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HomeMy WebLinkAboutMiscellaneous - 58 EVERGREEN DRIVE 4/30/2018 (2) 58 EVERGREEN DRIVE 210/107.C-0065-0000.0 ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12,00§Rule 8: In accozdanee-with thepzovisions of M.G.L.G.143,§•3L,the permit application form to provide notice of installation of wiring shall be uniform throughoutthe Commonwealth,and applications shall be filed' ba the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M G.L o.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,§3L. Permits shallbe limited as to the time of ongoing construction.activity,and may be.deemed bgthesnsp.ector_of_Wires abandoned-and-irwalid.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 entity stated on the-pemut 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 23 8 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 purpose 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 extendiag-through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Date... 9A.... P t NORTH p.t Sao^{-14.0 " 3? 0� TOWN OF NORTH ANDOVER 0 p t. PERMIT FOR WIRING This certifies that .�..........r -t ... ................. ......... has permission to perform Wiling in the building of..... ....,.. c T .................................................. at.' S ......... ...........�'�,a.�»... �! + �:...... ........ ,North dover,Mass. Fee a LiNo� .....��... ....... -ELECTRICALiNSi OR Check # 7014 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked fe BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER 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) v�cl •>!��,,,, ✓fit Owner or Tenant ,S ���,�j 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 F1g Und rd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: "Z4 i Completion of the following table may be waived by the Inspector of Wires. ? p No.of Recessed Luminaires No.of Ceil: No.o Total Susp.(Paddle)Fans Transformers KVA r` No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting rnd. grnd. ❑ Battery 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 No.of Air Cond. Total Tons g No.of Alerting Devices No.of Waste Disposers Heat Pump Number. Tons KW No.o 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.o No.o Data Wiring: Heaters Si ns Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: N. of Devices or E uivalent -�. OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: �O©'.e7d (When required by municipal policy.) Work to Start:/B^ eel 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 ❑ OTHER02(Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: i�'''ic,. is = `e LIC. NO.: �s'S2�� Licensee: � � f� c Signature /��/l'✓� l'��_--� LIC. NO.: (If applicable, enter "exempt"in the license number line.) Bus.Tel. No.: c�-�o�- Address: /T ��� 6� Alt.Tel. No.. *Security System Contractor License required 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 . ty g Y required b law. B m signature 1 q y y y g below, 1 hereby waive this requirement. am the check one owner owner's( )❑ ❑ agent. Owner/Agent cam' Signature Telephone No. PERMIT FEE. $74 �� Date. TOWN OF NORT�ANDOVER PERMIT FOR PLUMBING • o� _ a �z ,SSACMUSE� This certifies that . . . .(.p Y!.I .�. . . c.z �-.Gt: . . . . . . . . . . . . has permission to perform . . . . . . plumbing in the buildings of . . . t7.t. `` .ra. . . . . . . . . . . . . . . . . . at . . . . . . . . ,North Andover, Mass. Fee.3rt� 3 P. . . . .Lic. No.:??. . . . . . . . . . . . . . p- PLUMBING INSP TOR Check # 0 A ' 7 151 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS `/ Date 10 /b 0 6 Building Location 9 Eller 9.^e e ,u 6 d' Owners Name C A V,, !te s Ye'u / Permit# ?� Amount 7o — New Type of Occupancy `�e s New u Renovation ® Replacement ® Plans Submitted Yes ® No FIXTURES w 0. >" Cr W W F WLn W P� fes+ W SMEM t SASomIT lS'L FIDO<t ' 7M FLOOR 3M FLOOR 4IH FLOOR 5M It" 6M FLOOR 7IH MOCK S[H Elf= tint o (P r type) 1 ,/ Check one: Certificate Installing Company Name �!� n (�, !�`�K1 ✓� Corp. Address 7 Pa r e s, V,- 5 T ® Partner. 14-e 7-k o e v-) M q- 0 L/ Business Telephone 9 7$_ 6 g,7-- 7.,:, Firm/Co. Name of Licensed Plumber: ��, �,p 1�� � eu Insurance Coverage: Indicate the type of insurance coverage 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 three insurance Signature Owner ® Agent I hereby certify that all of the details and information 1 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 Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S to PlumbingCode and Chapter 142 of the General Laws. By: N1gnatW'e-0TL1CenSea rIUMner Type of Plumbing License Title 7.�- k APPRwnOVED(OFFICE USE ONLY cense um er Master Journeyman PPR 3148 Date. .C.�..... .. i A pORTh/ TOWN OF NORTH ANDOVER Ao ? o , PERMIT FOR GAS INSTALLATIO h 9 SAC04USE�Ay This certifies that . . j C. . . . . . . o i has permission for gas installation . J. in the buildings of . . .H.•C::r{: `�!. . . . . . . . . . . . . . . . . . . . . . . . at s. r 3�t!>. .. <.. . . . . . . . . . . . North Andover, Mass. Lic. 1 jbAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer 1 0 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING f ��Type or print) Date GA19 'l' NORTH ANDOVER, MASSACHUSETTS n Building Locations 5 //02 �'/LP?ti �'/,�. — Permit 4 3�`f Amount S Owner's Name Newo— Renovation ❑ Replacement ❑ Plans Submitted ❑ :e w z z GC n L U _ W n w rz7 rq W Z � W .^. ,,. W :s7 :. z � 4 W W C � Z := W _ :{ �^ n Z C z C C w w z SUB -BASEM ENT BA SE M ENT 1 ST. F L O O R / 2ND. FLOOR 3 R D . F L O O R 4T H . F L O G R 5'r H . FLOG R 6T H . F L O G R 7T 11 . FLOGR 3•17 11 . FLOOR all (Print or type Check one: Certificate Installing Company Name �Jil/TiG.T /�d.�f � ❑ Corp. Address J Z l /�'^� ❑ Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: SlQnature of Owner or Owner's Agent Owner EDAgent ❑ I hereby 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 Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas e Chapter 142 of the General Laws. By: Signatur of Licensed Plumber Or Gas Fitter Title Plu er City/Town ❑ Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) ❑ Journeyman