HomeMy WebLinkAboutMiscellaneous - 2211 TURNPIKE STREET 4/30/2018Date......./......... �`
&ORTH
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that .............................................................................................
has permission to perform
wiring in the building of A .............. ...............................
at ......... v2 �,C .. : :r ............. .. North Andover, Mass.
iY Fee e ............ Lic. No.303 ... ......................
ELECTRICAL INSPECTORt/
Check #
7351
Commonwealth of Massachusetts otlie;a; use Only
Department of Fire Services Permit No. /
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
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 PPJNTININK OR TYPEALL INFORMATION) Date: -,/- / c/ _ d -7
City or Town of: /V or &'ti ,¢h d a ve `. 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)
Owner or Tenant e G p e glia Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? t? Yes ❑ No ® (Check Appropriate Box)
tyl
Purpose of Building ve//,r.� Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Und rd
g ❑ No. of Meters
New Service Ampsrd / Volts Overhead ❑ Und
g ❑ No. of Meters
Number of F d d
ee ers an Ampacity
Location and Nature of Proposed Electrical Work: G d O S �h
Q `iel 1'yl e tc'✓Sac lsT t �Ov' 7-A Q S%o6 yg co)
Com letion o the a
No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans
No. of Luminaire Outlets
of Luminaires
No. of Receptacle Outlets
No. of Switches
No. of Ranges
No. of Waste Disposers
No. of Dishwashers
No. of Dryers
No. of Water
Heaters
No. Hydromassage Bathtu
OTHER:
No. of Hot Tubs
Swimming Pool Above ❑ In-
rn d.
No. of Oil Burners
No. of Gas Burners
No. of Air Cond. Total
Tons
eai� t Pump umber Tons
Totals: �'- �
Space/Area Heating KW
Heating Appliances KW
No. o o. o
Signs • Ballasts
No. of Motors Total H
PSeC&6, a cS;C-raice en
table may be waived by the
No. of
Transformers
Generators KI
E] o. o mergency ig i ing
R�4�e..., it«•a..
vuiW
FIRE ALARMSNo. of Zo
No. of Detection and
Initiating Devices
No. of Alerting Devices
No. of Self -Contained
Detection/Alertin Devices
Local ❑ unicipal EJO
Cnnneofrnn
Data Wiring:
No. of Devices or E uiva ent
Telecommunications Wiring.
No. of Devices or Enuival nt
Wires.
Attach additional detail ijdesired, or as required by the Inspector of Wires
Estimated Value of Electrical Work: c-2 0 U. 0'0 (When required by municipal policy.)
Work to Start: .41—,44--0-7 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 ermit is ing office.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Speci
I cert, under the pains and penalties ojperjury, that the injormati is p !cation ' nd completes
FIRM NAME: Castle Electric, Inc. LIC. NO.: A16191
Licensee: James R. Prescott Signatur LIC. NO.: 26186E
(Ijapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: 781-762-9891
Address: Bld . # 21 Endicott Street Norwood MA. 0206 Alt. Tel. No.:
*Security System Contractor License required for this wor ; ' applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that t icensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive is requirement. I am the (check one) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. ,,� PERMIT FEE: $ J 0,6-4
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