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HomeMy WebLinkAboutMiscellaneous - 226 SALEM STREET 4/30/2018 226 SALEM STREET 1 210/037.D-0001-0000.0 I I 9603 y Date......11......................... ...I� f NORTH 1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSACMUS� This certifies that .............. ...... Z .l. ................ ............. has permission to perform .......40. ................................:................... wiring in the building of.......................... Thr. :............................................. at..........2..a.6.......✓e4b!`i1.......................... ... .North Andove Mass. Fee..... .5.1.'..:. S� Lic.No,5 .r-f-4.......... P;IC�L ............i ,NOR LEc SPECT # Check l 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule B. in accordance-mth the provisions of MG.L.c.143,§.3L,the permit application form to provide notice of installation of wiring shall be uniforin 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,§3T,— ; Permits shallbe limited as to the time of ongoing construction activity and may'�,e.deemed-bythe.3nspector_of_Wires abandoned.and_inxalid if_he.—. 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 permit 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 purpose 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 extendingthrough August 15,2012. Rule 8—Permit/Date Closed: **Note:Reapply for new perm ❑Permit Extension Act—Permit ate Closed: MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(8001851-8424 3/5/2015 Form of Notice of Casualty Loss to Building Under Mass.Gen. Laws,Ch.139,Sec.313 NORTH ANDOVER HEALTH DEPT. NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: JAMES B HART Property Address: 226 SALEM ST,NORTH ANDOVER, MA 01845 Policy Number: 0715831 Type Loss: Ice Dams Date of Loss: 0211712015 Claim Number: 333327 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 36 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 Commonwealth of Massachusetts official Use Only Department of Fire Services Permit No. - - BOARD OF FIRE.PREVENTION REGULATIONSOccupancy and Fee Checked [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEJ),521 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspect r o Wires: By this application the undersigned gives notice of his or her intention to�:)erf �ji ��escribed below. Location(Street&Number) Z.Z Owner or Tenant 1'�fi Tele hone N P o. � Owner's Address Is this permit in conjunction with a buil ' per'mit?/ Yes ❑ No (Check Appropriate Box) Purpose of Building ps Utility Authorization No. Existing Service Amps / VolOverhead ❑ rd Und g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: 0/d>T1 a,lenl t Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Sus No,of Total p.(Paddle}Fans Transformers No.of Luminaire Outlets No.of Hot Tubs KVA G ! Generators KVA No,of Luminaires Swimming Pool Above In- o.o mergency ig g d• rnd. Bette Units No.of Receptacle.Outlets No.of On Burners ALARMS No.of Zones No.of Switches No,of Gas Burners No.of Detection and Initiatin Devices J No.of Ranges No.of Air Co d. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: """' Detection/Alerting Devices. No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection Other No.of Dryers Heating AppliancesKW Security Systems:* No.of WaterNo.of No.of No.of Devices or E uivalent ` Heaters KW Si s Ballasts . Data Wiring: No.of Devices or 1,11 uivalent No.Hydromassage Bathtubs No.of Motors Total HillTelecTm unicafions Wiring: OTHER: No.of Devices or Equivalent Estimated Value cfAttach additional detail if desired, or as required by the Inspector of Wires. ectrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins . ce including"completed opeiation"coverage or its substantial equivalent. he undersigned certifies that such covers is in force, and has exhibited proof of&sce o the p t�ssuing office. ally CHECK ONE: INSURANCE BOND ❑ OTHER I certify, under the pain d penalti o (Specify:) / s j/X/1�� p l ,that the ' ormati n onQt{ii !'Z FIRM NAME. L LC _.� s apphcatcon cs true and compl%�33 Licensee• LIC.NO. `k �v Signature I applicable(.r PP ble en r " t"in a license nu r ine.�J/ LIC.NO - Address: C, U l� us.TeL No.: 3 *Per M.G.L c. 147,s. 57-61,security ork requires D Alt.Tel.No.: t•.W... q ent of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑'insurance wnercoverage o0 o owner's gent. ' Owner/Agent Signature Telephone No. a"7_:1T7FEE_- $ j—�� 3115 Date. l .... .. i 10 1,ORT01 TOWN OF NORTH ANDOVER f PERMIT FOR OAS_INSTALLATION p t• y i s i, • ,SSACMUgEt This certifies that .-. r • • • • • has permission for gas installation .'. . . ... . . . . . . . . . . . . . . . . . . . . in the buildings of :. . `' .. . . . . . . . . . . . . . . . . . . . . . . . . at . .. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. � Iii `. 65/ 3i i�.i8o /r igjQ PAID GASINSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 0 MASSACHUSETTS UNIFORM APPLICATOR FOR PERMIT TO DO GAS NTFMG ype or print) Date ��2- 19 t NORTH ANDOVER, MASSACHUSETTS Building Locations v / Permit# Amount S �(S Owner's Name New❑ Renovation ❑ Replacement Plans Submitted ❑ w UC — C U z w -`t C C z cn 'r w C Z L i C L U SUB -BASEM ENT A S E M ENT IST. FLOOR 12N D . FLOOR )RD . FLOOR 4T H . F L O O R 5'r H . FLOG R 6T H . F L O O R 7T 11 . F L O O R 8 T H . F L O O R (Print or type) Check one: Certificate Installing Company h Name Corp. LA k Address �� HCl iCs��' Partner. Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter � ��. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations erforme der P" Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Ga C de an pt 42 of the General Laws. By: ignature of Licensed Plumber Or Fitter Title umber City/Town ❑/�Gas Fitter License i umner © Master APPROVED(OFFICE USE ONLY) (�.-lourneyman No Date.-kna 6 6 TOWN OF NORTH ANDOVER, 0 0- 0 PERMIT FOR WIRING �SS4 USEt This certifies that ...... ............. has permission to perform .....1t P� .n ......... wiring in the building of... at.. .......................................................................... North Andover,Masscm Fee.Sc :=.... Lic.No. ...... ................. ................................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer L12 Office Use Only = lllr �ummnw>etti l( itts�ttCl�uE�t� Permit No. / 3. Departateut IIf Public fVafetp Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK Q,R TYPALL INFORMATION) Date & a t/- ci.f` City or Town of IV 0 6 l e vu, To the Inspector of Wires: The udersigned applies for a permit to perfor th electrical work described below. Location (Street Owner or Tenant a 1 t✓� j�,� "r P, � L/j� kr Owner's AddressIs this permit in conjunction with a b, 'Iding permit: r Yes No ❑ (Check Appropriate Box) Purpose of Building e4,, V+/ G�� Lv� Utility Authorization No. Existing Service Amps _voltsVolts Overhead ❑ Undgrnd ❑ No. of Meters New Service &ko—Amps r v/AALVOlts Overhead ❑ Undgrnd � No. of Meters Number of Feeders and Ampacity s� Location and Nature of Proposed Electrical Work Peu wll -e cr�'- Lc)t 4. 9 LvN ) 1--4 c' No. of Lighting Outlets. No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- _. grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local ❑ Municipal Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES O NO LSI have submitted valid proof of same to the Office. YES 0 NO Cq�'1•f you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE O BOND O OTHER 0 (Please Specify) �`�� h� Olt, (Expiration Date Estimated Value of Electrpical k$_°f �Lv -e. ) Work to Start Deo / ` � Inspection Date Requested: . Rough °'� G e k G( Final Signed under the Penattie of perjury: FIRM NAME •i- F LIC. NO. Licensee Nb� re Signatu Q�(J� QLIC. Address I'1r Q, (,�e Bus. Tel. No.$ 0 Alt. Tel. No. OWNER'S INSURANCE RIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalen s re- b assa quired M chusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Pie check on (Sy re of Owner or Agent) a,� Telephone too.�rL�l PERMIT FEE$ x-6565 4237 Date....l..l.... TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,sSACMut) I / ` This certifies that ..........'..�` f f....t- .1..�c.............. ........................ has permission to perform ........5./C .`.J..................................................... wiring in the building of........../ o{/............................................................ v� 4 �` ST North Andover Mass Fee.... ... .....J: ... Lic.No./. ....... ............... . . ................... CTRICALINSPECTOR Check # Commonwealth of Massachusetts Permit no. l Official Use 04d.7 ' I Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.11/99] (leave blank) 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 PRINT IN INK OR TYPE ALL INFORMATION) Date: 11-15-2002 City or Town of: North Andover To the,Inect re o{{Wire By this application the undersigned gives notice of his or her intention to perform electricaiwor�C delcrtbe b,elow. Location(Street&Number) 226 Salem St Owner or Tenant James Hart Telephone No. 1-978-682-0126 Owner's Address 226 Salem St North MA 01845 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 116966 Existing Service 200 Amps 120 / 240 Overhead Undgrd No of Meters 1 New Service 200 Amps 120 / 240 Overhead ❑ Undgrd No of Meters 1 Number of Feeders and Ampacity Location and Nature.of Proposed.Electrical Work: replace service,riser,meter socket,piped into the panel I I No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA N'b.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool AboveIn- No.of Emer ency Lighting rnd. ❑ ❑ Batter Uni� No.of Receptacle Outlets No.of Oil Burners FIRE p ARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No of Air Cond. No of Alerting Devices No.of Waste Disposers Heat Pump NumberTons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers -Space7Area Heating Localer Municipal ❑ Connection ❑ No.of Dryers Heating Applicances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Si ns Ballasts No.of Devices of Equivalent No.of Hydromassage Bathtubs No of Motors Telecommunications Wiring: Total HP OTHER: No.of Devices of E uivall�ent � Att h addi 'oval detail i e ired,or s re fired b the Inspec r o ares. INSURANCE COVERAGE: Unless waived by the owner,no permit for die per`ormance e�ectrtcaq w�r`Tc mays issue uxil�0essftt�ie 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 BOND❑ OTHER Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 11/15/2002 Inspections to be requested in accordance with MEC Rule 10, and upon completion I certify, under thepains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME Expert Electrical Services,Inc. LIC.NO.: 17222A Licensee: Stephen Decker SignatureLIC.NO.: 1-800-418-3221 (If applicable enter"exempt"in the license number line) Bus. Tel.No.: Address: 44 Stedman St,Unit 2, Lowell,MA 01851 Alt.Tel.No: 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)F 1,wnerDwner's agent. Owner/Agent 50.00 Fold.Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS DIVISIONOF PROFESSIONAL BOARD OF ELECTRICIANS EL REGISTERED MASTER ELECTRICIAN ISSUES THIS LICENSE TO S TYPE EXPERT ELECTRICAL SERVICES INC ' m STEPHAN A DECKER -A 2409 MASS AVE CAMBRIDGE MA 02140-1120 647506 17222 A 07/31/04 647506 Fold.Then Detach Along All Perforations y I i