HomeMy WebLinkAboutMiscellaneous - 48 WENTWORTH AVENUE 4/30/2018Office se Only
I of 4E (II,MMUnWealo of 4flEI.gS3rh I5Ett5 Permit No.hV
s'
i9ep a'tmetlt of Public _Aa&tg Occupancy A Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3i90 (leave blank) a
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 2:00
(PLEASE PRINT IN INK OR YPE �1LL NFOF)MATION) Date
City or Town of B O'% CYO U(?y To the Inspector of Wires:
The udersicined applies for a permit to perform the electrical work described below.
Location (Street E
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permits: Yes ❑ No 2(Chec p
Purpose of Building/�5/s?� �� ��t Y // ��i�JJti/lityVAuthorizatio " No.
Existing Service � Amps /�l� / Volts Overhead �E—J Undgrnd ❑
New Service � Amps [ J /�olts Overhead 2 Undgrnd ❑
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 51/0 6
propriate Box)
teeters
No. of Meters /
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
grnd. ❑
In-
grnd. ❑
Generators KVA
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting
Battery Units
No. of Switch Outlets
No. of Gas Burners
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
No. of Ranges
No. of Air Cond. Total
tons
No. of Disposals
Heat Total Total
No.of
Pumps Tons KW
No. of Dishwashers
Space/Area Hea ing KW
No. of Dryers
eating Devices �,j��
No. of Water Heaters KW
No. of No. of
Signs Ballasts
Low Voltage
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 E__ -NO ❑ 1
have submitted valid proof of same to the Office. YES 02' NO ❑ If you have checked YES, please indicate the type of_coverage-by
checking the approate box. rr%/V z
INSURANCE 0 BOND ❑ OTHER ❑ (Please Specify)
Estimated Value of
Work to Start
Signed under the E
Inspection Date Requested:
(Expiration Date)
FIRM NAME 0104 /_z_/C__ //116:�l11 Cr IV ✓ LIC. NO. ✓ �"
Licensee. C'r (T' d 1f III r Signature LIC. NO. 5'�8✓7
T,� Bus. Tel. No. e4-3 7,3
Address ,/V ��d/%/ C� Z&__" .ia/10, �J �// C 17 Alt. Tel. No. SOS !�`z�
OWNER'S INSURANCE WAIVER: 1 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)
Oa
Telephone No. PERMIT FEE $ %_0
(Signature of Owner or Agent)
x-6565
4 w Date. m.
av� 957
NORTH ,
TOWN OF NORTH ANDOVER
i
PERMIT FOR WIRING
I r -
........
.... . c:
This certifies that .....� ° r'' �.� ....5.......,�.. ,- �.....
has permission to perform . "......1,lGa..:
wiring in the.building of .....� ...*.-
/ ...trt/ ..�4 a/.1.. �... , North Andover, MASS.
at ............. G /�r�
Fee. Lic. No./IY53.1Q / .
3so CC` ELECTRICAL INSPECTOR
05/22/97 11•.15 Bo.o0 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer.
Location
ilo. y o Date
°"T" TOWN OF NORTH ANDOVER
p Certificate of Occupancy $ O U
Building/Frame Permit Fee .$
SSACHU # Foundation Permit Fee $
. Ot r''Pe � t� Fee $ �� U
,
Wat fln ection Fee $
TOTAL 4
$%.4
Building Inspector
Div. Public Works
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(Please print)
DATE__/��` 4)
JOB LOCATION
"HOMEOWNER"
umoer
Name
PRESENT MAILING ADDRESS
Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
reet Address
Hofne Phone ` /
���y,�0 2 -el—
Section of town
orK rnone
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Gv-r(
City/Town _ State Zip code
The current exemption for "homeowners" was extended to include owner
occupied dwellings of six units or less and to allow such homeowners to
engage an individual for hire who does not possess a license, provided
that the owner acts as supervisor. (State Building Code, Section 109.1.1)
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to
reside, on which there is, or is intended to be, a one to six family dwell-
ing, attached or detached structures accessory to such use and/or farm
structures. A person who constructs more than one home in a two-year
period shall not be considered a homeowner. Such "homeowner" shall submit
to the Building Official, on a form acceptable to the Bulding Official,
that he/she shall be responsible for all such work performed under the
'building permit. (Section 109.1.1)
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes, by-laws, rules and
regulations.
The undersigned "homeowner" certifies that he/she understands the Town of
.North Andover Building Departme,n-t--Minimum inspection procedures and
requirements and that he/she—will,./comply 't sa'-d procedures and
requirements.
HOMEOWNER'S SIGNATURE:. ,
APPROVAL OF BUILDING OFIVICIAL
Note: Three family dwellings 35,000 cubic feet, or larger, will be
required to comply with State Building Code Section 127.0, Construction
Control.
Location'
No. Date
2Z i�
TOWN OF NORTH ANDOVER
n Certificate of Occupancy $
° Building/Frame Permit Fee $
i•�s',"°''��� Foundation Permit Fee $
sAcHust ��
/ O#Ker Permit Fee $
R "`LEIVED Phi ENThriection Fee $
Water Connection Fee $
JAN 27L $
i
No. An ff. Gx'q'�
Hecto!' j�Building Inspector
Div. Public Works
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OFFICES OF:
APPEALS.
BUILDING
CONSERVATION
HEALTH
PLANNING
OF NORTMq W
o�......., tion Town of
m 1 O (\'Brill Street
` D North Andover,
NORTH ANDOVER *"
WSS;W1111SCHS O 184 i
,Ss,oRue``• - DIVISION OF - (61 7) G85-4775 -
PLAI®NING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number O ak is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
ion of !-acility)
- ignature of Permit Applicant
Dat .
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.