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Home My WebLink AboutMiscellaneous - 59 JETWOOD STREET 4/30/2018 59 JETWOOD STREET / 210/007.0-0031-0000.0 Date - ........... 0 TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING CHU. This certifies that................... .....7. . ................................................. has permission to perform .... ..................... 7:i................... wiring in the building of..,... .......... ....... .............. .North Andover,Mass. Fee.4 ............ Lic.No//q.117('A........> ...... ELECTRICAL INSPEcrowl/ tf Check # 0 0 Commonwealth of Massachusetts Official Use Only Permit No. 6 161 49-4 Department of Fire Services i 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S-l�,r-0--0 City or Town of: 1A) —koid i v,f-- 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) 5q Tc*wo d S I Owner or Tenant G TQ_�/ Gfr Itil Q 1" Telephone No. TA-GV11-V/6 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 d Amps /aQ /2 Ce()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: FE/a Q ck �6,r/ ,j, p, 3�� 6=ez =�� Com letion 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- EJo.o Emergency Lighting rnd. rnd. 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 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number Tons KW No. of Self-Contained Totals: I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Co nnnenctioatio n ❑ Other Co No.of Dryers Heating Appliances I{W Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent 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: =a a—p C� 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 cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: c4, `r- A--,b 1, Z LIC. NO.: /f yI�-X Licensee: &/4w 7 ��.'y�,-i `Z� -'6 Signature LIC. NO.: — (if applicable, enter "exempt"in the license number line.) Bus. Tel. No.: aX r 3!�6 9g7,2 Address: /./9 L,:<) - >7�-- A-Lwr`w: 1h,4qF 01 rrG n Alt.Tel. No.: 49r3625G)-33 *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 agpnt. Owner/Agent Signature Telephone No. PERMIT FEE: $ _ Date.'V/.° "�/�� ........ / � l � '50 140"701 TOWN TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 88'�CMUS� This certifies that /. 4. , 1. ........ ..! 1 4. ...............,.............................................. has permission to perform............... -..... ,f ,............... plumbingin the buildi gs o ........................................................................................... ?�� ... at...�:.... ........ .. _.........,..� »�,................. ........................:, North Andover, Mass. Fee�d!+�P Lic. No. . ....... .. . . !.Y-a�.y.................................... /PLUMBING I�SPECTOR Check# 3 �/ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY Z00r, k &d clo ej Pr- MA DATE V PERMIT# `I I JOBSITE ADDRESS '6'T OWNER'S NAME POWNER ADDRESSS 9 -L�)n, o[ &T TEL 97 8'-6 9!/-8-7 /6 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:0' RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 6 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK ' TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES R— NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY Ejr— 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in com ance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME —7'ho,,,s �52N�cI,'�ynJ LICENSE#lgyodd AIGNATURE MP❑ JP R' CORPORATION❑# PARTNERSHIP❑# LLC❑# �Q�¢ I! COMPANY NAME �,,y., H.o d :..✓ l�4- ADDRESS Yi CITY,� �1i(.4e (I- STATE ZIP D d eyl /+ TEL AQ.?—J*79— fddto FAX ,3,?— T.7!% Q CELL EMAIL L =aF fp T OWN OWANDOVER MASSACHUSETTS BELOW FOR OFFICE USE ONLY PLUMBING/ GAS PLUMBING/ GAS PLAN REVIEW NOTES INSPECTION NOTES INSPECTION NOTES FEE: $ PERMIT # ROUGH FINAL