HomeMy WebLinkAboutMiscellaneous - 61 FOXHILL ROAD 4/30/2018 61 FOXHILL ROAD
210/037.0000.0
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Office Use Only �J
4C 0001111011wfultll of flut Permit No. /
141turtment of Public bufetu Occupancy,& Fee Checked
:i. 3M (leave blank)
r BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
APPLICATION FOR PERMIT T "'f RFORM ELECTRICAL WORK
All work to be performed in accordance with the t;:;assachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN iNKjyR TYPE ALL MATION) Date 9hql �
City or Town of � 1. To the Inspector of Wires:
The udersignod applies for a pormit I perform the electrical work described below.
Location (Street & Num `te(\)- --, Sentry Vendor Cod q
Owner or Tenant —�Y`�Y 1 1�,� circuit #(�)Se 1V1
Owner's Address Ver'
Is this permit in conjunction with q building permit: Yes ❑ No El (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps —Volts Overhead ❑ Undgrnd ❑ No. of Meters
Now Service Amps J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work LOW VOLTAGE AT SYSTEM
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In
grnd. ❑ grnd. ❑ Generators KVA
No.of Emergency Lighting
No. or Rocoptacio Outlets No. of Oil-Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No.of Sounding Devices
No. o1 Self"Contained
No. of Dishwashors r Space/Area Healing KW DeteclioNSounding Devices
Municipal
No. of Dryers Heating Devices KW ocat Co vection Other
No. of No. of Low Voltage Burg ❑Fire
No. of Walor.lioators KW Signs Ballasts Wiring ❑Card Access ❑CCN
-----------
No. Hydro Massage Tubs No. of Motors Total HP l - -
OTHER: t
-- SEP 2 6 1996
INSURANCE COVERAGE: Pursuan! to the requirements of M?ssachusells general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivaleht'."YES ❑ NO ❑ 1
have submitted valid proof of Sarno to the Office. YES ❑ NO ❑ It you have checked YES, please Indicate the type of coverage by
checking the appropriate box.
INSURANCE (X BOND Cl OTHER C: (PI so Specify) $Qy TnGLrance Company 10/8/96
(Expiration Date)
1
Estimated Value of Electrical Work $ _
Work to Start Inspection Data Requested: Rough— Final
Signed under the Penalties of Poll ury:
FIRM„NAME Sent-ry SVs r Tnr UC. NO.
1109 C
Licensee James W. IA--es Signatur LIC. NO. 000080 (Piir-
Address 110 F`ICVEF= Stm_t Bus.:Tel: No.'617 388-9700 Safi�ly)
+ j Alt.Tel. No. f1fY1_4AS_4�
OWNER'S INSURANCE WAIVER: I am awarn that [tie Licensee'ooes not havo the insurance coverage or its substantial equivalent as re-
quirod by Massachusetts General 1_awa, and that my signature on this permit application waives this requirement. Owner Agent
(Please check ono)
Telephone No. PERMIT FEEfs 1l
GV
(Signature of Ow.lor or Agent)
; - ye.t:rq.,�,�-r.^+,<`.z S.:',fq� _ w•3rk�.+"`".e: �,r.r-.".ar'.,rar.+'s-=•e. 'f"':::`S.F,a-..� �—;_i_�,
- / Date...... .... �yX�
t ` 73
! &ORTFf 1
r°.tom
o ``°: TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Ac
This certifies that
i✓�
has permission to perform ......... ...�.G Y.2.!M:..... Y. ` . .......................:.
wiring in the building of.......N. e. ........................................................ -
at.....: :.t........... ..... 0j.*................ .North Andover,Mass..
' Fee... ... Lic.No.f� .l ...............................................................
ELECPRicAL INSPECTOR
C. b (0y
09/30/96 13:52 35.0o RAID
WHITE:Applicant CANARY:Building Dept. 11 PINK:Treasurer
I 14 UNll-UHtvl AFFUCATION FOR PERMIT TO DO FLUM13INt3
IPtlnt or type)
Jr.
NORTH ANDOVER, Masa, Date L :5® I_,
Building
ng Perms 3 O
Location �
Owner's '
Name rr
New ❑ Renovation Q Replacement p Plans Submitted: Yes Q No.Q
FIXTURES
« «
Is tc H w
M s J « S V M « D a « S "�►
q IL
Is a
411
a ato $ « a a, 7
10 t 3P
_ . eAetM�tMT j
_.
SHOFLOOR _
_
INDFLOOR - -
_. _ 41TM. FLOO11. .
_ _._ .__. _ _n
_. tfTM rL0011' _. r
ITM PLOOA. - - - --
ITN P'LOOR _.. ... _ ..... ,.
=FLOOR
9T H
Check one Certificate -
Installing Company Name �(1IV . - - /4_
_--
Addres 1/ z O Psctnership
-
_ -
Business Telephone
-._. Name of Licensed Plumber.
INSURANCE COVERAGE: Check one
1 have a current liability Insurance policy or No substantial equWant. Yes tl--, No ❑
It you have checked ease indicate the -
YS� d m type coverage by checking the appropriate box.
A Itab#Ity Insurance poticy OtherBond.
_tAm of Indemnft 0
Y Bond l7
OWNER°S INSURANCE WATVER, j''- 6ire-tt afi the llcensee does not have the`Insurance cover'iQe required by
Chapter 142 of the Mass. Git'General.Laws.,-end-that..my.slpnature on thla permappltcailon-walues,_thla�Rtc}ulre eat
Check,ono:-_ — _
. _-- one _
OWner C1, A cne.Q -
(urs o et..or,Owner, en
_
I hereby certity that all of the detaMs and Information Ithaca,subtrAted la entered)In above appBcallon are,
true and ac rat#,t4lhsAest at_rz;
knowledge and that-all'plumbing wotk`and lnitalCattoris pKfortr ed under the petmi!I lhla tkm,appi9ZZ��
ar N y"` -
. pertinent provisions of the Massachusetts Stale Pliml>Irp Code ar�d Chapter 142 AA d I"
OY 1
Title ure Ucense Number D
t7ty
lTown -
APf'fKMD(OFFICE USE ONLY) Type of Plumbing lkanss: Master
Journ 0
'��r..rf�',.�.e��*`�L"Y`,`„"`r"�-r7.'+"�`.tit't� „''�-`r./'1,•'k�r''.'ti,w,,._,'.+r�'..4`}` �-' -,�.ki"'7.,,,�•,,,� r
Date.
"O�T1�o TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
. �
,SSACMus�„
Thin-certifies that . .j�G+. �,lt i. f. .�r. . /?�. . . . . . . . . . . . . . . .
1 _
Y
has permission to perform . . . .1"'. . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . n. . . . . . . . . . . . . . . . . . . .
at. 61. ' .Dz' J.?J. . . . . . . . . . . . . North Andover, Mass.
Fee. r Via.--. ..Lic. No.. .?.910 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
07/07/97 12:28 15.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer