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HomeMy WebLinkAboutMiscellaneous - 47 WOODCREST DRIVE 4/30/2018 (2)rpernit <LThe Commonwealth of MassachuseiLsDepartment of Public Safety Office Use Only ----a BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12 3/90 00 °"°°'"`' a Fee t blanA cleave blank) APPLICATION FOR PERMIT TO FEITFORM ELECTRICAL WORK All work to be, performed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT OR TYPE ALL INFORMATION) Date 1 , — City or of 2 �.pr/ To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /� L/ ; ,—�s2 Owner e(r Tenant /,m✓T'to, Owner's Address cs'Cfm,yl Is this permit in conjunction with a building permit: Yes ❑ No ©(Check Appropriate Box) Purpose of Building / Utility Authorization NO. F�D/ 9 yell— Existing '� Existing Service Amps / (j / N 1/6 Volts Overhead l.__j Undgrd � No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity QQ,Q��, Location and Nature of Proposed Electrical Work No. of Lightin tlets No. of Hot Tubs No. of Lighting Fixtures No. of Receptacle Outlets No. of Switch outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Beaters No. Hydro Massage Tubs Swimming Pool Above In- grnd. ❑ grnd. E] No. of Oil Burners No. of Gas Burners Total No. of Air Cond. tons No. of Heat Pumps Total Total Tons KW Space/Area Heating KW Heating Devices KW KW No, of o. o Si ns Ballasts No. of Motors Total HP No. of Transformers Generators KVA No. of Emereancv Livhhine FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Municipal Local Connection[]Other Low Voltage INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO I have submitted valid proof of same to this office. YES ❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER 0 (Please Specify) Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Signed under the penalties of perjury: FIRM NAME RESPONSE ELECTRIC SERVICE INC A Expiration Date Rough Final LIC. N0. 1 6 7 d qA Licensee NTHONY S DEPRIZIO JR Signature LIC. NO. Address_ 153 MAIN STRFFT� MF )iORf), MA n?1 s5Bus. T No. _J 7191 La95_7 . Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or is sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) u Telephone No. PERMIT FEE S Signature of Owner or Agent N° 1 35 GI 4 Date ....... .... O't.an • 'H �o- TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that .......#'. .0h.se i=.J.Pe ..:Pt.r 1' v has permission to perform ...........A!3!l9.yk ........Q e.pq.I./?S ...................... wiring in the building of ......... fin. d:e ....... v :¢.. «I .?ull 1--l— .............. at .......V -7- ... `�i/� cel .. CLr!°.� ....... �R ... ' ........... ,North Andover, Mass Fee ... .d.:..C! Lic. No.° a .......................................................... -z ELECTRICAL IIVSPECTOR C �t-;�U-N WHITE: Applicant CANARY: Building Dept. PINK: Treasurer y"�"�",r.»-„,. r� .i�r.�:+.1�--�•-... ,...- .a-,- .'acv--�.>x'++��`n�-+..�,•y; Location Woctx et ---f t-2, ✓t No. Date At TOWN OF NORTH ANDOVER M Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ € Sewer Connection Fee $ Water Connection Fee $ TOTAL $ =�-- u� Buil Spector N Div. 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