HomeMy WebLinkAboutMiscellaneous - 20 VILLAGE GREEN DRIVE 4/30/20184
Date.... t.Z.-..30.-6 %
;•�" ,°�:'ao� TOWN OF NORTH ANDOVER
VOW PERMIT FOR WIRING
This certifies that ........-....... f 5e /v 5 ` "� /,
..............................................................
has permission to perform . / -7e-12 AAe
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wiring in the building of �u ...�� �� ��j ro `. So C
at ............................ �..................................... North Andover, Mass.
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Fee .... 0 ........ Lic. No....?. ��. r4.......... ..{ .......... ........ "'� .....
ELECTRICAL INSPECTOR t
Check # � i b Z V
9184
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l.omrnonv✓eaCtFi of Y&6�achwetb Official Use Only
2cc�� c 7 Permit No. / /9y
epartnwat 01 }ire servi.ce6
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL FORK
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: December 17, 2009
City or Town of:[ - Andover To the Inspector of ff�ires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 20 Village Green Drive
Owner or Tenant
Owner's Address
978) 683-4101
Is this permit in conjunction with a building permit?
Purpose of Building Residential
r,.: $t;ig .S -c—' E.re 1A -,..n.`13 / �vT0ii5
New Service Amps / Volts
Telephone No.
Yes ❑ No ❑ (Check Appropriate Boz)
Utility Authorization No. 8055045
0-v erh, . d ; I TT._ � e .
�s;.,. ca,: U :J,tdgrd � ;�o. o� i��Ieters
Overhead U Undgrd U No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace meter bank
Completion ofthe followinc table may be waived by the Inspector of Mires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. o formers Total
No. of Luminaire Outlets
No. of Hot Tubs
Generators 1KVA
No. of Luminaires
Above In
Swimming Pool arnd. ❑ arnd. ❑
o. o Emergency Lighting
Battery Units .
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARI S
No7of nes
No. of Switches
No. of Gas Burners
Nn of ilntnrfinn and
v Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alertina Devices
n _
No. of Waste Disposers
p
heat. Pump
Totals:
Number
Tons
KW
iNo. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area .heating KW
�
Local [I Municipal Connection ❑ Other
No. of Dryers
Ileatin liances
g pp IiW
Security Systems:*
No. of Devices or Equivalent
No. of Water RW
Heaters
No. of No. of
Signs BallastsNo.
Data Wiring:
of Devices or E uivalent
No. Hydromassage Bathtubs
b
No. of Motors Total HP
Teiecomrnunicatioris Wiring: ^`
No. o' Deb 1-cs or E,qu;-nlo
--
OTHER:
I
Attach additional detail if desired, or as required by the Inspector of Hines.
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 licenseeprovides 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 KI BOND ❑ OTHER ❑ (Specify:)
1 certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: Crowe & Sons Electrical Cor .LIC:NO.-17i68A
Licensee: -James B Crowe Signature LIC. NO.: 17168A
(Ifapplicable, enter "exempt" in the license number line.) us. Tel. No.. — 6 o 9 6
Address: 576 Middle's—ex Street, Lowe , Ma 01852 Alt Tel. No.: 3-6696
*Per M.G.L. c. 147, s. 57-61, security work requires Department* Public Safety "S" License: Lic. No. S S CO 001051
O'WNER'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. J am the (check one) ❑ owner ❑ owner's agent.
Owner/Agent PERMIT FEE:
Signature Telephone No. 55.00
Date............�:.a...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies thatoeo to C-- ,
.............................................................................................
has permission to perform .4/0, ! �..... �E .« T 2 VA� /Z , b9 -
wiring in the building of . �%{,? ! / �; �s-� ?tJ ovi 0 ....................
at ... t �3`" 2 O_ 2.Z.....I � , North Andover, Mass.
Lic. No. 7�� �............../'i— . � : a. ) a ..
ELECTRICAL INSPECTOIE�:•
Check a 102-32—).
C9 Z- 3 2
86 1}
gr7rr--
i�7 tie) e9
W,pt�/ - .- 13 T
(flmnwntuea Ak of t'P%amackrtsetts Official se Only
c�
cc77 Permit No.
2epartm.ent ol.}ire Service6
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 521 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: March 12, 2009
City or Town of: N. Andover To the Inspector of ffl'h-es:
By this application the undersigned gives notice of his or'her intention to perform the electrical work described below.
Location (Street & Number) 18-20-22 Village Green Drive
Owner or Tenant Village Green Condo 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 Utility Authorization No.
E:i3tlnb Servi:e �.:nrs / VCit� t^i'r'2rheud ❑ Undgrd ❑ No. off
Nieiers
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace meter bank
Completion of the following table may be waived by the Inspector of JYires.
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of (lot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑
rnd. grnd.
o. o mergency ig tmg
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
b
No. of Air Cond, Total
Tons
No. of Alerting Devices
b
No. of Waste Disposers
Heat Pump
Number
Tons
K ...........
'No. of Self -Contained
(Detection/Alerting
Totals:
Devices
No. of Dishwashers
Space/Area Heating KW
al
Local ❑ o n nnectionatio ❑Other
C
Con
No. of Dryers
heating Appliances KW
Securi
No. Systems:*
evi es or Equivalent
No. of Water
KW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No.'of Devices or Equivalent
No. Hydromassage Bathtubs
b
No. of Motors Total IIP
Telecommunications Wiring:
No. of Dev; cs or EgL'i".1.:^.t
OTHER:
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 :E] BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete.
FIRMNAME:Crowe & Sons Electrical Corp. LIC. NO. i7- 6 8 A
Licensee: James B. Crowe Signature LIC. NO.: 17168A.
(1f applicable, enter "exempt" in the license number line.)Bus. Tel. No.: �)-453-6696
Address: 576 Middlesex Street, Lowell, Ma 01852 Alt. Tel.No.:(9 7 8 ) 3-6696
*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
Signature Telephone No. PERMIT FEE: S 55.00