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HomeMy WebLinkAboutMiscellaneous - 95 CAMPBELL ROAD 4/30/20182012 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 J 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 the.lnspector-of_Wires abandoned-and-invalidaf-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 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 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. Rule 8 — Permit/Date Closed:�n G�'— ` �`� �/� Note: Reapply for new permK 0 Permit Extension Act — Permit/Date Closed: Date ....1 /:7.. /.5 .....././. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ................ has permission to perform ...... 4-1 wiring in the building of ............. Rs.c.er .................................................... ............. . Nerlh Andover, Mass. Fee..5`� Lic. No.) 64477,4! q-7 ELEC r INSPECTOR Check # ------ k Commonwealth of Massachusetts Official Use Only Permit No, Department of Fire ,Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intenti to perfoim the electrical work described below. Location (Street & Number) Owner or Tenant �ii\C r3 1` �k'U`_S `.� p C �� Telephone No. TVQ 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 New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and.Ampacity Location and Nature of Proposed Electrical Work: p Completion of the following table may be waived by the Inspector of Wires. No, of Recessed Lun'�naires No. of Ceil: Susp. Pans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑.In- nd. rnd. ❑ o. o Emergency ig g Batter Units No. of Receptacle Outlets No. of Oil Burners FT X ALAPIMS No. of Zones No. of SwitchesNo. ,� of Gas Burners No -of Detection and Initiating Devices No. of Ranges No. of Air Cond.TotalTons No. of Alerting Devices . No. of Waste Disposers Heat Pump Totals: Number Tons ...._ .. _................... ..... KW ....-........... No. of Self -Contained Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW p g Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances IAV Security Systems:* - No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts . No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP auniaons lent Tellico. of Devics 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: 1 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 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perju , th t theay information on this plication is true and complete. FIRM NAME: -- " �N'6Y_O_F �� �� C- LIC. NO.: Licensee: / Y__C�f�� L� L� Signature LIC. NO.: (, LPq i �1 (If applicable, enter "exempt " in the license number line) Bus. Tel. No.: Address: Alt. Tel. No.: *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 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 agent. Owner/Agent PERMIT FEE: S Date.///r/*z�,���/� - - - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that has permission to perform plumbing in the buildings of4,eLne— at ... /�7 a4r'e! . xy ............ , North Andover, Mass. Fee. Lie. No. AOZ04� ...... PLUMBING INSPECTOR Check # 2115111 4--0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Location 95 Cam n he l/ !;boot Owners Name Michae l 4-0h C15 f//LQ R1Cp Permit # Amount Type of Occupancy 16"5i d-Pn f-1 a f New Renovation Replacement Plans Submitted Yes No FIXTURES (Print or type) Check one: Certificate Installing Company Name Aannan.f Jif1gone (9(um6ina+Heahtig Corp. Address i3 W-Q5f" A(4t r 6t• Partner. IY1,e Ph vtin , m ja ®l aLN Business Telephone q7 Se- /, g5 -o a f�o Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the pe of insurance coverage by checking the appropriate box: Liability insurance policy113 Other type of indemnity a Bond ❑ Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 11 Agent El 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 my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa huse s Sttaajeumbing Cod Chapter 142 of the General Laws. By: igna ure 01 Licenseai'um e� Type of Plumbing License Title j © a g(I APPRwnOVED (OFFICE USE ONLY icense um er Master Journeyman ❑ PPR • .J i it ------------------------- W11,111 W-VMMWMMMMWMMMMMMMMMMMMWMMNMM ••MWMMMMMMMMWMWMMMMMMMMWnM MMMMMMWMMMMMMMMMMMMWMMWNM MMMMMWMMMWMMMMMMMMMMMMMMW (Print or type) Check one: Certificate Installing Company Name Aannan.f Jif1gone (9(um6ina+Heahtig Corp. Address i3 W-Q5f" A(4t r 6t• Partner. IY1,e Ph vtin , m ja ®l aLN Business Telephone q7 Se- /, g5 -o a f�o Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the pe of insurance coverage by checking the appropriate box: Liability insurance policy113 Other type of indemnity a Bond ❑ Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner 11 Agent El 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 my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa huse s Sttaajeumbing Cod Chapter 142 of the General Laws. By: igna ure 01 Licenseai'um e� Type of Plumbing License Title j © a g(I APPRwnOVED (OFFICE USE ONLY icense um er Master Journeyman ❑ PPR ddmmo NWtALTWOF MASSACH USETTS � �-% I• W',§ P 1 T*ER'W LICENSED AS AJOURNEYMA.N, PLUM ISSUES THS ABOVE LICENSE TO THOMAS H PRICONE 71i -,PHEASANT RUN DR . .CHE.SITER - NH 03036-4187 . ......... 05/01/12 78630 -20166 C "IM J. 14A