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Home My WebLink AboutMiscellaneous - 28 VILLAGE GREEN DRIVE 4/30/201811, DateJ./......`....... ��;•t;`'° �,� TOWN OF NORTH ANDOVER P PERMIT FOR WIRING (41 9,C./ This certifies that ...:-!.................................. has permission to perform- ?:� wiring in the building of .........�1 ! l i/t ................................................... I /_.�.North Andover Mass. Fee ........... Lic. No. "%/....M .............. )L*i--� ?�A INSP CTO Check # 875 ,m=-rrarrea�fh o� Y/na:!�ackuaet Official Use Only — c� Permit No. 2epartnwat of5 ire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07](leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 521 CMR 12.00 (PLEASE PRIATT INIATK OR TYPE ALL INFORAL4TIOA) Date:April 29, 2009 City or Town of: North. Andover To the Inspector of Wires: By this application the undersigned dives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 29 Village Green Drive Owner or Tenant - Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Purpose of Building Residential .ten ,.. • .b ..r New Service ,k In ps / Volts Amps / Volts Number of Feeders and Ampacity Yes ❑ No ❑ (Check Appropriate Box) Utility Authorization No. 6634732 O. .' ca. u uno�,� �f ir`0. b, 1,41eterS Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: Meter socket replacement Con:oletion of the folloivina table mai, be waived by the Inspector o; (f ices. No. of Recessed Luminaires No. of Ceii.-Susp. (Paddle) Fans No. of Total Transformers (CVA No. of Luminaire Outlets No. of Hot Tubs Generators R'B'A .No. of Luminaires SwimmingPool Above ❑ In- ❑ 5 grnd. grnd. 'o. of Emergency Ughting Battery units . No. of Receptacle Outlets No. of Oil Burners IFIRE ALARMS No. of Zones INC. of Switches No. of Gas Burners I'_ No. of Detection and I1 Initiating Devices No. of Ran -es b INC.r Total oof .4' Cond. 'Ions I1No. of AIerting Devices No. of �fi aste Disposers Waste (beat Pump Totals: Dumber Tons I KW .......... .._..............._.._ No. of Self -Contained iDetection/Alerting Devices No. of Dishwashers (Space/Area Keating KW al l !Local El El14lunicConnection ❑Other No. of Dryers I1eatin- 3 fiances r 5 'PP I{i�e �Ser�rety Cyctetrc;Y No. of Devices or Equivalent No. of Water Heaters RW No. of No. of Signs Ballasts Bata Wiring: No. of Devices or E uivalent jNo. Hydromassage Bathtubs INC. of Motors T otal HP ITelecoF:.r Dev;,-cs -or Equi,unications �n r ; ;: I OTHER: Attach additional detail if desired, or as required by the Inspector of I4Yres. 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 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 81 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the information on this application is tr`'�e and complete. FIRMNAME: Crowe & Sons Electrical Co p. LIC. >lT0.=171-68A Licensee: James B: Crowe SignatureT 1 1 A LIC.I�O.: (If applicable, enter "exenipt11 in the license number line.) Bus. Tel. No.: 5. - 6 6 9 6 Address: 576 Middlesex Street, Lowell, Ma 01852 -It Tel No:9 7 8J 4 5-3-6696 "Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. S S CO 001051 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 ❑ o«mer's aeent. Owner/Anent55.00 Signature Telephone No. PER1F✓II'T FEE: 5 o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING &� �' " � ................. This certifies that .. has permission to perform'{ -4 plumbing in the buildings of x-.-. �. ...... North Andover, Mass. ................ Fe ...... Lic. No�q 4 PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS 610 �. fiy,`Il � G Gree �/ 11 s J c ry-"P Permit # Building Location S Owners Name poi /f�� Amount Type of Occupancy J New rl Renovation Replacement Er Plans Submitted Yes No FIXTURES (Print or type)/ C� , .- Check one: Certificate Installing Company Name /" �C % 11 Corp. Address 1,7 ' ✓" 1 c I Partner.' Business Telephone lc 7r i _57-7 (d' y Firm/Co. Name of Licensed Plumber f- y Ira C<1''7p-c "- Insurance Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0/ Other type of indemnity 1-1 Bond Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas achusffib S a Ph a and Chapter 142 of the General Laws. By:Signalure of LicenseaPlumber r Type of Plumbing License Title 3 City/Towncense um er Master Journeyman APPROVED (OFFICE USE ONLY t_I / Date ..... F -.d."0 I. . ory0 TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION This certifies that . ....... !.................... . has permission for gas installation/<.��.t- ..• .- c..... . in the buildings of . ................. . atc �c�.�"?�.�7 f-�^-. , North Andover, Mass. Fee .. Lic. No:!��? ... .4% ......... G GAS INSPEGIOR Check # 6,140 4i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING (Type or print) NORTH t/ ANDOVER, MASSACHUSETTS 2d° Building Locations ` / / 4j C C"^( e, ^ /✓`^ //.B S c 6-,-(, c,\ e'� "CJ8 Owner's Name �/cf Date t -Z Caek-,•-t6- New Renovation Replacement Plans Submitted SU B-BASEM ENT BASEMENT W FLOOR 2ND. W 3RD. 4TH. FLOOR FLOOR C FLOOR 6TH. FLOOR 7TH. 8TH. Z C a H FO a w � wa a w w � Z a w o -It a= z F x a SU B-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. 4TH. FLOOR FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. 8TH. FLOOR FLOOR (Print or type)y C \1.—. a,A of Permit # Amount $ Check one: Certificate Installing Company 0 Corp. ElPartner. 1-1 Firm/Co. Name of Licensed Plumber or Gas Fitter y & rr INSURANCE COVERAGE Check one: I have a current liability Insurance' policy or it's substantial equivalent. Yes 13 NoO If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: [,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 OwnerAgent hereby certify that all of the details and information I have submitted (or entered) in 13 above application are true and accurate to the best of my knowledge and that all plumbing work and installations erfo�d under Permit Issued for this application will be in compliance with all pertinent provisions of the Massac setta-(3"K9,CE e and (' anter 142 of the en eral-Laws. By: Signature of Licensed Plumber Or Gas Fitter Title CE3"Plumber / y p ? t City/Town 1:1 Gas Fitter License Number Irl Master APPROVED (OFFICE USE ONLY) D Journeyman O. a a a > w w H w H x a oF W a w z Check one: Certificate Installing Company 0 Corp. ElPartner. 1-1 Firm/Co. Name of Licensed Plumber or Gas Fitter y & rr INSURANCE COVERAGE Check one: I have a current liability Insurance' policy or it's substantial equivalent. Yes 13 NoO If you have checked Les, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: [,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 OwnerAgent hereby certify that all of the details and information I have submitted (or entered) in 13 above application are true and accurate to the best of my knowledge and that all plumbing work and installations erfo�d under Permit Issued for this application will be in compliance with all pertinent provisions of the Massac setta-(3"K9,CE e and (' anter 142 of the en eral-Laws. By: Signature of Licensed Plumber Or Gas Fitter Title CE3"Plumber / y p ? t City/Town 1:1 Gas Fitter License Number Irl Master APPROVED (OFFICE USE ONLY) D Journeyman O.