HomeMy WebLinkAboutMiscellaneous - 24 LONGWOOD AVENUE 4/30/2018F
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Commonwealth of (Massachusetts Official Use Only
Department of Fire Services Permit No.
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 (NEC), 527 CMR 12.00
(PLEASE PRINTWINK OR TYPE ALL INFORMATION) Date: /')"-7 -,91- /5 --
City or Town of: NORTH ANDOVER To the nspector of Wires:
By this application the undersigned gi}}''es notice of his or her intention to perform the electrical work described below.
Location (Street & Number) zma 0/222/
Owner or Tenant
Owner's Address
Telephone No.
Is this permit in conjunction with a building perM? Yes [2r No ❑ (Check Appropriate Box)
Purpose of Building ;L � 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:
Completion of the following table maybe waived by the Inspector of Wires.
No. of Recessed LuminairesNo.
of Ceil: Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑o.
rnd. grnd.
Of mergency LigEling
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burgers
No. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
Number
................................................................
Tons
KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:*
No. of Devices or Equivalent
No. of Water KW
Heaters
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
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 liabili nsurance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such cov age is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
X certify, cinder the pains and penalties(perjury, that the information on this application is true and complete.
FIRM NAME: LIC. NO.: ) %I—r) /A �
Licensee: ��J Signatur LIC. NO.:
(If applicable, enter " em t" in the hnse n ber line Bus. Tel. No.-
Address: Alt. Tel. No.: GM -11Z. r74
*Per M.G.L c. 147, s. 57-61, security work requ' es Department of Pu he Safety "S" License: Lic. 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) ❑ owner ❑ owner's agent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
3
S
❑ 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 shallbelimited as to the time of ongoing construction activity, and may be deemed by the Inspector of Wires abandoned and invalid 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 extending'through August 15, 2012.
❑ Rule 8 — Permit/Date Closed: *** Note: Reapply for new permit ❑
❑ Permit Extension Act — Permit/Date Closed:
Trench Inspection
Pass 0
Failed 0
Re- Inspection Required ($.) ❑
Inspectors Comments:
Inspectors Signature:
Date:
SERVICE INSPECTION:
Pass 0
Failed
Re- Inspection Required ($.) ❑
Inspectors Comments:
Inspectors Signature:
Date:
PARTIAL ROUGH INSPECTION:
Pass M
failed
Re- Inspection Required ($.) ❑
Inspectors Comments:
Inspectors Signature:
Date:
ROUGH INSPECTION:
Pass M
Failed ❑'
Re- Inspection Required ($.) ❑
Inspectors Comments:
Inspectors Signature:
Date:
FINAL INS ECTION:
Pass
Failed (]
Re- Inspection Required ($.) ❑
Inspectors Comments:
Inspectors Signature:
Date: j -
DEB WEINHOLD ... TOWN OF MERRIMAC, MA. .......dweinhold@townofinerrimac.com
The Commonwealth of Massachusetts
Department of IndustrialAccidents
_ Congress Street, Suite 100
- Boston, MA. 02114-2017
www.mass.gov/dia
VPokkers, Compensation Insurance Af£iidavit: Builders/Contxactoxs/Electricians/Plum ers.
TO BE FILED WITH THE PERMTTTING AUTHORITY.
Nanta (Business/Oiganization/Individual):
Address:
phone #:
City/State/Zip:
n employer? Checktlie appropriate box:
AVI
��� ` P7L10H
Type of project (required);
em to ees frill and/or part-time).*
I. a employer with_ P y
7. ❑ NOW'donstrUotion
2.F]I am a sole proprietor or partnership and have no employees working forme in
8. [] Remodeling
any capacity. [No workers' comp. insurance required.]
9. Demolition
3.❑ lam a homeowner doing all work myself,. [No workers' comp. insurance required] t
10 Q B ding addition
4. I am a homeowner and will be hiring contractors to conduct all work on my property. I will
compensation insurance or are sole
11. lecirical repairs or additions
ensure that all contractors either have workers'
with no'dmployees.
12� Q Pliuribyng repairs or additions
proprietors
5. ❑ I am a general contractor and I have hired the sub -contractors listed on the attached sheet.
have workers' comp. insurance.t
110 Roof repairs
These sub -contractors have employees and
14.10 Other
6. Q We are a corporafiiori and its, officers have exercised their right of exemption per MGL c.
comp. insurance required.]
152 81(4) andweheveno empldydes [Noworkers'
*Any applicant that checks box #] must also fill out the section below showing their workers' compensation policy information.
homeowners who submit•this af£davrt indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such
t;,
tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not fhose entities have
ntractors have employees, they must provide their workers' comp. policy number.
employees. If the sub-co
X am an employer that is providingworkers' compensation insurance for my employees. Below is the policy and job site
information. n I
Insurance Company Name: r ���
Policy # or Self -ins. Lie. �
1 o ExpirationDate: 0n 'l
City/State/Zip: �•
fob Site Address:
Attach a copy of the workersco pensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to $1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fins of up to $250.00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA. for insurance
e verification.
X do hereby certo under
ofperjury that the information provided above is true ana correct
r1a+w A 7- r�9 b
Official 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): i
1. Board of Ilealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. PIumbing Inspector
6. Other
Phone #:
Contact
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their enlployees.
Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is• defrued as "an individual, partnership, association, corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the
receiver'oz; trusted of an individual, partnership, association or other legal entity, employing employees.. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment b6 deemed to be an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant•who:has not produced -acceptable evidence of compliance with the insurance coverage required.
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
-Applicants
Pleasb fill out the Workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub'contractors) name(s), address(es) and phone number(s) along with their certificates) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is b eing requested, not the Department of
Industrial -Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self -insura'nc'e license number on the appropriate line. -
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
thai must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write •"all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Department's address, telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston, MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax # 617-727-7749
Revised 02-23-15 wwwmass.gov/dia
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PO Box 55098
Boston, MR 02205-5098
617-951-0600
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectman
City Hall City Hall
NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845
RE: Insured: CHERYL LANZONI
Property Address: 24 LONGWOOD DR, NORTH ANDOVER, MA
Policy Number: HMA 0011089
Claim Number: BOS00056445
Date of Loss: 2/28/2015
Company: Safety Indemnity Insurance Company
Claim has been made involving loss, damage or destruction of the above -captioned property,
which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be
applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B 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 number.
Blake Wilder Claim Examiner 3/19/2015
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
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MASSACHUSETTS UNIFORM APPLICATION OR PERMIT TO DO
- _ (Print or Type)
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NeV14 AIVOa'UV�, , Mass. Date �� P enmi
Building Location ;2Y 5ImrIne
New
) J Renovation Q
Type of
!ASFITTING
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Replacement ❑ Ptanss Submitted: Yes❑ Nor i
Installing Company Name YANKEE GAS Check one: Certificate
Address 140 SOUTH MAIN STREET iK Corporation 103C
MIDDLETON, MA 01949 [. Partnership
Business Telephone 978-774-2760 C Firm/Co.
Name of Licensed Plumber or Gas Fitter WILLIAM R. HAR R I S
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 13 No O
If you have checked yes. please Indicate the type coverage by checking the aWopriate box
A liability Insurance policy 0 Other type of indemnity O Bond O
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does net 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:
Owne!,=J Agent O
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above appkation are tru a d accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit ' for this I be i pit all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the7ture
Laws
BY Tiof License:
Plumber gmber or Fitter
Title Gasfitter
Wster License Number 3 7 8 5
City/Town Journeyman
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Installing Company Name YANKEE GAS Check one: Certificate
Address 140 SOUTH MAIN STREET iK Corporation 103C
MIDDLETON, MA 01949 [. Partnership
Business Telephone 978-774-2760 C Firm/Co.
Name of Licensed Plumber or Gas Fitter WILLIAM R. HAR R I S
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 13 No O
If you have checked yes. please Indicate the type coverage by checking the aWopriate box
A liability Insurance policy 0 Other type of indemnity O Bond O
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does net 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:
Owne!,=J Agent O
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in above appkation are tru a d accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit ' for this I be i pit all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the7ture
Laws
BY Tiof License:
Plumber gmber or Fitter
Title Gasfitter
Wster License Number 3 7 8 5
City/Town Journeyman
APPROVED( NL
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APPLICATIONFORPERART TOPERFORM==CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover
To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. PARCEL
Location (Street & Number) d ! j LBNA
Owner or Tenant Z Aye,' L yk "Zn N i
Owner's Address S AT4e_
Is this permit in conjunction with a building permit: Yes F-1 No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 100 Amps &0 / OtyOVolts Overhead = Underground M No. of Meters r
New Service Amps W / a y0 Volts Overhead 12r Underground M No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work LCN S 4- R AJ —W --I ck) 14 Sel`y ecce
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
and
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No f Switch Outlets
No. of Gas Bumcrs
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
A
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
LocalMunicipal
Other
No. of Dryers
Heating Devices KW
Conncctions
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No, Hydro Massage Tubs .
No. of Motors
Total HP
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FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance.with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: i/1a z v zp i7l Phone ire i Y00
LOCATION: Assessor's Map Number
Parcel
Subdivision / Lot(s)
Street St. Number
************************Official Use Only************************
C MMENDATIONS OF TOWN AGENTS:
Date Approved
Conservation Administrator Date Rejected
Comments
Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
6 Fire Department
Received by Building Inspector
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date
TYPICAL ROOF ICONSTRUCTION
• 2"X RAFTERSII @ 16" O.C.
• 5/8"PLY DOD SHEATHING
• 1 LAYER 1 FELT PAPER
• NEW SHINGL. SMATCH EXISTING
• 6" FIBERGLA BATT UL (UNFACED)
A 6 MIL VAPOR BARRIER
5/4" WOOD FASCIA —
WOOD BLOCKING
1/2" EXT. PLYWOOD UNDERSIDE
TYPICAL WALL CONSTRUCTION
SLOPE 0�,,MATCH E*STING
F �,'
• 2"x4" @ 16" O.C.
• BATT INSULATION (UNFACED)
• 1/2" PLYWOOD SHEATHING
• 15# FELT PAPER
• NEW SIDING TO MATCH EXISTING SIDING
• 4 MIL VAPOR BARRIER
ON INSIDE WALL
• 1/2" GYPSUM WALL BD.
ON INTERIOR
2"x10" HEADER
1/2" DIA. ANCHOR BOLTS
18" LONG @ 6'-0" O.C.oo
—
GRADE SLOPE AWAY FR. HOUSE
Z
10" POURED CONCRETE
FOUNDATION WALL
Z�
BITUMINOUS PARGING
>q
4" DEEP CONT. KEY
a.
20"X10" DEEP CONC. FOOTING
Vy,
2"x8 COLLAR TIE
@ 16" O.C.
—2— 2"X6" HEADER
2"x10" HEADER
T
FIRST FLOOR
FINISH FLOOR
5/8" PLYWOOD SUBFLOORING
F2"X10" FLOOR JOIST AT 16" O.C.
W/ CROSS BRIDGING
INSULATION
2"x6" SILL CRAWL SPACE
SOIL COVERED VAPOR BARRIER
20"
CROSS SECTION
SCALE: 3/8"=1'-0"
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Commonwealth of Massachusetts
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Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use
Permit No.
Occupancy and Fee Checked
:ev. 11/991 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC) 527 CI\ R 12.00
TFP
(PLEASE PRINT IN INK OR ALL INFO ATION) Date:
City or Town of: h_� To the Inspector of Wires:
By this application the undersigned gives npiice o is or her inte!)ldpn to perform the electrical work described below.
Location (Street &
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit?
Purpose of Building
Yes ❑ No
Telephone N
(Check Appropriate Box)
Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑
New Service Amps / Volts Overhead ❑ Undgrd ❑
Number of Feeders and Ampacity
r• Location and Nature of Proposed Electrical Work: Instal 1 ati on of Securi t
No. of Meters
No. of Meters
caste ,
ComDletion ofthe following table may he waived by the In. cnertnr nfWlrec
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
AboveIn-
Swimming Pool rnd. ❑ rnd. ❑
o. o Emergency Lighting
Battery Units,
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones CZ—
No. of Switches
No. of Gas Burners
No. o Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total Tons
No. of Alerting in Devices
No. of Waste Disposers
Heat Pump
Totals:
Number
Tons
KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
HeatingA
Appliances KW
Security Systems:
No. of Devices or Equivalent /
No. o Water Kit
Heaters
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:No. of Devices or Eouivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
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 ❑ BOND ❑ OTHER ❑ (Specify:)
(Expiration Date)
Estimated Value of Elect 'cal Work: D , — (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the ai s and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: ty ces LIC. NO.: 1 5330
Licensee: John''S. Bassett Signature LIC. NO.: 1533C
(If applicable, enter "exempt" in the license number line) Bus. Tel. No.,• 603 594 5928
Address: r Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Li see 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. $