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Home My WebLink AboutMiscellaneous - 3 VILLAGE WAY 4/30/2018ff a �1 �f r� fmmnr, Q4-1. N. 1 rt m F"t'Aw-C (/ % e s /- o -) pl ✓ 0 0 1111.' UUII MUIV VYP14 l tl Ur IVIAJ."UHV3B113LNo. utnce use only DEPAleT11IDVTOFPU&1CSAFEIY 67Y/ BOAROOFFIREPREVEMONRF�GUTATIONSM7aMlZOs Checked APPLICATTONFOR PERMIT TO PERFORMELECTRICA.L WORK �—` ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, III CMR 11:00 [ LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �� 2 J Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to Location (Street & Number) Owner or Tenant the electrical work described below. A*r Vi l iA0 Owner's Address FIs this permit in conjunction with a building permit: Purpose of Building Utility Authorization No. Existing Service AmpsZl3�olts Overhead Underground C3 New Service Amps Volts Over ead Underground Number of Feeders and Ampacity Re k' �� G Yes �No [:] (Check Appropriate Box) Location and Nature of Proposed Electrical Work No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round 1:1round No. of Receptacle Outlets I No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices J . of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal r`1 Other of Dryers Heating Devices KW Connections of Water Heaters KW No. of No. of Si s Bailasis Hydro Massage Tubs In - .• No. of Motors Total HP 1�C-!A-e /I 1'tusrarlt0oUtett W=IeMofMaMBAMUCO1aalLaws am arilsakstatialeWivalat . YES M NO a ffyouhawchecWYES plea9eiltticaoethetypecfmv�ebY Equn*dVakxdEbctacal Wotk $ odclosm hpe:dm1)*Requeshid Rough Final G� urldxTrepalakies rt]tT<y. t+�- P Lioa>seNa ` 7) NAME Cc LH (, Ter-+ C lam- o',4,r4c Sigtmn r -2 O LimwNo Z R -T 72 Q.7 ( Busa�TeLNa � 77f-11,/� JeA4 ALTdNa WNER'SINSURANCEWAMiR Iamawarethatthelioa�edoesmthavetheinsts�rlceoo�aageailss s1a16a!ecluivalaltasn�gtrQedbyM GerdLaws t my sg�ne on this peur>d applic�r waivfs dies regtrrtarlat se check one) Owner Agent t� Telephone No. PERMIT FEE tgna ure o caner or gen Sc.) 3 7 Date..7..�� 0'6---. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ .................................... has permission to .................... wiring in the building of ... ........ ......... ................................................ ............................ . ............. . North Andover, Mass. ............ ........ Fee..� .. . ............. Lie. No ....... ............... I . ......... ....... EtjkrrplCAL INSPECTOR Check # ///—a JHA c,UAMUty wtALJH UP DEPAUM&VT0FPUX1CS#UY Permit No. BOARDOFFIREPREVFII ONRL'GM 70NS527CMR12.iaD APPUICATTONFOR PERAff TO PEUORMELECMCA.i ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) I Town of North Andover The undersigned applies for a permit to Location (Street & Number) Owner or Tenant t� lT Owner's Address the electrical work described below. NA" q lfIi6106 Is this permit in conjunction with a building permit: Yes [D"No M Purpose of Building Existing Service 7-A0 Amps-lI a q6Volts Overhead New Service Amps / Volts Overhead Number of Feeders and Ampacity JeE y,{ P, e,,'7' Location and Nature of Proposed Electrical Work Office Use only t 4 w & Fe Checked `;L ^ � evl RK 1-11 Date --7,V-0 5 . To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No. Underground M Underground No. of Meters No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA round round ri No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps . Tons KW .Initiating Devices No. of Sounding Devices N. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices LocalMunicipal Other No. of Dryers Heating Devices KW It M Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER ]ir 1a=CoW1age Rn=1DtheffM=u&ofMassxhisWsGff=al1aws Ihavesubrrmbdvandptoofof tDdrOffice YES d�edorlgthe INSURANCE BOND F uGIHIR r7 Worilssuba ialequivalat YES LJ NO LJ ih ffyvubavec rdodYESeasein ,pldiu*dCe peC(covfragzby Tt. AGE' FC r N�l1 tJ F dVakieofE1xbtalWak$ WodcloStatt kqx=D&RQr52erl Rot>gl1 rim Sigwa _ /06� st LimwNo 2-? r C 2 BusirmTeINa /1) # 0 o 'Z — AltTdNo. OWNER'SINSURANCEWAIVER;IamawarethattheLie wdoesnothavetheinstaarlcee wrgailsa>t>bUnWequivai ItasrequitedbyM=dumGeneralLaws andthatnTyagnahaeonthispm tapplicationwai�mthismwieernaY (Please check one) Owner 1:3 Agent Telephone No. PERMIT FEE $ �7v Signature or Owner or Agent of "SRT :1tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..lelD. (;/ 4 ................... . has permission to perform .... ti�//r�..,.r��. F.... :............ . plumbing in the buildings of ................ at .. 3. i.(. (14) Y....L.A. 14.x ...... .�North Andover, Mass. Fee. Lic. No.?)- .. ....... ....L-. % LUMBING INSP &TOR Check # 7 6563 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Owners Name C 5a/' Date a 16 -4 Permit # Amount g Type of Occupancy New Renovation ® Replacement 11 Plans Submitted Yes No FIXTURES (Print or type) Check one: Certificate Installing Company Name YDCorp. Address 0 S W � Tt -�f 0 Partner. L:4g 6A d ,. 2d �! usmess a ep one q Firm/Co. Name of Licensed Plumber. V4 a I X, ( x9't o (4-1 Insurance Coverage: Indicate the type of insurance coverage by 6hecking the appropriate box: Liability insurance policy M Other type of indemnity 0 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 Massachuse �ataPluwgFod'Vnd Chapter 142 of the General Laws. VED (OFFICE USE ONLY Type of Plumbing License icen a er Master Journeyman ��