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Home My WebLink AboutMiscellaneous - 58 RUSSETT LANE 4/30/2018 58 RUSSETT LANE 210/104.A-0005-0000.0 Ci ORT TOWN OF NORTH ANDOVER PERMIT FOR WIRING 40 CHU iesthat ..fb This certifies ...� p �.... ...................I........ ............ has permission to perform ... .......................................... wiring in the building of..... . ........c .......... ............ at........... .................... ... .......................................... .North A:ndov ,Mas Fee.. .�5........... Lic.No;4q�;�I db 41! .. . ..... ... ..... IOCM']'�INSP R Check 41 10883 Commonwealth of Massachusetts official use only IBM Department of Fire Services Permit No. $r Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/051 leave blank 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: 06/07/12 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) 58 Russett Lane Owner or Tenant Elaine Winic Telephone No. 781-799-0507 Owner's Address 111 Avon Street Malden MA 02148 Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Single Family Utility Authorization No. 13068477 Existing Service 200 Amps 120/240 Volts Overhead ® Undgrd❑ No.of Meters I New Service 200 Amps 120/240 Volts Overhead® Undgrd ❑ No.of Meters 1 A Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service Replacement 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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 0.0Emergency Lighting grad. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. In Detection and InIn Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices ~ No.of Dishwashers Space/Area Heating KW Local Municipal El ❑ Other Connection No.of D ers Heating Appliances KW Security Systems:* „t t7 No.of Devices or Equivalent No.of Watero.o. No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirm No.of Devices or Equivalent OTHER: Attach additional detail ifdesired, or as required by the Inspector of 9,7res. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 06/08/12 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:) certify,under lite pains andpenalties ofperjury,that tite information on t/:is a plication is true and complete. FIRM NAME: Folsetter Electric,Inc. LIC.NO.: 20421 A Licensee: Robert Folster Signature LIC.NO.: (Ifapplicable,enter "exempt"in the license number line) Bus.Tel.No.: 978-658-9975 Address: 30 Parker Avenue,Tewksbury,MA 01876 Alt.Tel.No.: 978-387-9709 *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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent P ERMIT FEE: $55.00 Signature Telephone No. y / ..SDS Date.. . . . . . . ... l HORT" 41 o� �` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACMUSES� //�� r This certifies that,,'C" . i has permission for gas installation t-!. . . . . ... . . t in the buuii�ldings of� �. l�. . 1� !. . . . . at .!1. /:� /. . . . . . , North Andover, Mass. Fee �� Lic. No.l . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR JV Check# JJ ! 4590 MASSACHUSETTSUNIFORM APPUCATION FMPEMMTO DO GASFITTINGdi�� (Print or Type). • _ ►� -Mass. Dat Z 2Q_ Permit !!�U BuWinpr ,� Owners Name y- 1c'•� 1 ' �^ "� Type of Occupancyr New ❑ Renovation..Q Replacema*b/ Plans Submided: Yesp No p a • a W.. a. 3 s o:_ a _ VCa p' e on: ►', s. W W Q J a W. F- s _ d r r = o W O O'. O O H Z < W < 6 M O Z O = O _ C S O O V. O19 ka 206 O J V rC Y- Q. AL O SUB—BSMT. ' BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STM FLOOR eTM FLOOR TTM FLOOR aTM FLOOR InsWIUV Company Name- MACA rzln s Ql o Iry o,no . Check.onev. Cerlirkdef y Address__ 54 (2r,lertt 5 4- . ❑ Corporation- (zp,u" rrn A . n-41_<I ❑ Partnership Business Telephone --5s I- ZI£A - ?,S-Aco P Finn/CO, Name of licensed Plumber or Gas Fitter, S�eL.evi S A(Ac .,2sa w e . INSURANCE COVERAGE: I have a cunwAllabilitY,insurancePolIcY or its substantial equivalent which7meets the requirements of.MGII•142.• ` Yes JK No ❑ It you have cheeppleasejndkathedhe4ype�ov Nge-by dwddrp the ippuopdata-boot. A liability insuranoe:poliry)( Other-tywd indemnity.13 Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee.does not have-the Insurance.coverage required by Chapter 142 of the Me= General-1I and MW.my signature on•this-permit applkabon waives this requirement Check one: Signature of.OwnerAr-:Orwrwrs Agent-- Owner❑ Agent.❑ I hereby certify,that all of the details and information I have submitted(or entered)in above application era true and accurate to.the treat of my knowledge and that all plumbing work and uutallabons performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General LI E� T of license: Plumber gnatun uc� um or atter Title Gasfitter JM u ter Ucense Number 310(0. Cityfrown �= BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. ; APPLICATION FOR PERMIT TO DO OASFITTINO NAME A TYPE OF BUILDING LOCATION OF 9UILDiNO PLUMBER OR GASPOITER LIC.w0. EIIM T GRA P 1 GATE 20 , OAS INSPECTOR Date. . . ..... .. ... . . . .. .... . 40RTN TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION C Hus This certifies that . . . . . . . . has permission for gas installation . .. . . . . . . . . . . . . . . . . . . . --7 in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at i . . . . . . . . . . . . . . .. North Andover, Mass. Fee . . . . . Lic. _A --- - - - - - - - 6INC Check# x. 4, 6 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 0 -24 Permit # Building Location_ R PL AS S C TT p o Owner's Name SA t� W 1)J l c, �• NOi2 T) A�COVE rL p�j�1 Type of Occupancy kES 10 C-)JT New ❑ Renovation ❑ Replacements Plans Submitted: Yes[] No ❑ f _ 77 N Y Z ¢ N W rJ ] W cc W a O N W f 0 J N W O U m F- S f Z p W H CC Q CC _ O }' W Q ¢ O N tl W a S z F- N > Q maw O. Ito w W a0 J Z a S CC x cc W F- w F- x N a Y Q W J Q C ~ W yW y O > U. 1- W J Uy W a ru > a W 0 n z. Q ¢ Q m z o z Q o x a '.x o tl Y a a 3 c tl ci Y c a F- O SUB—BSMT, BASEMENT 1STFLOOR 2ND FLOOR 3RD FLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR ,fr Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET }C7 Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone .687-1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked res, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X[ 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: Signature of Owner or OwnerOwner-0 Agent ❑'s Agent , I hereby certify that all of the details Is and information I have submitted(or entered)in abovl4pplication are true and accu�gte to the best of my knowledge and that all plumbing work and Installations performed under the permit Issu f r this application will n mpiiance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. T of License: Plumber Signature of Licensed Plumber or Gas Title GasGtter Cit /Town Master License Number �1 5 APPROVE (OFFICE USE ONLY Journeyman BELOW FOR OFFICE US>o ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO,DO GASFITTING <. NAME & TYPE OF OUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED DATE __,10 GAS INSPECTOR