HomeMy WebLinkAboutMiscellaneous - 274 FOSTER STREET 4/30/2018 (2)ko
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ............ & I �U k S 14 ON L7
..............................................
has permission to perform NC_ _57ec
....................................
wiring in the building of .....
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at ......... ....... 5--`$ 7 ............ . Yqrth Mdover, Mass.
Fee... �2. Lic. No . ............. ................. ........ ..
EcTRicAL INSPECTOR 7
Check# 7 -7
7560
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. 75-F-0
BOARD OF FIRE PREVENTION REGULATIONS occupancy and Fee Checked
[Rev. 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 CMR 12.00
(PLEASE PRJNT IN INK OR TYPE ALL IYFORM4 TION) Date: S -13.u-7 ,
City or Town of: PoAlh kyrlyzP- To the Inspector qf Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
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Location (Street & Number) -71 �*S 7-tP-
Owner or Tenant ke-VI.A) ,'f U A TelephoneNo.
Owner's Address 3.AAg
Is this permit in conjunction with a building permit? Yes [:] No Z (Check Appropriate Box)
Purpose of Building
Existing Service
New Service
Utility Authorization No.
Amps Volts Overhead Undgrd 1:1
Amps Volts Overhead UndgrdF]
Number of Feeders and Ampacity
Location and -Nature of Proposed Electrical Work: Install SM11-ity system at above location
No. of Meters
No. of Meters
Completion of the following table inai, be ii,aived bi, the Inspector of 14"ires.
Attach additionaldelail �f sii-edoi-asi-eqziii-edbjltiiejiispectoi,oi IPUTIN.
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 pen -nit issuing office.
CHECK ONE: INSURANCE X BONDE] OTHER 0 (Speci�,:)
Estimated Value of Electrical Work: 5r7/0, '00 (When required by municipal policy.) (Expiration Date)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains andpenalties ofperjurj1, that the information on this application is true and colliplete.
FIRM NAME: Brinks Horne Security LIC. NO.: 749C
Licensee: Paul Defuria Signature—/�tj a'" LIC. NO.: 10028D
(If applicable, enter "exempt " it? the license number line.) Bus. Tel. No.: 978-657-Q443
Address: 155 West Street. Suite 7, Wilmington, MA 01887 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) D owner M owner's agent.
Owner/Agent
Qianqtnre Telephone No. 978-657-0443 PERMIT FEE: $
No. of Total
No. of Recessed Fixtures
No. of Ceil.-Susp- (Paddle) Fans
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Above E:i In- Ej
Swimming Pool grnd. arrid.
No. ol Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
TNo. ofZones
No. of Detection and
No. of Switches
No. of Gas Burners
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
a Devices
No. of Alerting
Heat Pump
Number
KW
No. of Self -Contained
No. of Waste Disposers
Totals:
[Igns ..........
.......................
I
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local E:] Municip�l E] Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems: r Equivalent I
No. of Devices o
No. of Water
KW
No. of No. of
Data Wiring:
Beaters
Signs Ballasts
No. of Devices or Equivalent
Telecom munications Wiring:
No. Hydromiassage Bathtubs
No. of Motors Total HP
No. of Devices or Equivalent
OTHER:
Attach additionaldelail �f sii-edoi-asi-eqziii-edbjltiiejiispectoi,oi IPUTIN.
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 pen -nit issuing office.
CHECK ONE: INSURANCE X BONDE] OTHER 0 (Speci�,:)
Estimated Value of Electrical Work: 5r7/0, '00 (When required by municipal policy.) (Expiration Date)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains andpenalties ofperjurj1, that the information on this application is true and colliplete.
FIRM NAME: Brinks Horne Security LIC. NO.: 749C
Licensee: Paul Defuria Signature—/�tj a'" LIC. NO.: 10028D
(If applicable, enter "exempt " it? the license number line.) Bus. Tel. No.: 978-657-Q443
Address: 155 West Street. Suite 7, Wilmington, MA 01887 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) D owner M owner's agent.
Owner/Agent
Qianqtnre Telephone No. 978-657-0443 PERMIT FEE: $
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
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mass. D e c>e Permit #
Building Location ';Zr'sName k� IJ 1�),o
b Type of Occupan
E IIJ
cy��,
New 0 Renovation 0 Replacement 2-' Plans Submitted: Yes 0 No CO3
FIXTURES
L_���rLUMBING
ACmUS
This certifies that ;P.. _k
... ............ I ...........................
has permission to perform -77
................
Plumbing in the buildings of . -:1-24 �_' �__
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jeck one: Certificate
I irporation —
,rtnership
'M/Co.
..........
.............. North Andover,
Mass. he requirements of MGL Ch. 142.
Fee Lic.
. . ........
PLUM BINGJNS PECTOR priate box
WHITE: Applicant CANARY: Building Dept
Chapter
I
Prid El
PINK: Treasurer I
t insurance coverage required by
— ----- _.jication waives this requirement.
Check one:
Owner E3 Agent 0
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 m#ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum Ag Oode and qapter I AD of the eral Laws.
_��re of Licensed �Plum �r
Title
City/Town Type of License: Master Joumeym�b
APPROVED (OFFICE USE ONLY) License Number --- 2331
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BASEMENT
IST FLOOR
2ND FLOOR
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TOWN OF
NORTH
ANDOVER
L_���rLUMBING
ACmUS
This certifies that ;P.. _k
... ............ I ...........................
has permission to perform -77
................
Plumbing in the buildings of . -:1-24 �_' �__
4 ...... ��) ..........
jeck one: Certificate
I irporation —
,rtnership
'M/Co.
..........
.............. North Andover,
Mass. he requirements of MGL Ch. 142.
Fee Lic.
. . ........
PLUM BINGJNS PECTOR priate box
WHITE: Applicant CANARY: Building Dept
Chapter
I
Prid El
PINK: Treasurer I
t insurance coverage required by
— ----- _.jication waives this requirement.
Check one:
Owner E3 Agent 0
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 m#ormed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum Ag Oode and qapter I AD of the eral Laws.
_��re of Licensed �Plum �r
Title
City/Town Type of License: Master Joumeym�b
APPROVED (OFFICE USE ONLY) License Number --- 2331
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Date...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that
..........
........... .......................................................
has permission to rform
wiring in the b�odmg of ......
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at.A�.-4a&A-�
Fee.-,�PO... Lic. No/y
Check #
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!.(� ............................ . North Andover, Mass.
...............................................................
ELECTRiCAL INSPECTOR
7—
L0M~AWd&1& 0/
2eewinwli 1/5in semiCJ6
BOARD OF FIRE PREVENTION REGUL
APPLICATION FOR PERMiT T1
All work to bc perfornicd in acicordwice with th�
(PLEASEPRINTIN INK OR 77PE / 4LL IfFOAVA77(
City or toiyn of.
,zK6�A&Ac,uA
By diis application the undemigned pvc.4,60ii - orhis or h ,
cp �ye
Location (Street &_Nuniber)_�__,.,:t �p
wner of Ti natit—_
wrier's Addr
Official usc bni—y
Pennit No.
Occupancy and Fee Checked
11:�- 111991
)/PERFORM ELECTRICAL WORK
chusctts. Cl=trim! Codc (MEC� 5Z7 CNIR 12.00
Dqte:
To thi Ins�!ci—tf
10 1 - 0 7
intention to perform the ical, war_,
&Uc6A VC10-w.
Telephone No. ----
is this permit In conjunctio , 0 k ff -1 .
nwith a buildin pcV.1? Yes '" No 54 'trik..Jr A
r,urpose or Building Utility Authorization No. 11YAWY
ExistisigService Ansps Voits Overhead Undgrd No. of Meters'.
NewSiervice Amps Volts Overhead
Undgrd No. of AleteM"
Number or Feeders -and -Am-nacitv
Location 2,nd,N2ture of Proposed Electrical Work:
V
I e
No. of Recessed Fixtures
No. or Ceil.�Su3p. (P.addle) Fans
a0le nfaV De Walved by the Insoccror or ivirm
No. of Total
Transformers XVA
No
`VA
No. -.of Lighting Fixtures
Swimming Pool Above -In- r-1
amd.. ernd. L -J
10. 9� Enmrgency.Lighting
lBattery Units
No.mf Receptacle Outlets
No. of Oil Burners
FIRE ALARMS_
Flio. of Zones
No. of Switches
No. of Cas Burners
No. o[De on and--
Initiatiniz Devices
No. of Ranges
No. of Air Coud. Total
Tons
No. of Alerting Devices
No. or waste Disposer,
He2t Pump
Totals:
I Number
I Tons
0. of Seff--Contalned
Detection/Alertinp Devices
I— -
I —
No. of Dish,' washers
.--J
S_ aceiArm Heating Xw
p
ocal
L ci Municipal [3 Other
Connection
No. of Dfy_e__r_s__.
No. of Water Mv
Heaters
Heating Appli2nm KNV
No. of
signs Ballasts
71ecun- ty Systems:
No. of Devices or I Equivalent.
Data Wirin?�-:
I No. of Devices or Equivalent
I'deCo mmunic2tions Wiring:
Noor-DevicesorEouivalent
- I :_ . - - - A"UG" &WU1119"al zzerall y aestrea, or = reqXrEd by the Inspecior of ;Yires.
INSURANCE COVERAcE: i Unless N%naived by the owner, no perm�it for the perforriianct. of cic��cal work- may issue unless
the licensee provides -proof of liability insumfice includirtS "completed operation" coverage or its substandal equivalent. The
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undersigned ciiiihes tl�a such coverage is in IbFCC, and h= c.,dubitcd proor of same to the permit issuing office. - (31
CHECK ON.E:. INSURANCE: 0 --BOND C1 OTHER [I (Specify-)
(E%piration Date)
Estim:ited Value of Electrical Wor-k*-_ /0' 0 (When required by municipal policy.)
Work to Start: InspecUons to be rcqueste: d in accordance with MEC Rule 10, and upon completion.
un der -the -p a -if s�-mqqp en allie's Pfp edu,7, _gLaf V� e J 04orm atio 1111S aPPfication is true and complete.
109-"Gg/
o C. NO.:,�q -j
FIRAI NAN - I Ll
Licetisee: —to //a, gna
- A., Signature
(t(applicable. titter "evempt "in the liceme munber Une.)
B us. T e-1: 11 i f7__9_7 � 2-1 _Z2
Address: P. 6. 60 X V.3 6— 18 V" 94 1r, 10
AIL Tel. No. -
t c i
OWNER'S INSURANCEMAIVER.A-am. aware t e Licenser does not have the liability insurance coverage normally
required by law. -By Tny signature belowl herebywaive. this requir--ment. I am the (chcck onc) C] Owner C3 dwaer's agent.
O%yncr/A-ent
I Signature' Telephone No. "RA11T FE- E.- t
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