HomeMy WebLinkAboutMiscellaneous - 35 MOUNT VERNON STREET 4/30/2018,1�
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U�P LIIIIIIriDI11UPA11�T QfII55AIPffB Pemtit No.
18epmttntrnt of Public: *afttq Occupancy A Fee Chocked
BOARD OF FIRE PREVENTION REGULATIONS 521 C51R 12:00 0 peaty blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CMR')12.
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Quit or Town of _ NORTH ANDOVFR To the Inspector of Wires:
..
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)YJ IV7
I..
Owner or Tenant C'''pi9l
Owner's Address '' 11V7
Is this permit.in conjunction with a building permit: Yes No C (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead `! Undgrnd No. of Meters
New Service Amps _J Volts Overnead Unogrno r7l No. of Meters
Number of Feeders ana Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets Z!r- I No. of Hot '.cs I No. of Transformers Total
KVA
No. of lighting Fixtures i Swimming P^oi goca. — In.
r- I Generators KVA
No. of Emergency Lighting,
No. of Receotacie Outlets No. of Oil corners I Battery Units
No. of Switch Outlets
I No. or Gas =-orr.ers
FIRE ALARMS No. of Zones
No. of Ranges
I No. cf Air C.:rc. iotas
No. of Ostection and
:cns
Initiating Devices
No. of`Disoosals
I Na of Heat :o:ai -otai
Pumcs
:ons K%V
No. of Sounding Devices
No. of Serf Contained
No. of Dishwashers
I SoaceiArea Heatir.o KVV
OetectionrSounoing Devices
No. of Dryers
I Heating Cevices KW
Locai - Municicai Other
Connection
No. of .140. at
Low Voltage
No. of Water Heaters KW
I Signs ea las:s
Wiring
No. Hyaro Massage rubs I No. of Motors Totai HP
OTHER:
INSURANCE CCVERAGE: Pursuant to the reau,rements of Massac%sers yenerar Laws
1 have a current Liaoility Insurance Policy incruaing Ccmc:etec Ccerations Coverage or its substantial equivalent. YES = NO = I
have submitted varid proof of same to the Otfice. YES = VO _ If you nave cheCKed YES. please inoicate the type of coverage oy.,
checking the aoproonate oox.
INSURANCE = BOND = OTHER = (Please Scec:".1
Estimated Value of E!ectncal Work S
Work to Start�� 9 Insoec:ion Date Aacues:ec:
Signed unser the Pan es of perlury:
FIRM NAME 0,/=�
Licensee 4/ Sig^+:ore t
Rougn f Final
(Exciranon Ostei
UC. NO.
UC. NO.
Bus. Tel. No.
Address Alt. Tel. Na.
OWNER'S INSURANCE WAIVER: I am aware that the t_:censee toes not nave the insurance coverage or its substantialegurvalent as rt
CUOMOqul0 by Massacnusetts General laws. ana that my signature an :na
+s ermit aopucation waives this requirement. Owni /Agent
IPtaase l•
check onec �
sieonone No. PERMIT FEE S
ISignaturs of Owner or Agenn
><eSfi6,
iY
T2 1257
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
.JSACMUSE� Q
This certifies that ............ .. a
.ff.[..5./.../................................ g
has permission to perform ... `!``. t ` r `
.....................................................
wiring in the building of .... 2 ';/ `/� �'Z `S
................................................................
at ......q...�....'........ M 1.... ��.4� ..........
!!.... �. �........... ,North Andover, Mass. a
ee.tX1.'..v... Lic.No�-..f.d` /.%....... ......... .........................
......... .. r`
ELECTRICAL INSPECTOR .
C �t Ct
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer.
Date.,/..v..>!�
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
.JSACMUSE� Q
This certifies that ............ .. a
.ff.[..5./.../................................ g
has permission to perform ... `!``. t ` r `
.....................................................
wiring in the building of .... 2 ';/ `/� �'Z `S
................................................................
at ......q...�....'........ M 1.... ��.4� ..........
!!.... �. �........... ,North Andover, Mass. a
ee.tX1.'..v... Lic.No�-..f.d` /.%....... ......... .........................
......... .. r`
ELECTRICAL INSPECTOR .
C �t Ct
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer.
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No. Date
4°R7"
Ot�t.aa
TOWN OF NORTH ANDOVER
.•,�O
3? ' 0
' p
Certificate of Occupancy $
s_ •
* = '
Building/Frame Permit Fee $—�
JAcHuset
Foundation Permit Fee $
Other Permit Fee $
$
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
10292
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Div. Public Works
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TOWN of NORTH ANDOVER
911
•• char /• •a.nn •.. rl■ •
t a• 4 --joss ■ •/ r=•=Ioff 9 a •':1■ •• a•'1blimll •. a.811 /.Iare embe C•w^/ •
111. • Clla of CII• •CII• Mare I I• •• f• ■ •/ • .1 .•.1 ■ •/ 1• • - �• ■1 • ••• .1 �• • 1 •
_ •• YI 1 _ .I • . I /1' tlf - r • • Ir' •1 A • 1• •• Mr - 1 • .� .• .•a 1 (•
• .-..Y • � •- • • 1 ./ .' • • • �J �• •• elf.L r• w 1 r •� YI � •a. ■ • •. 1 1 •'r C.
la• 1 •CII ail
--Type of Work:
//�� p•6
Est. Cost i (�
✓' Address of Work 3�j /v ✓✓1� UCr�J�J�i-�r�� �� �`(�VC��` ✓
Owner Name:
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
_Job under *1,000
Building not owner -occupied
_ "bwner pulling own permit
Other (specify)
Notice is hereby given that:
For affire Lbe Cdy
Fendt No.
Date
OWNERS PULLING T.M OWN PERMIT • • DEALIM WITH UNRBGISTERED •• T• • .
• • APPLICABLE FOME t i• • • �;a •yy • MGL
• •«E. • �.i r
• • PROGRAM
Y. . • GUARANTY 1
FUND t , V
Signed ur'-- pamlties of perjury:
I hereby apply for a permit as the agent of the owner:
Date
OR:
Contractor Name
Notwithstanding the abov i
owner of the above pr erty:
Date Owner
A
ce, I�
1
Name
T
Registration No.
apply for a•permit
I
he