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Home My WebLink AboutMiscellaneous - 66 MARIAN DRIVE 4/30/2018 66 MARIAN DRIVE /Q l 210/107.C_0056- 0000.0 1 Date.....l..-/2, .-Q.. ..... •�.� NORTH °ft"`°:•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 41. o, , a S.,CHU US ` This certifies that �...........' ��fl./..,/'�.... . has permission to perform ........:..Si�l�.l�A.e�-P...... ��..`.:�,. ..................... wiring in the building of........ !U /I C/................................................ at................. .6..... ............... North Andov i ,Mass. `Fee.3s Lic.No4 ``b3,7I ......... .Alle,71,*zoz, ELECTRICAL INSPECTOR d Check #^ 8556 Conwwnwea o1 ao1ac eta Y Official Use Only cc�� Permit No. 2oparEment o1cc77 ire.Yervice,4 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/071 (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: I --_6-0 ` City or Town of: No R:tk Asi Do 1i e.(Z, To the Inspectr of Wires; By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) �p 6 /—J,42,(,4A-) k)e Owner or Tenant 0t4TJ�t fIQ� /C(t✓'V e�Zy/ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building_ D Ki e—16 �F Utility Authorization No. Existing Service /O O Amps /2-a l Z`JrrVolts Overhead E3---Undgrd❑ No.of Meters j New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e,04-12 5e.,P-0(Ge ieise e— PG4)1i (* -�2ott t ce 5-1-oZi-t Completion of the followingtable 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 ove ❑ n- ❑ o.o Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS- No:of.Zones. M,. No,of Switches No.of Gas Burners o.of DeteRlon an Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump .. umer ons oel- onta neNo.of Waste Disposers Totals: 7-.......... ........................ Detection/Alerting Devices No.of Dishwashers un c pal S ace/Area Heating KW Local Other p g ❑ Connection No.of Dryers Heating Appliances KW ecurttyystems:* No.of Devices or Equivalent No.of Water KW o.o No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP elecommunicationsiring: 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: /—2—O9 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 covera a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify) I certify,under the pains and penalties of perjury,that the information.on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: D 042 1 Signature `' � LIC.NO.: of O 3-2 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: Z 6 e-445,e iq V e- ,-1 e+4te o /-c /4 Alt.Tel.No.: 7 S 7 9 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. Z.e+7-C> 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 Signature Telephone No. PERMIT FEE: $ �' ... __._ ._...._._...._� .._ _. � ' gyp_ j x f' .J• i _ i '�F'{ �-•! " 'f � w.... �! •;,i i'��t�, t �s�ff. `s'y. r��•e�. � r l ��•� r t . - y . r .. v www`' ..• .... �. ......_. .... -/J' • .... .. '_ _ ........_ ... _ . � � ..__ ._ _ � � 'b, 3.x'1 .1 �,[1�.•�i ;,ip� 1_. .. ._ ...- .. .. __ .. Lit. •' _ E q Office Use 0 r�� k 014t Lfammunitital IB �P1�8 Pemtit No. r + Jep mrw of rubLIC fbafrtq Oocupaney A Fee gtecked`' � f 3/g0 peave blank) _' at BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:0042. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK u �¢. All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 112:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date QOYi or Town of NORTH ANDOVER To the Inspector of Wires:.. a.r The udersigned applies for a permit to perform the electrical work described below. �� •. 3s�r Location (Street & Number) 1e ,�}.1,cJ h Owner or Tenant ko t --(—oo -J 0 N S� �—� g$q Owner's Address C (Check Appropriate Box is Is this permit in conjunction with a building permit: Yes = Na ) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead '_1 Undgrnd C No..of Meters r New Service Amps —J Volts Overhead Undgmd r No. of Meters Number of Feeders and Ampacity C §° Location and Nature of Proposed Electrical Work J�w�"� PJ'`� ' :' •, Total `UCSu S No. of Lighting Outlets No. of Hot - bs No. of Transformers I KVA above.— In. ' No. of Lighting Fixtures i Swimming Poo grnd _ gm r I Generators KVA No. of Emergency Lighting, �s No. of Recebtacie Outlets No. of Oil cumers I Battery Units «s No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Totai No. of Detection and ' No. of Ranges I No. ct Air Corc. ;cns Initiating,Devices Heat Total iota) f€: No. of Disposals I No.of Pur•cs Tons KW No. of Sounding Devices iSoaceiArea Heatino No. of Self Contained No. of Dishwashers K%'J Detection/Sounding Devices 4Nw.; Munici No. of Dryers I Heating Devices KW Locai connection otr Other No. of No. ct Low Voltage No. of Water Heaters KW I Signs Bailasm Wiring > r, f No. Hydro Massage Tubs ' I No. of Motcrs l Total HP 3 T. ''. OTHER: - v r INSURANCE COVERAGE: Pursuant:o the reduirements of '.lasso Fusers general Laws / G I have a current Liability Insurance Policy including Camc.:p aerations Coverage or its substantial ecuivaient. YES 5T have submitted valid proof of same to the Otfice. YES NO = If you have checked YES. please indicate the type of coverage oy/ } checking the appy rtate Dox. INSURANCE BOND = OTHER = (Please Scecay) O o` (Expiration Date► Estimated Value of E!ectncal Work$ work to Start _ Final 10^lO `�> h O-°I-pts Insoecaon Date Recues:ec: Rough Signed under t e Penalties of perjury: u FIRM NAME R = � ' G UC. NO.°lt l IL�1�fi.� "' e•` /�lCrt �L ate- �4 c ig7 azure UC. NO. � Licensee • _.� �,t�'' \ Bus. Tel. No. Address �- `J '' Y `mow ni r] b Alt. Tel. Na. OWNER'S INSURA CE WAIVER: I am aware that the Licensee toes not nave the insurance coverage or its substantial equivalent as re ,, gtured by Massachusetts General Laws. and that my signature on :nis permit application waives this requirement. Owner Agent .1�q s-�0d F . (Please check anal Teteonone No. PERMIT FES S rk (Signature of Owner or Agenti x S5&3 s t r i -7 Date/—... .......... ....... V 4�� 1212 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING SACHUS This certifies that 41 .. ....... ........... ........................................... ............. ........................... has permission to perform".":41 wiring in the building of ................................................. ... Ir at.... ....... ..................... .North Andover,Mass. Feel&.......... Lic.No;� .............................................................. ELECTRICAL INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer