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Home My WebLink AboutMiscellaneous - 573 PLEASANT STREET 4/30/2018 573 PLEASANT STREET 210/037.C-002&0000.0 Date....�..... tORTIi 041-10 TOWN OF NORTH ANDOVER PERMIT FOR WIRING �SSAC U This certifies that .... ................................ .............................. has permission to perform ...... ..... ......................... wiring in the building of...... ........................................ f . at.....5...... -.5........../-).......North Andover,Mass. Fee.A��........... Lic.No. .......... ELECTRICAL INSPEPrOR Check # 9253 P� 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.GI c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§R. Permits shall-be limited as to the time o£ongoing construction activity,and may be.deemed-by the.7nspector_of_Wires abandoned_and.invalid_if he—_. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entitystated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this putpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. Rule 8—Permit/Date Closed: Note:Reapply for new permi ❑Permit Extension Act—Permit/Date Closed: lfonunorut,eafik of/i _33acL,t4 Official Use Only a l c Permit No. a1J ErJGrLmc.i71 O�.�tr¢ J¢rVCC¢J Occupancy and Fee Checked BOARD OF FIRE PREVEN T ION REGULATIONS [Rev. 1/07] (leave blank) `. .:APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance ,vith the Massachusens Electrical Code(iMEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE'.4LL LVFORM,4TIOA9 Date: City or Town of: /i�/ � .� To the Inspector of Wires: I3v this application the undersigned.eives notice of his or her intention to per the electrical work described below. Location (Street& Number) � LS'�};y/ Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit.' 1'es ❑ N'o ® (Check Appropriate Box) Purpose of Building UtilitA,•Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of)deters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t,�C 1 Completion of the following table may be waned bv:the Insoecror o1 I{'7res. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans INo' of Total - Transformers KVA No.of Luminaire Outlets No: of Hot Tubs Generators KVA \o.of Luminaires ISwimminQ Pool Above ❑ In- t o. of mergency Lighting _ _ grnd. Battery Units No.of Receptacle Outlets INo.of Oil Burners FIRE ALARti9S No.-of Zones No.of Switches INo. of Gas Burners leo.of Detection an Devices No. of Ranges No. of.air Cond. Total No. of Alerting Devices Tons No. of Waste Disposers Heat Pump 1\.umber Tons K'" No. of Self-Contained Totals: - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW LocalEl Municipal ❑ Other Connection k No. of Dryers (Heating Appliances KW ecurity Systems:* No.of Devices or Equivalent No. of Water K V No. of No. of Data Wiring: Heaters Siam Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Mot s Total HP Telecommunications Wiring: No.of Devices or Equivalent F OTHER.: �'`� Y/7'7) 016 . i .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 NEC 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. CHECKONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) Self Insured 1 certify,under the pains and penalties of petjury, that the in rmation otr this application is true,and complete. FIRM NAME: A_DT Security Services -LIC. NO.: � _ �S Licensee: Mark A. BrolDhy SignatureLIC.NO.: C-45 (Ifaoplicoble,enter "exempt"in the license number line.) Bus.Tel. ,No.:. 603-S94-592 8 Address: 18 Clinton Drive Hollis NH AIt.-Tei.-No.: "Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.N6 00953 Ok'NER'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 agen . Owner/Agent Signature Telephone No. PERMIT FEE: $ , ` _. . epar menfof .. N' safety One•.Ashburton Place, Rm 1301 , 1. ,t Boston, -Ma .:02108-1618 - License: S-Lir,�nsB Number: SSC0 000053 . Expires: 0 210 7 12 0 1 t-----_..:• Rostricled To: 00 MARX A bROPHY SR NORWow., w\ 02062. — s Tr.nn, 117,0 �`S'•�. Kuop top for roce!pt and ch•gn0e of Qdro�s nclillcation. it:;•CA7 h �oN•nwpp.00�'Urtxa.(CA,oaZtzouy - �� 1e-.-rrr<o•.✓i�G.1/�i• u�.�LU.Jaii.C%u�d.alLJ . ... .... CWARTMENT OF PUBLIC SAFCTY Numjtz S-�Co 000053 -Tr. .^,o: 117.D pl" CURITY SFRvI:;F - NAR,(A Drlt )l° Y;,..ik.:. i,l rAoRSE NORw0 oDO..I iA �'[Q2_- > y�� :•;�/- �•. DIG SAF' CALL CENTER:;. (888)3dd-7233 .(cid,Th:nc!nd,1J-9klr„lc,.,k, , COMN11ONWEALTH•OF. MASSACHUSETTS i DOARD - . . . OF.ELEi;•FR!0'ANS. F ,:, REG!STER-CO SYSTEM C.O�!TRACTOR IrsuI S TFT LICENSE TO TY^ E ADT � ECUC; ITY SERVICES ; INC , HARK A '• BROPHY - SRI - C iII. 'NORSE . ST HORWOOD HA 02062 - 4602' 53745 07/31/10•, 3537 ° 5