HomeMy WebLinkAboutMiscellaneous - 75 EDGELAWN AVENUE 4/30/20182012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance-with theprovisions of M.G.L, c.143, §• 3L, the
permit application form to provide notice of installation of wiring shall be uniforin throughout the Commonwealth, and applications shall be filed-
" bn 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 shall_belimited as to the time of ongoing construction -activity, and maybe.deemed_bythe.Inspector_of_Whes abandoned_and_invalidif he—.
or she has determined that the authorized world 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 permit 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 certairpermits -and licenses concemingthe use or development of real property. With
R 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.
i lRule 8—Permit/Date Closed: /?i— �� *** Note:. apply for new pe i
"ert Extension Act — Permit/Date Closed:
Date ....2.74:...al .....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .............................................................................
4
has permission to perform ...... ........................:!................................
wiring in the building of .......... .........................................
at ..... ......... �!::Q-�3.� r:... �.��.."............ , North Andover, Mass.
01,
Fee .....t .............. Lic. No. 4/.fp/ ..... {:..,;.... �. a. �h ... ,...................
EcecrRicni.�NSP R
Check # �--
7494
0
C. ommonwea& of Vamac4ajetls
i Apartments 4Jire Servicee
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. s V ?y
Occupancy and Fee Checked c;b0 0
[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 ININK OR TYPE ALL INFORXDOJIC-AZ
ON) Date: G - a2,p — 0 7
City or Town of: /t% 0 ATN 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) %s D 6, 6' LA (V1V ,,e1 e1c AJ c/C A p 7- a
Owner or Tenant Cid ee"r Ti.v [r /Fe C k Telephone No. 60 Ga - Y0 3 -6caO (o
Owner's Address J/-► enc
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box)
Purpose of Building -/) ell C c c t iV (r Utility Authorization No.
Existing Service Amps / 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: DISHWASHER
Completion ofthe 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 Lu inaires
Above In-
Swimming Pool rnd: ❑ nd. ❑
o. o Emergency Lighting
Baftery Units
No. of Recepta Outlets
No. Oil Burners
FIRE ARMS
No. of Zones
No. of Switches
No. of Gas urners
No. of De tion and
Initiatin)L Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting vices
No. of Waste Disposers
Heat Pump
Totals:
Number
" '
ons
KW
No. of Self -Contain
Detection/Alerting De 'ces
No, of Dishwashers
Space/Area Heating KW
Municipaler
Local ❑ Connection
No, of Dryers
Heating Appliances KW
Security Systems:*
No, of Devices or E uivalen
No. of Water KW
Heaters
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No, of Motors Total HP
Telecommunications Wiring:
No. of Devices or E viva ent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: G S , (/I (When required by municipal policy.)
Work to Start: 6 - e) -)� - u7 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 pro f of same to p#iisingoffice.
CHECK ONE: INSURANCE ❑x BOND ❑ OTHER ❑ (Spie ' .) I certify, under the pains andpenalties of perjury, that the inform i o t is pp alioomplete.
FIRMNAME: Castle Electric Inc. NO.: A16191
Licensee: James R. Prescott Sid
(If applicable, enter "exempt" in the license number)
Address: Bldg.#21, Endicott
-line
*Per M.G.L. c. I47, s. 57-61, security work requires Del
OWNER'S INSURANCE WAIVER: I am aware that
required by law. By my signature below, I hereby waiv►
Owner/Agent
it LIC. NO.: 2 618 6 E
ZoBus. Tel. No.: 781-762-9891
MA 0 r ood,2062 Alt.Tel.No.:
nt of Public Safety "S" License: Lic. No.
.icensee does not have the liability insurance coverage normally
requirement. I am the (check one) ❑ owner ❑ owner's agent.
Signature Telephone No. PERMIT FEE: o 07 �. t?'D
Pull Maasssachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance-with the provisions of M.G.L. c. 143, § 3L, the
ermit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed
on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 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 shall-be limited as to the time of ongoing construction activity, and may be.deemed.by-the dnspector_of Wires abandoned.and.invalid,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 permit 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 238 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
puipose 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 extending-through August 15, 2012.
cp/Rule 8 — Permit/Date Closed: —l� * Note: Reapply for new perm'
, ermit Extension Act — Permit/Date Closed:
Date .........6
...........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ................. 14-D
............... t .......................... ................................
has permission to perform ..................................
/
wiring in the building of ............./.... 1, ......
...............................................
at North Andover, Mass.
................................................................. . ........ .
A V /I
.......... .....
,Feeq5 . 7 7 ........ Lic. No
p.o�. �P �LECTRICAL INSPE&OR
Check #_b q (2-
Ll
�-.'{� - _.LJ�Pa-rr`nn-�,cE o�Ji,•� �irvcccl
BOARD.,OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No.
Occupancy and Fee Checked _
:cv. 1/071 (leave blank)
APPLICATTIrON FOR PERMIT TO PERFORM ELECTRICAL WORK
All wort; to be performed in accordance with the Massachuscru Electrical Code (MEQ • 527 C R 12.00
(PLEASE PRINT LV IWK OR TYPE ALL INFORMATION] Date:
To the Ins ec or of Cres_
City or Town of: �� Q0 � (% P
By this application the undersigned gives notice of his or her intention to performmtthe electrical work described below.
Location (Street & Number)
Owner or Tena
owner's
`P: tf C Telephone No. ���
Owner's Address
Is this permit in conjunction with a building permit?
Purpose of Building
Existir.gservice Amps ivOlu
New Service Amps / Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Ele&Tical Work:
No_ of RecessedLuminaires
INo. of Luminaire Outlet.
No- of Luminaires
No. of Receptacle Outlets
No. of Switches
No. of Ranges
No. of Waste Disposers
No- of Dishwashers
No. of Dryers
1 o. o titer KW
Heaters
!No. Hydromassage Bathtubs
Ye; ❑ No L/�J .(Check Appropriate Box)
Utility Authorization No-
Overhead ❑ Undgro ❑ No. of Meters
Overhead ❑ Undgrd Cf No. of Meters
(`QC I- -C-)7 Cr
completion o the Lo
No. of CeiL-Susp. (Paddle) Fans
No. of Hot Tubs
�A�ove ta—
Swimming Pool drnd_ ❑ �rnc'
No. of Oil Burners
�No. of Gas Burners
Total
Nc. of Air Cond. Tons
rat umper ons
Totals: I 1
Space/Area Heating KW
C.0 r T -Iii a �-t rc. 14LLL rrY
'louring table aived b the 1_0ector o
°ta
(Trarsform,rs KVA
Generators KVA
C1t . 0o mergen _y tg t ng
Battery Units
1.
FIRE ALARvIS No. of Zones
II-io. o etecnon an
Initiating Devices
No. of Alerting Devices
1
K1yY o. 01 Je - ontaine
Detection/Alerting Devices
HearingAppliancrs iCW.
°.o G.o
Sia -ns Eal;ests
No. of Motors Total HP
le4Other
Connection
riry Jzstems:'
r alert
Data`W cring:
No. of Devices or E uiJalent
1 e ecommunic2uons• irnng:
No. of Devices or Equivalent
t,
OTHER: PL% '� _ ��//�
O \ Arlaeh additional derail Idesired oras req.i ed by the Inspector of Wires
(�(When required by municipal policy.) .
Estimated Value of Electrical W^ork:g _`
Work to Start: e✓- Inspections to be requested in accordance with MEC Rulc 10, and upon completion.
INSURANCE COVERAGE: Unius waived by the owner, no picrrn�tofor � opThc°ormance of electrical work rnaY issue �c or its substantial cqu'vaI nt_ �The�i
the licensee provides proof of liability insurance including "comp p
is in force, and has exhibited proof of same to the permit issuing office.
undersigned certifies that such coverage
CHECK ONE: INSURANCE Z .BOND ❑ OTHER ❑ (Specify:) lets
1 certify, under the pains and penalties afperjurY, that the information on this application is true LIC N0-• l �f
FIRM NAME: Pt�—C S�Gccrt—r ScrUC�Xs �--r
IC_ NO.: `C D
Licensee: t/••/I%.4 /7 r1 • 7741102' Signature ��� )9
Bus-
4
us_ TcI. No..
(lfapplicable. enter a<cmpt"int��i r crlinc) / ,.S uH. 60'4F Alt.TeLNo.- ET C G7G
Address: e_ k 1 Lie No.
"Per M.G.L_ e. 147, s. 57-61, security work rcquires Department of Public Safety t License: coverage normal(
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance eC❑ owner's a nt_
required by law. By my signature below, I hereby waive this requirement- I am the: (check one) ❑
Owner/Agent Telephone No.
LPEB1yIXT .FEE: $cJ -
Signature _ __
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RESIDENTIAL DIVISION
JOYCE FRANKLIN
REALTOR°
Ica
33 CHESTNUTSTREET
ANDOVER, MASSACHUSETTS 01810
617/475-4515
BOARD OF HEALTH d.�.�.�
Juliug,X` y, M.D., Chairman *y► '%yoRTy-
R. George Caron NORTH ANDOVER ti OE••' '?�(
Edward J. Scanlon MASSACHUSETTS v 3�' ooa°02tr o
e O • �� 0.
01845 < t-• APau7n :z
{ 4; 1855
Made by
Address S
Nature of-) coitplaint
n
COMPLAINT REPORT
d
l�
TEL. 682-6400
D
Lod
Tel
Z�ocation _ �: -; - - --uccupant
0 -mer or Agent -Address
DO NOT 1,NITE BELT THIS LINE r
Referred to _�/ Date Investigated' .
Result of investigation
R ecorrmien dation s
r
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