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HomeMy WebLinkAboutMiscellaneous - 46 BEECHWOOD DRIVE 4/30/2018 (2) Wood Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . has permission to perform . . . .wiring in the building of . . � .�. ���. .ph o-p , , . , , _ . at. . . .Q e-j-- i>e lV . . .,.D . . . . . . .NorthAndover, Mass. FeJ .!.2,6`02 -Lic. No. . .7-0,7 �..�. . . . . . ELECT ICAL INSPECTO Check# 11051 -rnntorswaalih o� aae ¢if1 Official Use Only IEEE=OEM 1J arfm¢nEo Ja.vlea Permit No Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [R.ev. 1/071 ve b]ank APPLICATION, FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordanco•with the Massachusetts Electrical Code(MEC),527 CMR 12,00 (P•LEASE PRINT W INK OR TTPE ALL XF0RMATIOA9 Date: ,ltd Au-,4 101p, City or Town of: Wpq3, Aoi&oo erg To the Inspector of Wires: By this application the undersigned gives notice of his or hes intention to perform the electrical work described below, Location(Street&Number) 'Owner*or Tenant Telephone No, Owner's Address Is this permit in conjunction witli a building permit? Yes ❑ No '❑ (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existzngservice Amps / Volts Overhead ❑ Undgrd❑ No,of Meters New Service Amps / Volts. Overhead❑ Undgi d❑ No.of Meters �• Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: U.,cur� Completion o the ollowin table be waived by the Inrpector of Wires: No,of Recessed Luminaires No,of CeiL-Susp.(Paddle)Fans o.of Total Transformers KVA No,of-Luminaire Outlets No,of Hot Tubs' Generators KVA * No, of Luminaires Swimming Pool Above ❑ - ❑ o.ot Emergency 11gliting F_md. (L Battery Units No,of Receptacle Outlets No,of Of Burners FMR ALARMS No.of Zones No. of Switches No,of Gas Burners, o,of a echon Initiating Devices �. Na. of Ranges No.of Air Cond, Tota tal No, of Alerting Devices + No. of Waste Disposers Heat PamP umber Tons. KW o. of Self-Contained TotalsDetection/Alerting Devices a. No. of Dishwashers Space/Area Heating KW Local D M n is tialn• ❑ Other No. of Dryers Heating Appliances KW Security Systems:* No,of Devices or E uivalent o..of KW o. o.of Data Wiring: ' Heaters Si Si s Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER &u)Gcc� ts co avec l 0 0. X 1 Attach additionaldetail desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: dU (When required by municipal policy.) Work to Star ftLAsi-W IA Inspections to be requested in accordance with MEC Rule 10,and upon completion, INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee providss 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 ZI BOND ❑ OTHER ❑ (Specify:) I certify, under the airs turdpenalties ofperjwy,that the information,on this application is true and complete. FIRM NAME: ke-a.z c LIC.NO.: 170 t7'7 l�:_ Licensee; 0 Le-r-mv, Signature - LIC.NO.: 1,70.Y7 F (ffapplicable, enter" t,in license number line.) Bus.Tel.No.: IM-72,92 ( Address: `cto ntrd S 1 Z kkke%:r �y 22(at�� iM, O l Alt.Tel.No.: *Per M.G.L, c, 147,s..57-61, security work requires Department of Public Safety"S"License: Lic,No. OWNER'S INSURANCE WAIVERi• 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 ❑ Qwner's aent Owner/Agent Signature Telephone No. PEBAHT EEE. b /rr """/I T 1/ Date ` TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . has permission to perform . . aD if. S vc L• . , . . . _ . , . . . . wiring in the building of . . e.i -27� �I�?'�TS�/� • . , . . . at . 6. . E vzZ-tOn 4)1). .DIr. . . . . . , . , , orth Andover, Mass. Foe��.a�= Lic. No. �.?©7�E. . . . . J. . . . G . ELECTRICAL INSPECIfOR Ckeck 11015 (r m'monwaa&•ol Mam=44601& Official JUse Only .LJaPartment o��ira Jarvicas Permit No. Occupancy and Fee Checked BOARD-OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION, FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfoimed in accordance-with the Massachusetts Electrical Code(MEG),527 CMR I2DO (PLEASE PRINT IN INK OR TYPE ALL INTORMATI019 Date:A u City or Town of: 0- oZ-ou, A•av&ej ens To the Inspector a Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number)_ y G Qt?R1AA Wc9 p cX Qn t'J%o Owner-or Tenant ec��atkQ�c2 rLrN ps�.S�.: Telephone No, Owner's Address 1. 3ie�q6 73n Is this permit in conjunction with a building permit? Yes ❑ No '❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No,of Meters New Service (Oo .Amps 09' /;l� Volts. Overhead❑ Undgrd No.of Meters 4. Number of Feeders and A opacity ' Locatio n and Nature of Proposed Electrical Work: � Completion o the ollawin table m ' be waived by the Ins ector of Fires. f No,of Total No.of Recessed Luminaires No,of CeiL-Susp.(Paddle)Fans Transformers KVA No, of-Luminaire Outlets No,of Hot Tubs' Generators ICDA No, of Luminaires Swimming Pool Above ❑ In- ❑ o,o Emergency ig g n(L d; Batte Units No, of Receptacle Outlets No,of OR Burners FIRE ALARMS No,of Zones No. of-Switches No,of Gas Burners, o.of Detection and Initiadn Devices No. of Ranges Na of Air Cond. .I oota No.of Alerting Devices No, of Waste Disposers Heat PumpNumber Tons. KW o.of Self-Contained Totals: -� -- —' �- _ Detection/Alerting Devices No, of Dishwashers Space/Area Heating KW Local❑ Municipal Connection El Other • w No, of Dryers Heating Appliances KW Security Systems:* No.of Devices or E uivalent No..of Water KW No.of 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 fres. Estimated Value of Electrical Work: fo ad (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 coverage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE 64 BOND ❑ OTHER ❑ (Specify:) I certify, ander the sins and enalties ofperjury,that the information.on this application is true and complete, FIRM NAME: ci C3�� -CLeCxUC, LIC.NO.: ,.(,7677 E Licensee: Signature LIC.NO.: t70 Z7 E (Ifapplicable. " einpt"in the license number line.) Bus.TeL No. Address: dq Je1 ` 0 l03 2 Alt,Tel.No.: *Per M,G.L,c, I47,s. 7-61, security work requires Depart npaeof Public Safety"S"License: Lic,No, O WNER'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 ❑ Qwner's a enL Owner/Agent PEMWT FEE. $ Signature - Telephone No. � I o ,�<. . . . . , , �. t.� �'--�7--(� .. :� �, 5 1