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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 ..C.�....................................................... wiring in the building of �u ...�� �� ��j ro `. So C at ............................ �..................................... North Andover, Mass. 6 C) Fee .... 0 ........ Lic. No....?. ��. r4.......... ..{ .......... ........ "'� ..... ELECTRICAL INSPECTOR t Check # � i b Z V 9184 �,�,ca.P d�-c iz--���� � � Z 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