HomeMy WebLinkAboutMiscellaneous - 83 BUCKINGHAM ROAD 4/30/2018N
2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance with the provisions of M.G.L. c. 143, § 3L, the
permit 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 ofongoing construction activity, and may be.deemed.by theJnspector_of-Wires abandoned-and-invaliddfhe—_ .. _
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written
C�Lapplication, 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.
8 — Permit/Date Closed: --1 -- L/,-- * **Not . 71Y for new permit
it Extension Act — Permit/Date Closed: � � Z-- l ��
Date....
AORTphf
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ............ J ........... ....... .....................
has permission to perform ..... . ..................................
wiring in the building of ........
.... ......
...............................................
........................... Northdindover, Mass.
.............
......... Lic. No . ............ ..... ...... hP
ELECrRICAL IN R
Check #
r
8429
C.ommenwea& 0/ xwmduaA
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. =�
Occupancy and Fee Checked
IM] eave black
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
All work to be perfonmd in with the Massachusetts Electrical Code (MEGA, 527 CMR M4X
Date:
(PLEASE PRINTMAW OR TPPEALL
City or Tow® of: f'V d rf� Wd - To the inspector o , Wme
By this application the undersigned gives notice of his or her intention to perforin the electdt �� de�scrrbod below.
Location (Strecet & Number) R
Owner or Tenant Telephone Na
Owner's Address Se eid–�7k
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Boz)
Purpose of Building — 7� Utility Authorization Na
Existing Service Amps / Volts Overhead ❑ ]indgrd ❑ No. of Meters
New Serviex Amps / VOHS Overhead ❑ Undgrd ❑ Na. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Meehieal Work l4 Xt Pot �=
f�.,..1�_
A•a•�•• g�maff6uf acfau Ya- eq or as required by am inspector of wb=
Estimated Vahae of Electrical Work: a (When required by municipal policy)
Work to Stwt Ct a Inspections to be requested in accordance with NEC Rule 10, and upon completion.
INSURANCE GO GE: Unless waived by the owner, no punk 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 some to the permit issuing office.
CHECK ONE: DMURANCE' BOND ❑ OTHER ❑ (Specify:) ti r / e � � 5,p -a drCo
I cemifp, ander sup hWn and p iiry, infornuraion on �n is Mw and awWAw,
FIRM NAME: E LIG NO. --k
,;.
Licensee: Signature
LIC. NO.:
(ff appf cable, enter " "in the license raanbw lam) f !� Boa TeL Na: i f* 7 753 f
Address: t bp� .11, A-, elm vf, 0 Alt TeL No. -
*Per M:G.L. c.147, s. 57-61, secui* work requi m Depwmnent of Public Safety "S" Lic�se;Lia No. -
OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability i n urance coverage normally
required by law. bymy signature below, I hereby waive this requirement. I am the (check one owner ownowner's
Owner/AgSignature Telephone No. PERMIT FEE• t
w
/YYK RI" VV W"fV=pyfifeT
#'riles.
No. of Recessed Luminaires
Na of CeL-Susp. (Paddle) Fans
C °
T°� '
Transformers
KVA
Na of Luminaire Outlets
No. of Hot Tubs
Generators
KVA
No. of Lumiaair+es
Above tri-
a Of mergency JAghting
d.
Butte Units
No. of Receptacle Oatlds
N0. of od Burners
FIRE ALARMSNo.
of Zones
No. of Switches
No. of Gas ens
o. of
Devices
No. of Ranges
Na of Air Cond. Tons
Na of Alerting Devices
Na of Waste Disposers
Totals
am r oea
M o m
R!kg§2WAIerft Devices
No. of Disltwasbers
Spaee/A "Heating KW
Local ❑u
Conncetion
❑ O�
No. of Dryers
Heating `pplh1Oes KW
SecurityNa
o. o ester KW
Heaters
a o o.
Ba1198t4
ofptemsic—
or
�� W.. .
aivalent
Noy of Devices orAquivalent
No. Hydromassage Bathtubs
Na of Motors Total HP
ecommunkationsW
No. f Devices or
nivalent
OTHER:
A•a•�•• g�maff6uf acfau Ya- eq or as required by am inspector of wb=
Estimated Vahae of Electrical Work: a (When required by municipal policy)
Work to Stwt Ct a Inspections to be requested in accordance with NEC Rule 10, and upon completion.
INSURANCE GO GE: Unless waived by the owner, no punk 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 some to the permit issuing office.
CHECK ONE: DMURANCE' BOND ❑ OTHER ❑ (Specify:) ti r / e � � 5,p -a drCo
I cemifp, ander sup hWn and p iiry, infornuraion on �n is Mw and awWAw,
FIRM NAME: E LIG NO. --k
,;.
Licensee: Signature
LIC. NO.:
(ff appf cable, enter " "in the license raanbw lam) f !� Boa TeL Na: i f* 7 753 f
Address: t bp� .11, A-, elm vf, 0 Alt TeL No. -
*Per M:G.L. c.147, s. 57-61, secui* work requi m Depwmnent of Public Safety "S" Lic�se;Lia No. -
OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability i n urance coverage normally
required by law. bymy signature below, I hereby waive this requirement. I am the (check one owner ownowner's
Owner/AgSignature Telephone No. PERMIT FEE• t
w
Date
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
41
ro D
CHUS
ThisCertifies that ................
has. permission to perform ... ........................... .
.................
plumbing in the buildinp of
at .... j ... 13P e A i k )
North Andover, Mass.
Fee..... ...... .... .......
kUMBING INSPECTOR
Check #
7875
i
a�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type) 1/
Mass. Date �Permit #
Building Location_ Owner's Nam���/_Lb
7d -6 2 _ Type of Occupancy Residential
4
New j- Renovation ❑ Replacement Plans Submitted: Yes ❑ No
FIXTURES
Installing Company Name Heritage Htg _ &Plg _ Co. Inc. Check one: Certificate
Address 35. Pleasant Street CX Corporation 7.14
Stoneham F Ma 02180 [] Partnership
Business Telephone 781 —438-7176 Firm/Co.
Name of Licensed Plumber Gorden Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 141
Yes ' I No 0
If you have checked yes. please indicate the type coverage by checking the appropriate box.
A liability insurance policy X Other type of indemnity ❑ Bond U
OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the insurance coverage required b
Chapter 142 of the Mass. General Laves. and that my signature on this permit application waives this requirement.
Check one:
^ Owner ❑ i. Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of
knowledge and -that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of,the Massachusetts State Plumbing Code and Chapter 14 of the general laws.
BY _X--,)
Title Signature of Lice ;ersed Plum
City/Town Type of Ucense: Master a Journeyman
APPF20VED lOrF10E USE ONLY} License Number 8-322
%2" Watts 9D bfp on water line to steam boiler.—
o
w
a
a
i4
�4
�
z l
w
Q
e
c
x
I
z
—
o
z
L0
a
N
0�
o
{—
n
m
lL.
—
a
_-
—
3
r^^d''
(13rt1
4J QQ��
l�
U
Z I
.Ti d
U7
lJ ..
Z
Q
a
¢
In Z
cc
�1.
S
0
W
W
i
¢ z
3.
y
O
z
z
a
O.
_
¢
w
111
X
1 a
is
1a S 1
~
O
} r
O
=
a
=
(n
r
O
O
p
Cn
=
w
O
v I
Qj
B
Q J
J
4
a cc
49
-0
-0
SUB—BSMT.
BASEMENT-
iSTFLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
r
8TH FLOOR
i
Installing Company Name Heritage Htg _ &Plg _ Co. Inc. Check one: Certificate
Address 35. Pleasant Street CX Corporation 7.14
Stoneham F Ma 02180 [] Partnership
Business Telephone 781 —438-7176 Firm/Co.
Name of Licensed Plumber Gorden Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 141
Yes ' I No 0
If you have checked yes. please indicate the type coverage by checking the appropriate box.
A liability insurance policy X Other type of indemnity ❑ Bond U
OWNER'S INSURANCE WAIVER: i am aware that the licensee does not have the insurance coverage required b
Chapter 142 of the Mass. General Laves. and that my signature on this permit application waives this requirement.
Check one:
^ Owner ❑ i. Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of
knowledge and -that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of,the Massachusetts State Plumbing Code and Chapter 14 of the general laws.
BY _X--,)
Title Signature of Lice ;ersed Plum
City/Town Type of Ucense: Master a Journeyman
APPF20VED lOrF10E USE ONLY} License Number 8-322
%2" Watts 9D bfp on water line to steam boiler.—
F-
L) U
w
a
O
Z
w
v
O
X:
Q.
N
Z
O
U
w
a
U
z
J
a
z
LL
C7
z
m
�
J
J
_
b
O
O
:u
�
O
w
�
r
U
r
LL
�
�
O
O
W
w
Q
z
a
O
c,
O
o
z
-1
0
m
►-
a
U
J
w
a
w
d
LL
O
w
U
W
Y
h
N
Z
O
U
w
a
U
z
J
a
z
LL