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Home My WebLink AboutMiscellaneous - 415 CHESTNUT STREET 4/30/2018 r415 CHESTNUTSTREET 210/098.c-0082-0000 0 Date.2�.Z.i... .� ....... 1 OF r►ORT/♦,h TOWN OF NORTH ANDOVER * * PERMIT FOR WIRING Thiscertifies that ........................L.......................................................................................:.....:...... has permission to perform ,{.. �� ................... e ................................................. wiring in the building of...4.1:....(3VI Q j ................................................................................ 10..... .�� '�`� S� . P ........North Andover,Mass. Fee��.........Lic.No. 4s . ..................�...... .. �/'..' ... .. ELEL' &;L INSPECTOR V, Check# 4-3-70 11418 Cocommonwealth o�ca3�acelf� Official al Use ly etJeParfinen[o��ire�eruice� Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev.1/071 leave`blank APPLICATION FORS-PERMIT TO PERFORM tLECTRIGAL WORK All work to be performed in accordance with the Massachusetts Elect Q Code(MEC),527 CMR 12.00 (PLEASE PRINTW INK OR TYPE ALL INFORMATION) Date: City or Town of: , /l0(A &a Ayer 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&Number) Lf�s CG�QS�yJ'�"- s-�'•.• 1 Owner or Tenant 90Der"' 0+&- evl 17. Telephone No. q 7 ti Owwer's Address 14)6-_ C�19S-�V►V 1-' 6+". : J1j0('tl.,-AmdO uLCr. n/I/}- (p0 2 Is this permit in conjunction with a building permit? Yes _No.❑ (Check Appropriate Box) ❑_ Purpose of Building 'S Utility Authorization No. Existing Service 10 D Amps 126 / P-4 o Volts Overhead Undgrd❑ No.of Meters New Service �/V� Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ;t • - - , . �., "j,) Location and Nature of Proposed,Electrical Work. ; C dna o 0_lot) Ao0 ''�20. CI`r� .4P41 4 100 A-P. 3o CtYciA "I-! 1'D.'E li)giksi Newt brftW-/S•.. c.t'?. Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires D No.of Ceil.:Susp.(Paddle)Fans No.of Total Transformers•. 0 KVA n No:of Luminaire Outlets >5 No.of Hot Tubs Q ' Generators Q KVA Q f No.of Luminaires d Swimming Pool Aboa a '� In- p❑ Batte UNo.of Emergency ngrugrad. M No.of Receptacle Outlets ocT No.of Oil Burners 0 FIRE ALARMS No.of Zones O r No.of Switches Q' No.of Gas Burners p " No.of Detection and 0 h InitiatingDeices -. No.of Ranges p No.of Air Cond. p Total ' g No.of Alerting Devices p Q Tons � No.of Waste Disposers p Heat Pump Number Tons KW No.o Self-Contained Totals: Detection/Alerting Devices O No.of Dishwashers 0 Space/Area Heating KW .� Local❑ Municipal EJOther P Connection No.of Dryers Q Heating Appliances Security Systems:* KW(� No. Devices or Equivalent d No.of Water No.of No.of ' Heaters 0 KMD t O " Ballasts-d r Data,Wiring: - Signs' No.of Devices or Equivalent No.Hydromassage Bathtubs No.of MotorsTotal HP O Telecommunications ugng. 0 4 ` 1 No.of Devices or E uivalent OTHER: 1, t t i- Attach additional detail if desbrA or as required by the Inspector of Wires. Estimated Value of Electrical Work: r7L (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. gf 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 exhibitW'pioof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under thepains andpenalties ofperjury,that the information on this application is true and complete FIRM NAME: tk- L , ��{-l-j C LIC.NO.: Licensee: r0kA k- E. Li CA4--i Signature LIC.NO.: 3S3�S� (Ifapplicable, ter"exempt'in the license manb lid'j�.) Bus.Tel.No.•q7A•4'b lo0c Address: b V t AQ S�- . �y1dt0 t12r, / D(S/0- s/rot g Alt.Tel.No.:(00. 47Q./non *Per M.G.L.c.147,s.57-61,securi ' work requires Department of Public Safety"S"License: Lic.No. 7 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 ❑owner's agent. Owner/Agent ep PERMIT FEE:$ �S Signature 'Telephone No. Of [ME#NWEALTH OF MASS�FCHliS1TS STATE OF NEW HAMPSriRE REGISTERED MASTER ELECTf11 lAM BUREAU OF ELECTRICAL SAFETY BLICENSING' I�uSUESTfiEA'EIO 41GENSE TO NAME:FRANK E L�CAT�j FRNC f A :: .1.10118 M GICA • fir 2. ` 3.KA TOE ST AH °v ol� r SSS EXPIRES: 07/31/2013 A 07l;1/13 g �137 ='SERIAL LiCE14SE NO EXPIRATION DATE MASTER to UEA77- LTH OF MASSACWO - ��., ASA -4EG JOURNEYMAN EC1R.lCIAAI;' i �. lS8UE3 7IH J4B011f11CFNSE To,. 82455045 4! r r _ 36 dl�iE S.T Q ; 1�NI#111tER MA 0178 L11 -5, f,` •�' SlS: E 07J31/13 84O1r LICENSE NO EXPIRATIONDATE SERIALk ?� FROLNK L•InCpApTA, MASTER ELECTRICIAN VYIzf2!`��owzfs RESIDENTIAL AND / 1 COMMERCIAL WIRING M 1.J OFFICE 978-470-1000 CELLULAR 617-470-1000 andoverpower.com N2 2 5 8 Date....../ TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ....T(e&-�../f...... ................................. has permission to perform ........ ........................................... wiring in the building o ...............0.... ................................... at..... J/ ............... .North AndoverjoWs. Lic.No.-,--I-�W��............... ........................... irFMRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Onl ullc (EfAmmnnwenlO of 14flusuchaufts Permit No. y� d5 i9eparhttettf Df Vi huh o6IIfeig Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12: 0 (PLEASE PRINT IN INK OR 7,PE A IN ORMATION) Date City or Town of �/ To the Inspector of Wires: Y The udersigned applies for a permit torperform th ele�cttrical work d scribed below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with buildii per it: Yes ❑ No (Check Appropriate Box) Purpose of Building I /JYI?( Utility Authorization No. Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _/ Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity �/- Location and Nature of Proposed Electrical Work S12I'la 60 14 No. of Lighting OutletsI No.of Hot Tubs No.of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No.of Oil Burners Battery Units No. of Switch Outlets I No.of Gas Burners FIRE ALARMS No.of Zones v No. of Ranges Total No. of Detection and 9 No.of Air Cond. tons Initiating Devices No. of Disposals No of Heat Total Total Pumps Tons KW No.of Sounding Devices No.of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal ❑ Connection [:]Other No. of No. of Low Voltage No.of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NO " I have submitted valid proof of same to the Office. YES K NO C If you have checked YES, please indicate the typp of coverage by checking the appropriate box. INSURANCE X BOND 0 OTHER ❑ (Please Specify) (Expiration ate) Estimated Value of Electrical Work$ Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: /1 -��- FIRM NAME _ G� �/C C� ,j 33 S. A7. �.�U� LIC. NO. Licensee _ � � �� Signature � �•- LIC. NO. x,593 3 Address ,'7�G1 c�/l/C/<<, IY6- ✓C,i �� ,/�n;/f/�LQ/�j Alt.Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) / Telephone No. PERMIT FEE$ J' (Signature of Owner or Agent) X-6565