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Home My WebLink AboutMiscellaneous - 25 Holt Road3t'83 Date ........... °�.t TOWN OF NORTH ANDOVER 0 - PERMIT FOR WIRING This certifies that / ' . / I . S .......................:............. ............. hag permission to perform ..........!".. wiring in the building of ...... .. ...... ��. �. `! �:...:� '.................... i` at .............................................. �........ ,North Andov r, s. Fee .... . %. . dJ Lie. No. �..—...... 7' LECTRICAL INSPECTOR Check # 71/ Official Use Only 7, Permit No. ayr t 4;44&i s400 Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 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 or type all information) Date ? — I! � - To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number H� I ,y A St, L I Owner or Tenant L 0 C— Owner's Address `� 1 v G I ti �1 C' qt ic`J 'L � V eT Is this permit in conjunction with a building permit Yes LJ No ❑ (Check Appropriate Box) Purpose of Buildina k � C s-� T �`^ °1 Utility Authorization No. Existing1ervice Amps Voits Overhead ❑ Undgmd ❑ No. of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No. of Meters f Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = . (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested _ Rough Final Signed under the Penalties of perjury: v` LIC. NO. FIRM NAME NO. '3"7 a- aY'- G, kArnJ �v^° Bus. Tel No. Address J V � �� ` A � ` Alt Tel. No. �� OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my.signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) %� Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA t No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners ! Battery Units T No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Qi sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wirin No. Hydro Massage Tuds _ No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = . (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested _ Rough Final Signed under the Penalties of perjury: v` LIC. NO. FIRM NAME NO. '3"7 a- aY'- G, kArnJ �v^° Bus. Tel No. Address J V � �� ` A � ` Alt Tel. No. �� OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my.signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) %� Date... 06) .... N2 2606 ...... 01 TOWN OF NORTH ANDOVER 0 I- PERMIT FOR WIRING ,SSACMUS� This certifies ............................................... has permission to perform ..................... . ............ wiring in the building of. .... ....................... ......... .... I ............ at ... ... ................................................................ .. North Andover, Mass. Fee�./ ..0....... Lic. N47n-2,'Q.1.N .—L .....1.6 ..................................... .......................... 4� ——ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer S Office Use tJnf Commonwealth of Massachusetts Pt If It No. 0d Occw"ncy & ire Check" / = Department of Public Safety 3/90 tkaw kl BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00 ,PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed M accordance with the Maesachuseas Electrical Code. 527 CMR 12:00 (PLEAISE FP.LNT IN DM OR TYPE ALL INFORMATION) Date � -• r$ -oo City or Town of h pg:C ` NA oyyi _ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street b Number) )=r, 6'\ (r [t (`r) -kb Omer or Tenant Owner's Addressb"� Is this permit in conjunction with a building permit: Yes ❑ No � (Check Appropriate Box) -d Purpose of Building IA", -,,rt 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 Worki2,t_Y?e��Tp._C�M 1 V- "y No. of Lighting Outlets No. of Hot•Tubs - -_ No. of Transformers Total 1CvA No. of Lighting Fixtures g g Swimming Pool Above In- 8 grad. ❑ g - ❑ Generators 1CVA No. Emergency Lighting No.,of Rece tacle Outlets p No. of Oil Burners BattUnits er No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Cond. tons Initiating Devices . No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local❑ Municipal ❑OtherConnection No. of Disposals No. of HHeats Total Total PumpTons No. of Dishwashers Space/Area Heating KW KW No. of Dryers Heating Devices No, of o. o Low Voltage No. of Water Heaters KW Si ns Ballasts Wiring No. Hydro Massage Tubs lNo. of Motors Total 1f? 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 ❑ No I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND [:]OTHBR ❑ (Please Specify) (Expiration ate Estimated Value of Electrical Work S Work to Start L 5 ' O 0 Inspection Date Requested: Rough Final Cr Y Signed tun FIRM HAMS Licensee, tn- � NO.S k�O Address )i, �2A MDQ DIV `8116 ► r►"J"I1+LYl v, 1 ley C•. �t. Tel. No.- - v- - - OWNER'S INSURCE WAIVER: I an aware that the Licensee does not have the insurance coverage or its sub - AN stantial equivalent as required by Massachusetts Generalw�a s, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S d U Signature of Owner or Agent 3892 Date ....... !� /. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that G �? `� S ............................................................................. has permission to perform ..............//.,,................................................... wiring in the buildingoof ............................ ......:........................................ at 7 v f � �.1 JCA � , orth Andover as .... . .......... .... Fee./l.w....�.. Lic. No............ .......... LECTRICALINSPECT OR Check # Official Use Only Permit No. D�t oa �u8lie Sa�eui Occupancy & Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR =4' 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 or type all information) Date To the Inspector of Wires: Town of North Andover rr The undersigned applies for a permit to perform the electrical wor:7cribed below. Location (Street & Number Owner or Tenant V n v,-, e� 1 I C— Owner's Address ),,b > 7 1 \ C, c' q lA ✓ �C�l` f 1 1 ✓ 6 a Is this permit in Purpose of with a building permit Yes ❑ No ❑ (Check Appropriate Box) Utility Authorizati n No. Existing ServiceAmps Vats Overhead ElUndgrnd ❑ No. of Meters New Service ©C AmDst a Q -�� voits Overhead ❑ Undgmd 9,-' No. of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work 4 OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO have submitted valid proof of same to the Office YES = NO = If you have.checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of prvjury: FIRM NAME LIC. NO. Lrkensee t �`� (� Signature r� LIC. NO. //'' eS /) 1� i 1 Bus. Tel No. Address l 7 �M G , V e ` Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. RERMITfEE 3 (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di osal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No. Hydro Massage Tuds j No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO have submitted valid proof of same to the Office YES = NO = If you have.checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of prvjury: FIRM NAME LIC. NO. Lrkensee t �`� (� Signature r� LIC. NO. //'' eS /) 1� i 1 Bus. Tel No. Address l 7 �M G , V e ` Alt Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. RERMITfEE 3 (Signature of Owner or Agent)