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Home My WebLink AboutMiscellaneous - 223 MASSACHUSETTS AVENUE 4/30/2018 223 MASSACHUSETTS AVENUE 210/011.0-0022-0000.0 � 1 J TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . . . . . . .!. . .1�. . .. . . .G. ...!.or v� �- has permission to perform . . . wiring in the building of . . . . . ( r` . .�... . .. . . . . . . . . . . . . . . . . . . . . at . . . .�? v� . . . . . I N Orth Andover, N1,ass. Fee . . . . . Lic. No.SS %; � . . . . . . . . . . . . . . . . .� %., / ELECTRICAL INSDECTOR Check # 11230 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the Permit application form to Provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed �! on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of-the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time ofongoing construction activity,and may be.deemed.by the.lnspector_ofWires abandoned.and.invalid_ifhe— or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A pernit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. Rule 8—Permit/Date Closed: 2 2 ***Dote:Reapply for new perm 0 Permit Extension Act—Permit/Date Closed: C.onunenweaa o//I/aelac"& Official Use Only Permit No. //2=3p .UeParfiner�o�,.tira Jav�ced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev- 1/07] eaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 2.00 (PLEASE PRINT RVWK OR TYP`�WIFIOTIMPOA9Date:City or Town of: N To the Inspector of Wires: B this application the undersigned gives notice Vas5acho5kJA3 his o Y PP Jan Br s r her intention to perform the electrical work described below. Location(Street&NuLbbeir) nqa ") ye Owner or Tenant (61 n6p"A Telephone,No. t3_b8l Owner's Address 5DA%Q1 j Is this permit in conjunction with a building permit? Yes ❑ No X❑ (Check Appropriate Box) Purpose of Building 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: Install residential security system Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.ofTotal Transformers KVA '. No.of Luminaire Outlets No.of Hot TubsGenerators KVA No.of Luminaires Swimming Pool ove ❑ n-. o.o mergency Lighting Errid. d. E!Yea Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detectron an Total InitiatinE Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers eat amp I Ember on . o.oSelf-ContainedTotals: Detection/Alertioz Devices No.of Dishwashers Space/Area Heating KWLocal Connection ❑ Other No.of Dryers Heating Appliances KW retia of Devices or Equivalent No.o water o.o o.o Heater's KW signs Ballasts DaeNo.of irIDevices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommumca onsWiring: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E e'ctri��Work: (When required by municipal policy.) Wolk to Start: 1 j I 0 / I Z in / spections to be requested in accordance with q 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 Q BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and Complete FIRM NAME: Ni htwatch Protection Inc. LIC.NO.: 7024C Licensee: Paul Delslanor Signature wWLLIC.NO.:7024C (Ifapplicable,enter "exempt"in the license number line) Bns.Tel.No.:888-722-9282 Address: 22 Briarwood Drive. Westford. MA 01886 Alt.Tel.No.: "Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SR-001696- 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 a ent. Owner/Agent Signature Telephone No. PERMT FEE: 1 i shy The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,Mass. 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual) + Address:_ D r City/State/Zip: SCt�Q�n Al�{ () 30 � Phone#: �` 73a- q a 8 a Are you nn employer?Check the appropriate box: Type of project(required): 1.4 I am an employer with_I 3 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp,insurance comp. insurance. $ 9. ❑Building addition required] 5:❑.We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers'comp, right of exemption perm MGL 11• ❑Plumbing repairs or additions y insurance required)t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees.[no workers' comp.insurance required.] 13.>0ther3&,t;•4jS`(S� • 1_ow Vot+(c5 f *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contactors that check this box most attach an additional sheet ehowhIg the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.Policy number. I am an employer that isproviding workers'compensation insurance for my employees:Below is thepolicy and job site information. Insurance Company Name: liJts�— Policy#or Self-ins.Lic.#: y Expiration Date: Job Site Address: Q City/State/Zip :_ 6 OCA �I Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration(date). Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of a fine up tb$1,500.00 and/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA)for coverage verification. I do herby certify under the pains and penalties ofperjury that the information provided above is true and correct Signature2ebDate. l /u, Print Name: 11PI/Al. Phone#: Oficial use only Do not write in this area to be completed by city or town official City or Town: Permit/license#• Issuing Authority(circle one): 1.Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#• FORDATE 3 TIMEA .M. M �lle-lc -5 S OFPHCINED 9 g 14= AREA PHONE YCIU{�CALL•' AREA M E NUMBER EXFENSIT MESSAGE / uj nt., rir. / PLEASE CALL, �/, U1lILL CALL 7" J�12 tti, 'AGAIN ' �pJ_ • CA�t.E 70, NED t Ujniye rSaI*48003 3 fNOTES i i _223 Tgwaf�.isetts Ave,North Andover, MA 01845 MLS# 71345724 - Zillow Page 1 of 2 w Homes Massachusetts North Andover real estate Views:500 Hone stropping just got tester!Map your friends and get their advice on neighlorhoods. € 223 Massachusetts Ave , Ifs � i For Sale: $220,000 Zestimate®: $232,800 i k Est. $815/mo Mortgage: See current rates on Zillow 775 is an Excellent credit score,whars yours? Beds: 3 Baths: 2 Sgft: 1,200 Lot: 6,098 sq ft/0.14 acres l ; Type: Single Family + Year built: 1945 * - Last sold: Jul 2007 for$309,000• c •' i Parking: -- Cooling: -- Heating: Fireplace: es Cozy Bungalow in North Andover! Features 3 Bedrooms&1- On Zillow: 1 days 3/4 Baths! Bright&Sunny Rooms with Hardwood Floors MLS u:171345724 throughout Living Room, Dining Room&Bedrooms! Kitchen has SS appliances&laminate countertops! 2nd Floor Could Be Made a Master Suite! Front Porch, Back Deck,and More facts Fenced in Yard! Great... More Save Email Edit Share Map print i Charts and Data Value Range 30-day change $/sgft Last updated Zestimate $232,800 $177K-$284K -$25,900 $194 04/10/2012 Rent Zestimate $1,777/mo $1.31K-$2K/mo +$23 $1.48 04/03/2012 Agent Comment You must sign-in and claim this listing in order to post a comment - Zestimate(Listing price; Rent Zestimate', more 1 year 5 years 10 years t Loading chart... See Your Credit Score Now I http://www.zillow.com/homedetails/223-Massachusetts-Ave-North-Andover-MA-01845/5... 4/13/2012