HomeMy WebLinkAboutMiscellaneous - 36 MOUNT VERNON STREET 4/30/2018o �
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Date. ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that.... ........ �0-. e ...... -.J. ........................s,'..
has permission to perform ..... OP774e,.i.l . ...... 12-o-Anv t..(.-
wiring in the building of ..&Cf .....................
at ..... .......................... .North Andover, Mass.
Fee, -3 .... Lic. No. �59MIZ ....................................................... 6�.
ELEemcAL INspEcmit
Check # 13ol.
6f)'69
t
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. (� 2-f 2 ? 07
Occupancy and Fee Checked
[Rev. 9/051 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 MR 12.00
(PLEASE PRINT IN INK OR TYPE ALL FORMATION) Date: Zj7/0(
City or Town of: �� 4A 90y (f/ To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & NUR410 38S -t --
Owner or Tenant Pf�V�t in Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building
Existing Service Amps / Volts
New Service Amps / Volts
Number of Feeders and Ampacity
Utility Authorization No.
Overhead ❑ Undgrd ❑
Overhead ❑ Undgrd ❑
No. of Meters
No. of Meters
Location and Nature of Proposed Electrical Work: t,dl C�y�9`rf/ k�,j ��
12C-142 ,L eoc c s /3 -Z -
Comoletion of the followinn table may hp wnivod h„ tho 1"moptnr nfWi—
No. of Recessed Luminaires
No. of Ceil: Susp. (Paddle) Fans
No. of Tota
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑o.
rnd. rnd.
o Emergency Lighting
Battery Units
No. of Receptacle Outlets 0
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
-9o--.of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers
Heat Pum
Totals
Number
Tons
KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Mun'c'pal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Devices or Equivalent
No. of Water KW
Heaters
No. o No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring.
No. of Devices or E uivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
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 cov rage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
I certify, under the ams and penalties ofpe rj that the information on this application is true and complete.
FIRM NAME: fGi L �q�b T fCDySS��K'�fG� LLC LIC. NO.: 5 j
Licensee: Signature_ LIC. NO.:
(If applicable, ter "exempt 11 in the lice number ine.) Bus. Tel. No.: CP03 7cp
Address: 6 ce I c.J 0&66-5- Alt. Tel. No.: }t—&,?3'8'✓b'f
*Security System Contractor Lice se required for this work; if applicable, enter the license number here:
OWNER'S INSURANCE WAIVER: 1 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 ❑ owner's agent.
Owner/Agent PERMIT FEE. $
Signature Telephone No.
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Location
No. Date
°RTh
TOWN OF NORTH
ANDOVER
„
Certificate of Occupancy
$
Building/Frame Permit Fee
$ - - -'
�+s
s�CHus
Foundation Permit Fee
$
\11K
Other Permit Fee r
'fir
$ Wit'
Connection Fee
�\
$
G0
aq�@t
Water Connection Fee
$
N�•P�
TOTAL
Building Inspector
1.
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Div. Public Works
6.4.
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Dates Vfcleme6e ZZ -1 /983:
5 3 64
S""I -50 Meet to on inch
AMHERST SURVEY ASSOCIATES, INC.
Rbnwrs - Engineers - Surveyors
Old Nashua !load, Amherst, N. H.
NOTE: See Plan No., 123.
I
CHARLESR.
N
TIEDEMANN, 1R.
No. 26103
SURVE`�`�:�°
�'91T►7t��
/0
25
for mortgage purposes only.
NOTE: I certify that the
offsets to this existing
foundation are in comp.li.an(:,e'
with the Zoning Laws of the
Town of North`Andover.
5-3-84
Ai� v
NOTE: I certify tha this
existing lot is not located
within the FIA FLood Hazard
Boundary Area.
12-28-83
i
9p
a�
VA
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AUGUST 3, 1992
RE: DECK CONSTRUCTION ON 36 MT. VERNON STREET, UNIT L, NORTH ANDOVER, MA.
WE THE TRUSTEES OF NORTHGATE CONDOMINIUM I GRANT PERMISSION FOR MR. & MRS.
PETER J. GUANCI, UNIT OWNERS, TO HAVE AN 8' X 12' DECK BUILT ON 36 MT.
VERNON STREET, UNIT L, NORTH ANDOVER, MASSACHUSETTS.
SIGNED:
AUG 0 1
isuILI) DEPARTi►`'iEN