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HomeMy WebLinkAboutMiscellaneous - 550 TURNPIKE STREET 4/30/2018 (4)Y 985 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........! Y,��-........1^�� 7r .................................... has permission to perform `r Tv/� wiring in the building of E �r� at :S,7 .. ..................North Ando�ver, , Mass. Fee ..�..... �......... Lic. No. tZ�(...................... 2� PSS .... �� 1rSrecrofC Check it W-1 MW Commonwealth of Massachusetts Department of Fire Service Permit No. Use Only qg-e-* BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NMC), 527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORA41 TION) D ate: City or Town of: To the Inspector of Wires: By this application the undersi ed gives not' e of his or her intention to perform the electrical work described below. Location (Streeumber) ,� �/Y / 1 j -'.e 5'� �✓ OSS/�OFIIJJ� lam% �%� Owner or Tenant / /G/ p,,G / 191 e Owner's Address k111 --V L� ALL / p� pAIWpN Is this permit in conjunction with a building permit? Yes ❑ Telephone No. No ❑ BLDG PERMIT # Purpose of Building Utility, Authorization No. Existing Service Amps / Volts New Service Amps / VoIts Number of Feeders and Ampacity Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: (),Al bgK ('mm�iofin� No. of Recessed Luminaires r .—jwtuww4x -- <nay oe waivea Dy the ms ector of Wires. No. of Ceil.-Susp. (Paddle) Fans No. of Total _ Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ o. o mergency ig mg rnd. rnd. Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiatin Devices No. of Ranges No. of Air Cond. Tons Total No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. of Self -Contained Totals: Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances gam, Security Systems:* No. of WaterNo. Heaters KW of No. of No. of Devices or Equivalent Data Wiring: Signs Ballasts ;. No. of Devices or E uivalent Ilvo. rtyaromassage 1Batbtubs INo. of Motors Total HP I -telecommunications Wiring: No of Devices or Equivalent I 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: 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 MBOND ❑ OTHER ❑ (Specify:) I cert, under the pains and penalties of perjury, that the information on this application is true and complete - FIRM NAME: l�lol� t5 LIC. NO.: I 43 Iq Licensee: / 6m�,S f-7 /aL,�pa� Signator. �t LIC. NO.: /W/O ,4-7 (If applicable enter " empt" in the license number line�. ,, Bus. Tel. No.: %%`� �'� Address: � 87 1 o qt leI-G Sr !�%%h�uelq j? RMS' Alt. Tel. No. *Per M.G.L. c.147, s. 57-61, security work requires Department of Public Safety "S" Licen LIC. NO.: 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 Signature Telephone No. PERMIT FEE. $ ELECTRICAL PERMIT NO. INSPECTION REPORT: � ELECTRICAL INSPECTOR - DOUG SMALL r DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE -INSPECTION OF $50.00 IS TO BE CHARGED. --t The Commonwealth of Massachusetts Department of Industrial.Accidents Office q fInvestigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): :FWPr-s �.�Pe.?{z�e . Z rIT Address:_ 5� b' 7 tv e LZ_ 2�7T City/State/Zip: f�� � �GPF� s S Phone #: y % leY 7 Are you an employer? Check the appropriate box: L ❑ I am a employer with 4. ❑ I am a general contractor and I mployees (full and/or part-time).* have hired the sub -contractors 2. I am a sole proprietor or partner- listed on the attached sheet. x ship and have no employees These sub -contractors have working for me in any capacity. workers' comp. insurance. [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 3. ❑. I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c. 152, § 1(4), and we have no insurance required.] employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling . 8. ❑ Demolition 9. ❑ Building addition 10.�ectrical repairs or additions 11.❑ Plumbing repairs or additions 12.❑ Roofrepairs 13.❑ Other *Any applicant that checks box#1 must also fill out the section below showing their workers' compensation policy information. T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. lam an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Policy # or Self -ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip:. Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment,. as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. X do hereby certfy under the pat -and Knalties o f perjury that the information provided above is true and correct. Phone##: 1 % �-' e gX1 S,2) 15 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town CIerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other C ontactPerson: Phone fZyq� Clq5 iI\1e-Ts FIs �o 0 L r" �''�oLei2 eoyn��essoe �6,b7' 50 /,3 -/XP /,-� o Vo L7 ` T/2 6.�s e -P&.Lo/ a u 7e7 11/11/2010 3:29 PM FROM: Fax John T. Brennan _Assoc. TO: 1-978-688-9542 PAGE: 001 OF 002 */ I John T. Brennan & Assoc. fc o n f ax To: Gerald Brown Fax Number., 1-978-688-9542 From: John T Brennan Fax Number: 603-894-5548 Business Phone: 603-893-4693 Home Phone: Pages: 2 Date/Time: 11 /11/2010 3:29:41 P M Subject. Tripoli Pizza & Bakery Shop, Crossroads Shopping Center Mr Brown, Could you please review attached. We had the Licensed Surveyor add the Walk in Freezer unit to the site plan and identify the proposed setbacks. We Will be including this Engineer Certified plan in our next revised submittal. We will be have the full site plan in the submittal. I'm just showing the portion that was updated here for review. Thanks John Brennan 11322252 R FROM: Fax John a Brennan _Assoc. ZIP 2o 2 # 0 �U) QA U— O� \®f%bq 2/200 R?��2 a0�o2 Ca LU N % < »ko # S � /, � -_ m:3976@65& PAGE: 0022 32 � $ \ � � 0 % §\ \ �\ _- v■ C) / & R £ 7 h . C) LIJbujzzo 0 Of 0 T- o , X W Z,)O 0 Wxm C) ii.-� k q�uj R m o(No � � NO . R&R2 r _ 1 Enright, Jean From: matt@tripolibakery.com Sent: Monday, October 18, 2010 8:57 AM To: Enright, Jean Subject: Tripoli bakery/Pizza 114 proposed architect plans Attachments: NAPizzaShopplans.pdf; NAPizzaShopPLAN S2.pdf Good morning Ms. Enright. Matt Zappala at Tripoli bakery. here are the plans from architect for the proposed location at Turnpike street. We are hoping to try to make an appointment for meeting on wed october 27, 2010. I would like to speak with you before we confirm for the 27th. Please let me know if there are any problems with this email. Thank you Matt Zappala Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. F M© m ® 9 P P P V N x = a A P A C r 3m s" 3 i gg Eggg s �� i=�= map v5 � � �.ma mes = P° $ z px� n pp e s 49 $. a= . sus a g 19h 9 7910 L €� •fix E Rmn�- p`6 ey F`� S# 6f $ a € Pig i; p= P, �4a J � � swot �qg;. n tile 5� a€g �1 ��� 8 x� � � �g � �� xx�� 8�$ r§F °- a� sus*��� i 1 ° �gm m �QA Foam p€ xg AitO 9pxl8 INTERIOR RENOVATION TENANT nAre: oc ooER,ia,znin CONSTRUCTION FLOOL T. BRE'NNAN & ASSOCIATES ARCxtrecrs ARCHITECTS ~, INTERIOR RENOVATION TENANT nAre: oc ooER,ia,znin CONSTRUCTION FLOOL T. BRE'NNAN & ASSOCIATES ARCxtrecrs ARCHITECTS ~, TRIPOLI PIZZA &BAKERY SCHEDUDULESES PO e°= "°'• "'Np1A1• "" °'081 CROSSROADS SHOPPING CENTER —EE�-BOO-�%e ems:-ea-ss.e maveuesraEcr. nro=rx namv8x au SCALE: Ua^=1'-0" EXISTING CONDITIONS EYAIb jbrenn°nOjtba¢hitttb.com aA aaL3 5 P MCA gai�^ lila � �� ° a Acs ��s �a@ m�^ to gi up 11 882 -F as Ss RAE RB 4 0 Z rAad qeg a� A Sa l ;J5d"��x pg$a '> � u a BsF FIRx zSh a ama€ a F7 R�gm ha3 ✓"A, I o � Ra Ax 3 29P 9m, J $� $z m i' 2 'Nii s,�� i�$ OR 9-F gh lag 9 WN, On a F 4 E; � o ERa s 14 2 $ € E 4®QT h 8 409-RgAmum mm LVA ernIVA o� ummom m ° m LVAi • X89 e � ° ze RF -S5 a gQ Ppp Z LVA IN LAA1 IN Ilk u 3 DATE: OBER, 14, 2010 JOHN T. BRENNAN &ASSOCIATES OCT INTERIOR RENOVATION REFLECTED TENANT CEILING PLAN ARCHITECTS ( j N TRIPOLI PIZZA &BAKERY SPECIFICATIONS M B0Y 1"'' �0H °' "n °x°' CROSSROADS SHOPPING CENTER 11gxL 10.1-811-e11] rix: eon-eoa-ss�a su maurxesra�r, enxrx w�rovre nu SCALE:1/4"-P-0" INTERIOR ELEVATIONS EI L:Inrenn°noitn°mnite,�.,- 0 i o