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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ....... A)��_
................................ ......................................................
has permission to perform ........ . .............................
................ ......
wiring in the building of . ........ .. ......................
....... ... ...
North Andover, Mass.
at .....
Fee .:!�&-. ......... Lic.
.....J.GG........ ........... .............
ELECTRPAL4;CTOk
Check #
8738
�,rt�n.w�allic a� l�na-L=.ch�a1`i+
'� `�.Parfnvrt� a� j'iri �1rvCC.i1
BOARO,OF FIRE PREVENTION REGULATIONS
Otficial Usc Only i
Permit No. 3�
Occupancy and Fee Checked
[Rcv. 1107] ;Icavc blank)
APPLICATIOt�� FOR PERMIT TO PERFO-RM ELECTRICAL WORK
All wor(clto be performed in accordance with the itMoissachu_:ers Eic ;cal Code (iYIECa 27 CMR`12.00,
PL ?SE PR'NT N INS OR TYPE-ALL:f\V OR�IATTOt� Datz: j/�3 l f
( City or ".Gown of: �,�/fZZ) q- _ To the Inspector cf Wires:
dr intention to perorm the electrical work described below.
By this application the undersigned gives notic
Location (Street & Number)
Owner or Tenant /(fie
Telephone No. ,(? %?'
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No (Check Aepropriaie Box)
Purpose of Building
Existing Service
New Service
Utility Authorization No_
Amps / Volts Overhead ❑ Undgrd 17
Amps Volts Overhead ❑ Undgrd
Number of Feeders and Ampacity
Location and Nature of Proposed EIectrical Work:
l)-'�:t0_L� 0 - a
= /7/9
No.. of LN;zter<_
No. of Meters --- --
eC.u.r. i a r C rc 1 4Lar m
S u 5 -ren
r"n,. I,rrnn nF1.4v (nllnwinv?n A10 -v iv waived by t/re Irtsnector ofwires
No. of Recessed Lumir-aires
No. of Ceil: Susp- (Paddle) Fans
t o. o t, rota
Transforr ers KVA
t`Io. of Luminaire Outlets
No. of Hot Tubs
Generators' . KYA.
Swimming Pool -Above n-
❑ ❑
t o. or• mergency ig. cing
Batter Uniis
No. of Luminaires
b rnd. �-nd.
. i
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS, No._o,f Zones'` _
No. of Switches
No. of Cas Burners
No. of Detection an
1- bating Devices
No. of Ranges
No. of Air Cond. Ta sl
-umber
No. of Alerting Devices
No. of Waste Disposers
:eat ump
Totals:
ITons
KW
17o. of Self -Contained
Detection/AIerting Devices
Space/Area Heating KW
N unicipal
Local E] Connection ❑Other
No. of Dishwashers
Heating Appliances KW
Security Xysterns:'` /�/
No_ of UeYICP< or E uivalent 4
No..of Dryers
No o ater KW
Ballastc
Data Wiring:
No. of Devices c- E uiv lent
treaters
Sins
e ecommunicatons .ring:
No. Hydromassage Bathtubs No_ of Motors Total Hi No. of Deices°or Eciuivalent
OTHER: V?—q&000,PL!
A.r 1.nn a, ..,J.l: e.:.....,1 ./. e..,:1 :ir/s�irori n.mrirtd by the Inspector of Wires.
Estimated Value of Elee�rieal Work: � /), o (When required by. municipal policy:)
Work to Start: %k' Inspections to be requested in accordance. with EIEC Rule 10, and upon completion.
no permit fob the performance of electrical work may issue unles
INSURANCE COVERAGE: Unless waived by the owner,s
the licensee provides proof of liability insurance including "completed operation" coverage or its substantial cquiva.lcnt. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing ogee.
CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:)
I cern under the pains and enaltier o er u that the urfarmation ors this application is.true and.coniplet� �/
fy, p P lP !e.1', /� 'L
FIRM NAME I � S�Gc�rt' Sc.rVCCes LIC. NO:. `
Licensee: ,�-P vt Pt !� O
Signature' LICNO-. - 59
l a ltcabie, enter f exe pt" in the lice rtum�er lint) Bus: Tel. No:J
�% PP L l ,t lT� `/jV _ hLd �l (S , uN ?-x`49 AIL Tel. No_:
Address:
"Per M.G_L_ c. 147, s. 57-61, security work requires Department of Public Safety " S" License: .. ; Lic- No.
OWNER'S INSURANCE 'NAIVER_ I am aware that the Licensee does not have the liability insurance coverage normally
Qent.
rz.quired by law. By my signature below, I hereby waive this requirement. I am the (check one) [� o�,mEr . ❑owner' s
Owne.-/Agent ,_ one No PF?'.I ITT F7" -F, S'
Signature Bleph [.
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Date....
. ..........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies th t ..................... ....................
.................................
has permission to perform .... ..................... .......................
wiring in the build"in 'of� ....... �*' ....... .. ........................................
at.................
C; ....... ...... .North Andover, Mass.
Fee/1.6 ................ Lic. No.............................................................................
ELECTRICAL INSPECTOR
07/01/98 09:43 15-00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Office Use Only
Permit No.
?WE e0%JiyilO?ik/�r�-�'7 0'i Occupancy & Fee Checked
TION REGUI"ATIONS 527 CMR 12:00
BOARD OF FIRE PREVEN
APPLICATION FOR PERMIT TO PE40RM ELECTRICAL WORK
All worts to be performed in accordance with the Massachusetts Electrical Code 527,CMR 12:00
Date -
(Please Print in ink or type all information) To the Inspector of Wires:
Town of North Andover
The undersigned applies for a permit tto?/
o -perform the electrical work described below.
Location (Street & Number�J 25�
''
Owner or Tenant c^
Owners Address v m
Is this permit in conjunction with a building permit
Yes No (C!fieck Appropriate Box)
Purpose of Budding 1
O Q Amps E 2-D P volts
Existin Service
Overhead
Authorization No.
Undgmd ❑ No. of Meters
9
Amps Volts
Overhead ❑ Undgmd C3 No. of Meters
New Ser Ace
Number of Feeders and Ampecity v 1
Location and Nature of Proposed Electrical Work
OTHER:
INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General laws
I have a currem Liability Insurance Policy Includi mpleted Operations Coverage or its substantial equivale YE = NO = box
have submitted valid proof of same to the OfitciE /h NO = L) %S pie indicatethe
tY�or c��rage by checking the appropriate
INSURANCE = BOND = OTHER Please Specify) (Expiration Date)
Estimated Value of Electrical W rk$ /DD ` 0,C) final
Inspection Date Resquested Rough / f
Work to Start %— 9'% � LIC. NO. 3 � 6 b U
Signed under the Penalties of per)ury:
FIRMNAME
Licensee p
r ��! (� y,, ,� Q ,��-,ieA,,Le j10 Signature •.�1�—�`� « � -IC. NO. G
S Bus. Tel No.6370 �rgc
Address
�i� A0 4JcxJ� S� C. 11 �� AR Tel. No. 607 OSSO �r'ro
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or Its sefes substantial
Check one) uivalent as �ulred by Massachusetts
General Laws. And -that my signature on this permit application waives this requirement. Owner A9 ( ///ALL ✓
Telephone No. PERMIT FEE
(signature of of Owner or Agent)
Location e
No. x �/ ., Die'
f V
Nom,. TOWN OF NORTH ANDOVER
97
Certificate of Occupancy $
Building/Frame Permit Fee $ —�
��s'••.o'�"��
CH
e
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
r s e
�, ` t +35/29/96 12-14 40.00"H"'Div. Public Works
1
Non
NDate
d
NORTH TOWN OF NORTH ANDOVER
Certificate of Occupancy $
41
Building/Frame Permit Fee $
°'
-'�b'•'•°''<�' Foundation Permit Fee $
ss�CHuse
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
12661 tI6129198 1?c 14 4�'' �' �7 Div Public Works
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BUYER: MATTHEW R. BUNK- and LORI -ANN DEACON -BUNKER
1
*NO � exoluds �& Omfe m1
momb39 AWS as to zon ng setback
rJ�yulrefi$nte.
Std
;f
L31�
Com"
I
10
I0
01
Isitl PC41 becIC.
ST—
NQS e
A Zz 37
1-391t
The Savin:; Bank
ANDITSITE(
SnnE INSURERS. -�) MORTGAGE INSPECTION PLAN
i1 ATW IN
1 CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS0 , \ �
I.E. (FRONT, SIDE, & REAR SETBACK ONLY) OF North lllldOvei' Q I 1y V ��
WHEN CONSTRUOTED, OR ARE EXEMPT FROM VIOLATION ENFORCEMENT AC71ON UNDER MASS. G.L.—
- -
TITLE VII, CHAPTER 40A, SEOTION 7, UNLESS OTHER`MSE NOTED
Tloi ,� nle i'X" oui;si.dc+ pie .no "r.
I FURTHER CERTIFY THAT THIS PROPERTY IS LOCATED IN 'DIE ESTABUSHED FL06D
HAZARD AREAOOMMUNITY PANEL NO.: 20no8 on1r,C DATE: 6-2-93
THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED
DATE OF THE LATEST DEED OF RECORD.
WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY UIIE IT IS ADVISED
THHAATT A MORE PRECISE SURVEY BE MADE TO VERIFY,THESE THESE MEASUREMENTS.
THIS CERTIFICATION IS '
BASED ON THE LOCATION OF 'WFWt h.,MA1 KE ii OTHERS, AND DOES NOT
RFP T A PROPERTY SURVEY. VERIFICATION OF, S V) f ARKiMS/ -kith JD OFFSETS, AS SHOWN,
MASSACHUSETTS
Flood P.I.ai.n.
DEED
BOOK
24`3
PAGE
CERT. NO.
PLAN BK. PAGE
MAY BE ACCOIAPUSHED ONLY BY AN ACCURATE, INSI�i40jf §uRvrY4 `' ;: �, PLAN DATED
THIS CERTIACATION TO BE .USED FOR.',W (GAGE PURP 6S" ONLY. OCTC) F�y-
OFFSETS AS SHOWN A E:. OT''T0r�Ew. - SCALP: t'- 4
USED FOR THE ESTABLISHMENT 01 tPROPER.7 AL] - 1
JAMES W. BOUGIOUKAS — R.L.S. #9529
BRADFORD
ENGINEERING CO.
P.O. BOX 1244
HAVERHILL MA. 91831
TEL (508) 373,2398
0
FORM U - LOT RELEASE FORM
a=:
INSTRUCTIONS: This form is used to verify that all necessary approvals/per"frOrtl
;.
Boards and apartments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements. =_
"**'"APPLICANT FILLS OUT THIS SECTION
k
APPLICANT PHONE
LOCATION: Assessors Map Nufter��'C,
PARCEL_
SUBDIVISION LOT (S) --
STREET ST. NUMBER_
..OFFICIAL USE ONLY
RECOMMENDATIONS OF TOWN AGENTS:
CONSERVATION ADMINISTRATOR DATE APPROVED 0"2
rI, DATE R�JECTED
COMMENTS � V V
M;-
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENTS
FOOD INSPECTOR -HEALTH DATE APPROVED
��- DATE REJECTED
wool
C 1 SPECTOR-HEALTH DATE APPROVED 4 X2 -d
DATE REJECTED
COMMENTS__al - L r�t.ie.s Phi i• a� S 4v.s
PUBLIC WORKS - SEWERIWATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
GO
N
I
�7
i� cation
No Date
1*
r
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Fee $ Foundation Permit
s�cNuse ,�/�
. , r _ €Other Permit Fee U"�ve-rt !1
� ; ,.„ "�
Sewer Connection Fee $
Vol '� 0 Water Connection Fee $
�, .1,;-rTOTAL $$ Z)y /�
Building Inspector
Div. Public Works
PRR'mI NO.W-S �7
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP d40.
LOT NO.
2 RECORD OF OWNERSHIP ;DATE
BOOK ;PAGE —
ZONE
SUB DIV. LOT NO.
I
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME Q ICaJ JX -1/4\ 1
NO. OF STORIES SIZE
OWNER'S ADDRESS 2' 1 (JRtiPjkj'_1 �T-,
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES — SIDES REAR
'" GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY -B e�
�n +
�
IS BUILDING ALTERATION jM-Sr^, , IO 1 0oD p V
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
OWNER TEI. Ni- -/
CONTR. TEL. #
CONTR. LIC. #
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
f ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OWNER OR AUTHORIZED AGENT,V' I
F E E
C,J
PERMIT GRANTED
19 �..
WHITE: Building Dept
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
CREAM: Assessors CANARY: Treasurer
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6" FLUE REQUIRED `
Since 1938
This Manual describes the installation and operation of the Model 5172 E/S 172 EP noncatalytic wood heater. This heater meets U.S. Environmental
Protection Agency's emission limits for wood heaters sold after July 1, 1996. Under specific conditions this heater has been shown to deliver heat
at rates ranging from 11,300 to 34;400 BTU per Hour.
Model No. S-172 E / S 172 EP
This unit has been listed by
Warnock Hersey Limited to
meet or exceed ULC S-627
Canada and UL 1482 U.S.
MINIMUM
OVERALLHT
FROM FLOOR
15 FT.
I
Contact your local building inspector prior to installation.
A permit may be required in your area.
CLEARANCE FROM COMBUSTIBLE CONSTRUCTIONS
From Heater U.S./Canada
A Sidewall.... 19 1/2" (495mm)
B Backwall........ 8" (203mm)
C Corner ........ 12" (305mm)
FLOOR PROTECTOR
MUST HAVE
MINIMUM R VALUE
OF .893
FIG. C
MINIMUM CHIMNEY
HEIGHTS ABOVE ROOF
AND CLEARANCES
BACKWALL
J I
L I I
� I I
d I I
� o I
p I I
A
4
1 2 3 7 8 6
1
13
t
12
MORE THAN 10 FT,
2 FT MIN. HIGHER
QTY.
THAN NEAREST
POINT OF ROOF
PART #
WITHIN 10 FT
3 FT MIN.
FROM ROOF
^
PENETRATION
/ \
Contact your local building inspector prior to installation.
A permit may be required in your area.
CLEARANCE FROM COMBUSTIBLE CONSTRUCTIONS
From Heater U.S./Canada
A Sidewall.... 19 1/2" (495mm)
B Backwall........ 8" (203mm)
C Corner ........ 12" (305mm)
FLOOR PROTECTOR
MUST HAVE
MINIMUM R VALUE
OF .893
FIG. C
MINIMUM CHIMNEY
HEIGHTS ABOVE ROOF
AND CLEARANCES
BACKWALL
J I
L I I
� I I
d I I
� o I
p I I
A
4
1 2 3 7 8 6
1
13
t
12
NOTE: LEG OPTION SHOWN
FIG. B
STEPS FOR BRICK PLACEMENT
1) Back brick 'A' to base of stove.
2) Bottom brick 'B'.
3) Angled brick 'C' slide to rear.
4) Side brick 'D' place front pieces
first then add two middle bricks.
From Chimney Connector
U.S./Canada
D Sidewall........ 30"(762mm)
E Backwall ... 10 1/2" (267mm)
F Corner ......... 21" (533mm)
Ceiling......... 18" (457mm)
�.
BACKWALL
ALL
L I i;
J F
Q1� I
4 z. 11
In ` 1
F\
NOTE:
DO NOT REMOVE INSULATING
MATERIAL FROM FIREBOX
t
DECORATIVE BRASS TRIM
Be sure to remove protective plastic coating
after installing your wood heater.
OPTIONAL FAN
p An optional Heat Exchange blower is available for this wood
burning appliance. To order please see the local dealer
where you purchased your appliance.
INLET AIR.CONTROL SETTINGS:
Desired burn rate Inlet air setting "approx. BTU output
Low closed fully 11,300
Med/Low 1/8" open 14,300
SPRING HANDLE Med/High 3/8" open 17,800
Twist spring handle in a counter clockwise motion while High Fully open 34,400
pushing on to handle; spring handle will "thread" down
to desired location.
**Performance may vary depending on
Part No. S19110- Rev 0111/91 actual home operating conditions.
NOTE: Retain this sheet for future reference
PARTS LIST S-172 E / S-172 EP
#
QTY.
DESCRIPTION
PART #
1
1
Door Assembly
531102
2 & 3
1
Glass and Gasket
531113
3
5 ft.
1/8" Glass Gasket Only
515001
4
1
Spring Handle
511007
5
1
Air Control Spring Handle
511008
6
5 ft.
5/8" Door Gasket Only
S15011
7
1
Glass Clip
537023
8
2
Screw
S11086
9
1
Brass Body Trim
532059
10
1
Brass Ash Fender Trim
S32062
11
2
1 Hinge Pin
S11005
12
2
Spring Nut
511090.
!3. _
16
Brick 9" x 4-1/2"
516001
14
1
Brick 4-1/2" x 4-1/2"
S16002
15
2
Brick Angled
516013
NOTE: LEG OPTION SHOWN
FIG. B
STEPS FOR BRICK PLACEMENT
1) Back brick 'A' to base of stove.
2) Bottom brick 'B'.
3) Angled brick 'C' slide to rear.
4) Side brick 'D' place front pieces
first then add two middle bricks.
From Chimney Connector
U.S./Canada
D Sidewall........ 30"(762mm)
E Backwall ... 10 1/2" (267mm)
F Corner ......... 21" (533mm)
Ceiling......... 18" (457mm)
�.
BACKWALL
ALL
L I i;
J F
Q1� I
4 z. 11
In ` 1
F\
NOTE:
DO NOT REMOVE INSULATING
MATERIAL FROM FIREBOX
t
DECORATIVE BRASS TRIM
Be sure to remove protective plastic coating
after installing your wood heater.
OPTIONAL FAN
p An optional Heat Exchange blower is available for this wood
burning appliance. To order please see the local dealer
where you purchased your appliance.
INLET AIR.CONTROL SETTINGS:
Desired burn rate Inlet air setting "approx. BTU output
Low closed fully 11,300
Med/Low 1/8" open 14,300
SPRING HANDLE Med/High 3/8" open 17,800
Twist spring handle in a counter clockwise motion while High Fully open 34,400
pushing on to handle; spring handle will "thread" down
to desired location.
**Performance may vary depending on
Part No. S19110- Rev 0111/91 actual home operating conditions.
NOTE: Retain this sheet for future reference
WOOD STOVE INSTALLAHON CHECKLIST
Permit
A building permit is required for the installation of any solid fuel burning appliance. The building permit and
installation inspection are limited to the stove installation and not to the stove construction.
(' Stove
•..c` A. New Used
B. Type/radiant (^ 0`T3 0 F Circulating
C. Manufacturer =AV67H s __Lab. No.
Name/ Model No. Collar size
Dimensions/ Height ZY Length Z -2 - —Width -
Ch Imne
idth
Chimney /
A. New Existing
B. Size (flue area) lO x 12-
C.
2 -C. Other appliances attached to flue (Number and flue size) ►� G v,
D. Prefab (Manufacturer—name and type)
E. Masonry/Lined Flue liner
Unlined f pe d manufacturer)
F. Height (refer to diagrams) — o VSr t W G roo cap i 10"
CHIMNEY HEIGHT
Hearth (non-combustible)
A. Materials
B. Sub -floor construction
C. Minimum dimensions (refer to diagram)
Clearances and Wall Protection (see stove instal ation c!e ranee part)
A. Type of wall protection provided+� �a
B. Clearances (refer to diagrams)
FIREPLACE.
CORNER
w
i�
HEARTH
-ear C,3cd/ c'S 6r1�_-k
WALL/CENTER
13
Date.. ..........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .... "o- �2r ........ . ............... ............................................
has permission to perform .... —r—s
wiring in the building .................
at .... ................. ...... ........ .... ............... . North Andover, Mass.
IFed,—?J ....... Lic. No. .. ... .. ...... . ..................... .. .. . �.'Ae....
ELECTRICAL INSPECTOR
02/16/99 12:09 35.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
w\ Ulllsu use vniy
Elie C�ammuuwettltl� >af ttj ij�i 4usttts _____
30epurttncnt of Public bttfcta b Fee Checked
[3/190pea" blank)
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT TO PERFORM ELECTRICALWORK
All work to be performed in accordance with the Massachusetts Electrical Coder 527 C `
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Do y cr, ,, To the Inspector of Wires:
City or Town of,,
The udersigned applies for a permit to perform the
� electrical work described below.
Location (Street 2
Owner or Tenant
Owner's Address '
permit: Yes ❑ No `� (Check Appropriate Bok)
Is this permit in conjunction with a building p .
Purpose of Building Utility Authorization No.
Existing Service Amps _J ---Volts Overhead ❑ Undgmd ❑ No. of Meters
New Servlce Amps ___J Volts Overhead ❑ Undgmd ❑ . No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. of Lighting Fixtures
No,. or Receptacle. Outlets
No. of Switch Outlets
No. of Ranges
No. of Disposals
No. of Dishwashers
No. of Dryers
No. of Water Heaters KW
No. Hydro Massage Ttrbs
OTHER:
No. of Hot Tubs
Above IW
Swimming Pool grad• ❑ gmd. ❑
No of Oil Burners `
,s
No:, o1;Gas Burners
Total
No. of Air Cond. tons
No.ot Heat Total
Pumps Tons
Space/Area Heating
Heating Devices
No. of No. of
Signs Ballasts
Total
No. of Ttanstormers KVA
Generators • . KVANo, of Emergency Lighting
Battery Units
FIRE ALARMS No. of`ZonesNo: of'Oetection-and.Initiating Devices
Total
KW No. of Sounding Devices
VLOc
d'V�Total HP � r1l .C, --
No. of Motors _
No. ofSNt Contained
KVOetectionlSounding Devices
MunicipalOther
KW Connection ❑
INSURANCE COVERAGE: Pursuant to the requirements of Masastchusetts general Laws 1
I have a current Liability Insurance Policy Including Completed Opera n uC� acheked YESor its • pelase ndicatenthe type aI co a ageeby
have submitted valid proof of same to the Office. YES O NO O yochecking the appropriate box.INSURANCE C BOND. G OTHER O (Please Specify) (Exp rationOate)
Estimated Value of E ` t is W k = = Final
VVorkto start/4 �7 inspection Date Requested ,.,RoughSigned imdor.the f enaltles of perjury: UC.NO:FIRM NAME LIC, NO: t.Licensen rh al Rrnnkc Signature f413) 737-4400
Bus. Tel. No.
Address111 Morse Street. Norwood, MA Au. Tet. No.OWNER'S INSUnANCE WAIVER: i am aware that the LiconseN does not have the Insuranco coverage or Its substantial equivalenAtge `equtr9d by Massechusoits General Laws, and that my signature on this pormit application waives this requirement. Owner(Please chock ono) d„ Telophone No. —.._ PERMIT FEE 5 ,Z(Signature of Ownor or Agont) :•0545