HomeMy WebLinkAboutMiscellaneous - 834 GREAT POND ROAD 4/30/2018_N
O
Date ........ �ln. ��.
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........ ...........................
..................
Qj- #7-2� XkW,25't
has permission to perform ...............................................................................
wiring in the building of ................... ...................................................
at ........ . ................ .......... /'
Porth Andover, Mass,
Fee ... �.N� Lic. No..,��9'6 . ................
*i&cri[C�AL �IiN�SPOMT;�R
Check # 4/7�//_
10788
2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance -with the provisions of M.G.L. c. 143, § 3L, the
p9xmit appkation 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. GI 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-bythe-Inspector-of Wires abandoned-and-inv.alid-ifhe—
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 A 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 certain permits and licenses concerning the use or development of real property. With
limited exceptions, the Act automatically extends, for four years beyond its other -wise applicable expiration date, any permit or approval that was
"in effect or existence'4 during the qualifying period beginning on August 15, 2008 and extendingthrough August 15, 2012.
—V
"ule 8 — PermitA[)ate Closed: Note: Reapply for new per
0 Permit Extension Act — Permit/bate Closed:
CN, Commonwealth of Massachusetts Official use only
Department of Fire Services PetmttN°
-7 ee
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS[Rev. 9105] .. ,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: _ 03-27-2012
City or Town of NORTH ANDOVER , _ _ _ 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) 834 GREAT POND ROAD
Owner or Tenant LUC.ILLE FATAL Telephone No. 9786888013
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 _ Amps/ Volts Overhead ❑ Undgrd Q No. of Meters
New: Service Amps _ / Volts Overhead Q Undgrd [—I No. of Meters
Number of Feeders and Ampacity
Lo tion and Nature of Proposed Electrical Work: , ' X �
jk
(A In ' PD _ (_-p:1" 4P A
rmmnletfnn nfthe fnllnwinv tahle may he waived by the lncnector of Wires.
No. of Recessed Luminaires
No. of Ceil.-Sus . addle Fans
p )
o. o Tota
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Above n-
Swimming Pool rnd: rnd. "
o. o . mergency Lighting
Ba ttery Units
No. of Receptacle Outlets
No: of Oil Burners
FIRE ALARMS '
No. of Zones
No. of Switches
No. of Gas Burners
o.. o eteng D an
Initiatin Devices
No. of Ranges
g
No. of Air Cond. yo
Tonns_ ,...:
No. of Alerting Devices
No. of Waste Disposers
. _. _ p _ _
eat Pump
Totals:177.
• um...er
ons
_
o. o - e = ontaine
Detection/Alertin Devices
No. of Dishwashers
S acetArea Heating KW .
p g
Local nn'Mu * Other
Connection
No. of Dryers
Heating Appliances KW
eFu of DSystems:* eicmes or. Equivalent
No. o Water
Heaters KW3500
o. o o. of
Signs Ballasts
Wiring:
o.,ofDevicesor.E uivalentNo.
H dromassa a Bathtubs:
Y g
No. of Motors Total HPcommumcahons
. inng•
Eo. of Devices or E uivalent
{OTHER:
Atracn aaamonat aeuaa (l aestrea, ur as reyuirea ay the nalreeiur ql gratia.
Estimated Value of Electrical Work: �. (When required by municipal policy.)
Work to Start:03-21-2012 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.proof of same to the permit issuing office.
CHECK ONE: INSURANCE El BOND []. OTHER C (Specify:)
I certify, under the pains and penalties of perjury, that the informa ' n yhis application is true and complete
FIRM NAME IAN MACMILLAN LIC. NO.:
Licensee: Ian MacMillan Signature LIC. NO.: E38824
(If applicable, enter "exempt" in the license number line.) Bus. Tela No 61.7 7 97 7 0 7 5
Address: 1 COTTAGE ROW ST, CHELMSFORD. MA 01863 Alt. Tel. No.:
*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 0 owner's agent.
Owner/Agent PERMIT FEE. $ 30. 00
Signature Telephone No._ ..
H92831 DWH IS
9394
TOWN OF NORTH ANDOVER
0 0
PERMIT FOR PLUMBING
ACHUS
This certifies that
has permission to perform
* qnwp,�,
nes of
plumbing in the buildi
. . . ......................
at. . N
gst/ No ndove,, ass.
Fee.,—'%P.q'� Lic.
Check # . �-12 � � - PLUMBING INSPECTOR
CITY I NORTH. MA DATE 03-21-2012 PERMIT#
JOBSITE ADDRESS] 834 GREAT POND ROAD 1OWNEIT&NAME1 LUCILLE BATAL
P
OWNER ADDRESS _ . TE 978) 688-8013 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL. 0' EDUCATIONAL 0 RESIDENTIAL M
PRINT
CLEARLY NEW: Q RENOVATION ] REPLACEMENT: PLANS SUBMITTED. YES [j NO3
I FIXTURES Z FLOOR -y
URINAL
WASHING
1. 1 2 1 3 1 4 1 .`5 1 6 1 7 1 8 1 9 1 10 ,I 11 I 12 J 13 1 14
I have a current liability"insurance policy or its substantial equivalent which meets the mquiroments of MGL Ch.142. YES NO Q
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATEBOX BELOW
LIABILITY INSURANCE POLICY.(@ OTHER.TYPE OF INDEMNITY C] BOND
OWNER'S INSURANCE WAIVER. I am aware that the licensee does not have the 'Insurance coverage required by Chapter 142 of the.
MassachusettsGeneral Laws, and that my signature on this permit application waives this requirement:
CHECK ONE ONLY: OWNER [3 AGENT 0
1 herby certify that all of the details and information I have submitted or entered regarding this application are true st_ . my Krrovneaga
and that all plumbing wo* and Installations perk meed under the permit issued for.this application will be;in complia ent ion of the
Massachusetts.8tate Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME , Martin F Callahan _ Jr _ LICENSE#11 1512 SIGNATY
MPU JPQ CORPORATION 0#
PARTNERSHIP❑# LLC, 3119
COMPANY NAME HSNEp IA - 411-.-WA�RLEY OAKS RD
CITYI WALTHAM STATE ZIP 015 44 781-54 7-2421
_
L...W...�..
FAX: 7815474009 CELL; 9788704801 EMAIL. eeichner@newh net
Install completed on:3 I ` I a H92831 MB CS