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Home My WebLink AboutMiscellaneous - 50 JETWOOD STREET 4/30/2018 50 JETWOOD STREET ` 210/011.0-0031-0000.0 \` l Date.................................. +' NORTp `f-;'1"°°AL TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACHUSE� This certifies that .............,lhF � ..... .[ c.T`............................... has permission to perform 4e- Ui1/!/ .................(�V....................................... wiring in the building of......w p!t P Y .. ......... . .................................... .5-0 J-C i Gig r at....................................:I.....5...............................,North Andover,Mass. t.15-se-p— 114... ............... Lic.No. .... .. ............ / ,6„ • ELECTRICALINSPECTORy t Check # Commonwealth of Massachusetts Official UseOnly Permit No. y �l Department of Fire Services Occupancy and Fee Checked i BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: �g�� City or Town of: /,Vb r n 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) J`—D J2?7-441006 ST Owner or Tenant Telephone No. Owner's Address 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 Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1-✓IA67- 0ey�r— Completion of the followingtable may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.o ota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners No.o Detection and y Initiating Devices No.of Ranges No.of Air Cond. 1 Total Tons Z- No.of Alerting Devices R No.of Waste Disposers Heat Pump tNumber I Tons K No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.OT— Data Wiring: Heaters Si ns Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 0 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 in force,and has exhibited proof of same to the permit issuing office. r CHECK ONE: INSURANCE . BOND ❑ OTHER ❑ (Specify:) I certify,under tit pains a penalties of perjury,that the information on is application is true and complete. FIRM NAME: LIC. NO.: Licensee: 1Q vOe: Signature ^ LIC. NO.: (If applicable, enter "exempt"in the license number line.) Bus.Tel. NO.: Address: Alt.Tel. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: 1 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 PERMIT FEE: $-� Signature Telephone No. Date. Y:��.-, 7 &ORT RTH AND 0 TO% N OF Z OVER 00' 0 Mi.T PLUMBING PEA' T FOR PLUMBING ,SSACHUS This certifies that has permission to perform . . . . . . . . . . . . . . . plumbing in the,,buildings of . . . . . . . . . . . . . . . . . . . . . . . at . North Andover, Mass. Fee. . . . . .Lic. Noa� ?y ,f. PLULU IN INSPECTOR Check # 7479 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS I I,, Date d _ Building Location ,V W 0� Owners Name U)gOW / �ee d Permit# Amount ,�� Type of Occupancy New Renovation Replacement P Plans Submitted Yes ❑ No FIXTURES SUMM BE�SIIVII�II' M MOM FI 3Vl FIOQ2 3MFUM 4M ROCR 5MFBM 6MHDM 7M ROCR MHDM (Print or type) C�one: Certificate Installing Company Nam 1c/n16 -a 6n Corp. Address -(/`Sll�'l 11�d Partner. Business Telephon Firm/Co. ' Name of Licensed Plumber Ilu l C( Insurance Coverage: Indicate the a of insurance boverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted(or entered)' above application are true and accurate to the best of my knowledge and that all plumbing work to ns performed under it Issued for this application will be in compliance with all pertinent provisions of the sa us S W b' g Code Cha ter 142 of the General Laws. By: , r Title Type of Plumbing License �+ City/Town ce a um e6err- Master Journeyman APPROVED(OFFICE USE ONLY El MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING - (Print or Type) NORTH ANDOVER Mass. Date ' ~ j kuilding Location .�� C fwcp Pe 't # /� Owners Name �D New — enovation Replacement Plans Submitte FIXTURES C* z s � � � x N a temsm r o U81 x at4- s x o N =o a ous W o cus d! W M V W z to W �[ OC Q W CC t- s O H 2 j N 2 f, ul w p 0 T !s. H W 1 L7 Cr 2 4 LLA -. M 2 r 4 y.. K Cd :. O 2 tt O N Y Q ,Qt C W 7 d tL 4 tr Z O O ti Q t9 .J U tz y GZ C M-- O Susi—l3SM 13ASEMEMT IST FLOOR 2KD FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTK FLOOR STH FLOOR J- (Print or Type) Check one: Certificate Installing Company Name Corp. Address /,,� P � /- " T Partner. dAff ILSOW /V W. �-L7� i rm/Co. Business Telephone: /-603-325- YZ3 Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy er type of indemnity r__j Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F-I Agent M t hmeby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under-Permit iueed for this application wilt-be to complianca with sdl pettinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General laws. Y B TYPE LICENSE: . Plumber Title Gasfitter Signature of Licensed Master Plum ,_. G,i}sfitter City/Town: Journeyman G APPROVED (OFFICE USE ONLY) License Number - . `. . - Date.. ............!..... Cf Na oT e,h TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION; y,SSACHuSEt This certifies that . . . . .r .. . . . . . . . . . ..; has permission for gas installatfin . . . . .� ,. . . . . . . . . . . . . . .. in the buildings of �. . . . . .r. . .t/. . . . . . . . . . . . . . . . at . . . " ,�{ /.� . :?�`. �� . .'. . . . . , North Andover, Mass Fee: ... f Lic. No.. . . ..f ,! . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File 1 f Office Use Only u P Lflimmunweato of Magg r#irtts Permit No. department of Public 26afetg Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3i90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK LL// All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -;I—l 3 ?r (X* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) sQ �G r r W 62 O /9 `/ Owner or Tenant ��G��—T ��7 C�'C r J Owner's Address Is this permit in conju ction with a building permit: Yes No ❑ (Check Appropriate Box) Purpose of Building je sI D 47A—,l�r1A Utility Authorization No. d 7/ 3 Existing Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps yovolts Overhead Undgrnd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets /p I No. of Hot Tubs No. of Transformers Total /No. of Lighting Fixtures Swimming Pool Above I 9 9 `� grnd. ❑ grn` d. LJ Generators KVA ( � / No. of Emergency Lighting —_ No. of Receptacle Outlets ln No. of Oil Burners I Battery Units o. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of es Ran No. of Air Cond. Total �— No. of Detection and 9 tons Initiating Devices No. of Dis osals / No.of Heat Total Total P ( Pumps Tons KW No. of Sounding Devices / No. of Self Contained No. of Dishwashers [ I Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers l I Heating Devices KW Local ❑ Connection ❑Other No. of No. of Low Voltage T� No. of Water Heaters —RGA-- I 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 = NO Z If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE X BOND _— OTHER —_ (Please Specify) (Expiration Date) Estimated Value of Electrical Work SC4ZI Work to Start Inspection Date Requested: Rough Final Signed under the Penal ies of perjury: FIRM NAME �' 46-C 7W/C 4 4— LIC. NO. LIC. NO. Licensee /"� O Signature O T� f Bus. Tel. No. Address Ztlt� / ver/`� 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. Own r Agent (Please check one) �t✓ U Telephone No. PERMIT FEES v (Signature of Owner or Agent) x•5565 Date........ wY 4 0 '40 0 0 TOWN OF NORTH ANDOVER I % PERMIT FOR WIRING SgA�Mu This certifies that ........ ........ ..... ........ ....................... has permission to perform .......... .........../..(,/.......-1.................... wiring in the building of.............. ....... ....... .......... at.................... ............................ .North Andover,Mass'?' Fee.........410.6... Lic.No. /........ ............................................................ ELECTRICAL INSPECTOR r - WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File