HomeMy WebLinkAboutMiscellaneous - 360 ANDOVER STREET 4/30/2018it
Date ......
............................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that ............................................. ...............................................
has permission to perform �,-��Jz ......
wiring in thee
he building of . .........
at .:� U /�f.�t!�.l.!...: , North Andover, Mass.,
J
Fee../. . ...Lic. No..I.f1A-'............
'--**'- **'i�EcrRICAL1NSFEC46R
Check 41 t-1 -G_2 W �(
5570
€ Commonwealth of Massachus is Official
c -7e
Department of Fire Servic S Permit No.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION RE ULATIONS [Rev. 11/991 leave blank
APPLICATION FOR PERMIT O PERFORM ELECTRICAL WORK
All work to be performed in acc dance with a Massachusetts Electrical Code (MEC), 527 CMR 12.00
(PLEASE PRINT IN INK OR711;
AL IN ON) Date:
City or Town of: ff To the Inspector of Wires:
By this application the undersigned gives notice of As (ler intention to perform the electrical work described below.
Location (Street &
Owner or Tenant
Owner's Address
Telephone No.
Is this permit in conjunction with a building permit? Yes.: ❑ No (Check Appropriate Box)
Purpose of Building Utility Athorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of Security system
Completion of the following table may be waived by the Inspector of Wires
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above ❑ In- ❑
rnd. grnd.
o. o mergency ig ung
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o Detection and
No. Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
g
No. of Waste Disposers __
Heat Pump
Number
Tons
KW
No. of Self -Contained
.
Totals:
Detection/Alerting Devices
No. of Dishwashers ..
Heating S ace/Area
Space/Area b KW
Municipal
Local ❑ Connection El Other
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Devices or Equivalent
No. of Water KW
No. o No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
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 ❑ BOND OTHER ❑ (Specify:)
�. (Expiration Date)
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.
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME:Security rh ^ LIC. NO.: I r, 3 r —
Licensee: John'S. Bassett Signature LIC. NO.: 15330
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 603 594 5928
Address: 17 Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Lid,9hsee 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 /��
Signature Telephone No. PERMIT FEE. $ 0 uv
N2 7 A , 5 Date..
D I
°`<`'°
' TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that .............. .....................................................
has permission to perform .................................................. ..............
wiring in the building of ....................................................
at ......... .............
.......... ........................... . North Andover, Mass.
Lic. ............................... ............................
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
lCommonwea[th of M7a„ac�ruie«
2eParintenl o`}ire Serviced
BOARD OF FIRE PREVENTION REGULATIONS
Official Usc Only
Permit No.
Occupancy and Fee Checked
[Rev. 11/99] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in aeeordauce with the Ntassachuseus Electrical Code (`IEC), 527 C1%iR 12.00
(PLEASE PRINT IN INK OR TYPE :ILL INFORM.I7I0N) Date:
City or '1'U1VIl of: JyorW AI(/ ajt-r— To the -h IS,I ector of JPl-es:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Nuinher) 3LO i�✓lN��l2�` �-
Owner or Tenant l?r co a telephone No.
Owner's Address
Is this permit in conjunction with n building, hermit'. Yes ❑ No c� (Chea: Appropriate Box)
Purpose of Building 1�0 Utility Authorization No.
Existing Service Amps / Volts Overl►ead ❑ Undard ❑ Nu. of Meters
New Service Amps / Volts Overhead [IUndgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Caunletion of the follun•ine table nimrhe tu•nit•o,t h,•!hn t„..r!0!-„rtr:
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
'Transformers KVA
No. of Lighting Outlets
No. of Ilot "Tubs
Generators KVA
No. of Lighting Fixtures ISwintming
Pool o bore ❑ In- ❑
�rttd. grnd.
t o. of mere, tt,
Battery Units
No. of Receptacle Outlets INo.
of Oil Burners
FIRE ALARMS
No. of Zoites
No. of Switches
No. of Gas Burners
of Detection and
No. Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
a
No. of Waste Disposers
[lent Pump
Number Ions
KW _
No. of Self -Contained
Totals:
I
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Itilwttctpal Connection ❑Other
No. of Dryers
Heating Appliances
PP It\V
Security Svstems:
No. of Devices or Equivalent
No. of Nater
hey
No. of e of
Data �Yiriug•
Heatersg
I Si_tis Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total IIP
Telecommunications Wiring:
No. of Devices or E uivalent
OTHER:
f 4itach additional detail if desired, or as required by the Inspector of Wires.
INSURANCE COVER kGE: 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/OE] BOND ❑ OTHER ❑ . (Specify:)
( .-pint on Date
Estimated Value of Iecirical Work: (When required by municipal prolicy.)
Work to Start: ,,7 O/ Inspections to be requested ut accordance with MEC Rule 10, and upon completion
1 certif} under Xe pains and penalties of perjury, 14al tit yinfonttation ott this application is trite and complete.
FIILNI NANIE: ,� , d e LIC. NO.:
Licensee: IYtc� Signature LIC. NO.: e36%�%
(Ifopplicable, enter "ei 71" in the Wconsepumberline.) Bus. Tel. No.
Address: Alt. Tel.
OWNER'S'S I�RANCE WAIVER: ani re that the Lice ee 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) ❑ ox\-ncr ❑ owner's agent.
Owner/Agent
Signature "Telephone No. Pf:RiIIIT Fel:: S
North Andover Board of Assessors Public Access
NO oTM ,L
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North Andover Board of Assessors
Zroperty Record Card
Location: 360 ANDOVER STREET
Owner Name: GEORGE REALTY TRUST
E M GEORGE, TRUSTEE
Owner Address: 360 ANDOVER STREET
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood: 5 - 5 Land Area: 2.42 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 3712 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 571,400 538,100
Building Value: 365,300 330,000
Land Value: 206,100 208,100
Market Land Value: 206,100
Chapter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkld=2251116&town=NandoverPubAcc 3/26/2013
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