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Home My WebLink AboutMiscellaneous - 566 TURNPIKE STREET 4/30/2018y /� Date ..... 7 ..................... TOWN OF NORTH ANDOVER K 0- o w PERMIT FOR WIRING This certifies that ..............1,JI-V ........................... ................................... has permission to perform .......... ...................... ... ... ....................... ...... wiring in the building of .............p.................. ..... 1/e .............................................. -?.max 11 at .......... ............................... ................. . North Andover, Mass. Fee ..................... Lic. No. ::m' 4.......<, ........... ....... ELECTRICAL INSPECj OR Check # q102- 7 7 31 1, ""' VVI/1II/V//VVCQ/L11 VI I•/QJJQt,.1/uJCLLJ " Department of Fire Services Pei mit No. l Occupancy and Fee Checked 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), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AL INFORMATION) D ate: p City or Town of: To the In pect r o Wires: By this application the undersigned gives notice of his or h�tention to perform the electrical work described below. Location (Street & Number) (, UVZ 'Z> Owner or Tenant Telephone No. Owner's Address C/�M'( i Is this permit in conjunction with a uildinermit? Yes ❑ No (Check Appropriate Box) Purpose of Building 51"k N f t 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: free /}-p 7 ea (%G� Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of al Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ElIn- 1:1o. rnd. rnd. o mergency Lighting Batter 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 Initiating Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices Heat Pump I Number Tons KW.... No. of Self -Contained No. of Waste Disposers Totals: .. - " Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal - ❑ Other Connection No. of Dryers Heating Appliances. KW Sectio. o of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP Devices or E v Wiring: Telecommunications No. Equivalent OTER:at M I it S -7� /,/)a & )�2 t - Attac47 additional detail if desired, or krequired by the Inspector of Wires. Estimated Value of Electrical Wor (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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties Of ejur that the in rmatio�z'this rtpplication is true and complete;gEgL33 FIRM NAME: -� , C W LIC. NO.: Licensee: Signature LIC. NO.: (If applicable, enter ';ex -pt " in the liceU se number link) ( / Bus. Tel. No.. Address: IG' k /HCl /UU f Alt. Tel. No.: *Security System Contractor License requir d for this work; if applicable, enter the license number here: 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 ageiqt. Owner/Agerit PERMIT FEE: $so I Signature Telephone No. TOWN OF ANDOVER ELECTRICAL PERMIT FEES (Effective March, 12, 2003) lY1INIMUMPER-M1. VFEE$ RESIDEN .IAL; -$25 00 CoMI��Rc>ial, $50 N10 SE SE CABLE ON OUTSIDE OI-� BUILD.ING Air Conditioners: $40.00 each Alarm Systems Security: (for fire systems see smoke/heat detectors) Residential: $40.00 Commercial: up to 10 Devices $60.00 additional devices over 10- $1.00 each Carnival Equipment: $50.00 each Ceiling Fans: $1.00 each Commercial New Construction or Alterations: $100.00 per 1,000 Sq. Ft. of Construction Space Commercial Service Change/ Repair: :Must have Utility Authorization Number $100 (first 100 amperes or fraction, one meter) a) each additional 100 amperes capacity or fraction. $30.00 b) each additional meter $25.00 Commercial Temporary Service: $100.00 Nfust have Utility Authorization Number Commercial Repair and/or Maintenance Permit: (Blanket Permit) up to 2 Electricians $150.00 per pair of Electricians over 2 $50.00 Data/Telecommunication: Residential: $1.00 per port Commercial: $30.00 up to 10 devices over 10 - $1.00 each Dishwashers & Disposals: $5.00 Each Dryers: $15.00 Each Emergency Lighting (Battery Units) $ 1.00 each unit Feeders or Sub -feeders: each 100 amp capacity of fraction thereof Residential: $5.00 each Commercial: $15.00 each Gas/Oil Burners: Residential: $20.00 each Commercial $20.00 each vUJJU1 awi,3 II-CMUCHLIat uc Commercial: a) including photovoltaic & generating Equip Per KVA $1.00 b) un -interruptible power systems, per KVA $1.00 c) batteries over 100 amp. hours, per cell $1.00 Heat Devices: $1.00 each Heat Pumps: $40.00 each - Hydro -Massage Bathtubs/ Hot Tubs: $20.00 each Lighting Fixtures $1.00 each Lighting Outlets: $1.00 each Major Appliances: (not listed) $20 each Motors: (per hp or fractional part thereof) $2.00 Oil /Gas Burners:. Residential $20.00 each ; Commercial $20.00 each Office Furnishings: per circuit $10 (Relocatable Partitions/_Cubicles) Outlets & Fixture: $1.00 each Ovens Built in/Counter Top Units: $10.00 each . Panel Change/Circuit Breaker: Residential: $20.00 Commercial: $25.00 Phone Jacks: See daia/telecommunications Ranges $15.00 each Receptacle Outlets: $1.00 each Recessed Fixtures: $1.00 each Re -inspection Fee: $25.00 Repair to Service Residential: $20.00 Residential New Construction (Dwelling): $220.00 (with service up to 200 amps) ]!`lust have Utility Authorization Number for services over 200 amps see below a) for each 100 amps capacity or fraction add $20.00 b) each additional meter $10.00 c) each additional panel/sub panel $25.00 Residential Additions/Alterations: $220.00 maximum Residential Service Change or Underground Service: $40.00 Must have Utility Authorization Number a) one meter, up to 100 amp capacity $40.00 b) each additional 100 amp capacity or fraction $20.00 I L.1 Lalli aL1111LIMIal llll+ll1 ...111V.VV Sewer Ejection Pump: $25.00 Signs: $25.00 each ballast Smoke & Heat Detectors & Initiating Devices: Residential: $1.00 each Commercial: $60.00 up to 10 devices over 10 - $.1.00 each Space Heaters:. . area heating $1.00 each Sub -Panel: $25.00 Swimming Pools: Residential: Above Ground: $25.00 Inground: $50.00 Commercial Pool: $100.00 Switches: $1.00 each Temporary Service: Must have Utility Authorization Number Residential $25.00 Commercial $100.00 Transformers: a) capacitors, Per KVA $1.00 b) ducts, conduit & conductors (Associated w/ Padmount Transformers) $25 c) each manhole $10.00 d) each handhold $5.00 e) per KVA $1.00 . 0 primary feeders, $25.00 each (over 600 volts, non-utility owned) ),vaults.and equip. $25.00_ each Washers: $15.00 each Waste Disposals: $5.00 each Water Heaters: $30.00 each *For Multi -Family Large Commercial Project see Wiring .Inspector for pricing: Paul Kennedy (978) 623-8306 (Office Fours S ani to 1.0 am) *.Inspection Schedule: 1 ROUGH 1. FINAL I TRENCH (if applicable) ADDITIONAL INSPECTIONS *$25.00 (it applicable) (revised 07/05) 09-k-- Y-2 0-01, Al,