1A 01952-1738 email danlgelmas(iyadelphianrt
July 13,2006
Carroll Construction
Jim Carroll cell 978,479.2176
163 Highland Road Fax 978,475,0942
Andover,MA 01810 phone 9713.623,3386
Subject: 2 Abbey Lane,North And()Ver,MA
Dear Mr. Carroll;
Regarding the framing at 2 Abbey Lanc,the irsulatiori can be insta�led
Please call with any questions
Very 'Fruly Your;
``u` T'RU( fUFiAL t
•1 �tdc.3�43d �
Daruei I,. Gelinas. P.E.
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C-2 Abbq Lane ituul can inWJfvd 7-'.:j_06 ,doc