HomeMy WebLinkAboutMiscellaneous - 97 MAPLE AVENUE 4/30/2018N
J
W �
O �
$�
o m
c� D
b <
gm
z
o �
O
m
m
C1
3
A
N
W
w
v
OD
f
N
O
A
N
3
i
mi6
m
o
v
3
n
•v m
N u
C
m
v
cn
n
T 3
3�
a 3
3
�,
M.
'<
m
�m
co a
N
o 0
av,
00 N
a
<
6 C
O
o
v
m
o a)
No
0)
v
? (D !
°
p.
o
a I
n(D0
(D
c
'o
=N
N
CL
F
v
(D
S
W
=
N
r
M
Z
m
D
p
pp
W
to
D
0.
n
(D
tv
T
00
L
`�
Z
(D
cD
r
(D
S
o
c
0)m
(D
`4
(D
m
to
.+
!
,
o
a
n
(D
7
o)
o
=
.n
Q
„
D
O
Q
(D
i�
m
f
tv
p
D
o
S
3
to
N
j !
Seg
N
Ln
W
C
0
ID
N
Iv
W
I
to
?
m
Lnv
W
m
W
>
(D
�
tL
S
1
N
o
V
I
O
3
z
(D
v
Oo
w3
w
cp
m
v '2
N
'*
p
N
r
r)
(D
a)
0
cr
tD
p
_
3
N
.^
r
!
N
W
D
3
...
0
m
�
D
"
t
I
I
'
I
"
(D
m
a
o
3
!D
m
3
m
O
m
n
C
m
N
OZi
3
n
3
m
m
d
tth
_
N
C7
C.
tin
FL
f
N
"
W
O
r
m
N
fD
I
D
(D
"
D
d
'
C
N
f
fD
0
c
N
7
N
�
N
co
D
m
m �.
<
-
C
m
4
O
�
3
ct
v
O
m
o
D
Seg
to
m
J
d
r
V-
D
m
m �.
<
C
m
O
m
5
O
�
3
ct
v
O
m
D
c
Z
N
-0
0
_?
d
N
N
fD
D
w
N
n
�
O
z
3
N
rpt
m
3
!D
l0
=
O
r+
f_
3
Z
N
d
O
0
T
O
i
C
CM
C
3
m
m
m
Ln
2
o
O
D
m
0
0
m
L
:3
x
0
0
0
t°
D
3
0
N
Z
m
C
x
3
cn
Q
�.
0
N
m
D
z
3
v
n
v
0
O
m
o.
n
D
m
3
7
U
to
N
Z
m
f
v
m
v0
Z
N
n
m
fD
a
D
3
m
•0
x
N
N
7
d
�
'
<
O
N
i
Z
x
C
N
3
.•
�
�
I
N
O
(D
V)
z
C
6
f1
(L
N
'0
N
0
V
O
Ln
N
ID
3
0•
O
O
.z
Z
z
N
'
n
fD
N
Z
n
m
w
co
Z D
O m
N o'
W i
o
M
N
CA
W O_
,••tom V
W
0)
n
d
O
7
S
C
CL
m
cfl
CL
(D
V)
O
cD
O
O
1
a
0
0
-0 m
fD N
O c2.
nI
NCD
m 3
A N
rt
d v
<
O CD
77
O- 0
(D
fn
n
6 c
O a
a
O
0
7
N
0
n
7
(0
W
c
N
V
m
m
0.
m
CL
m
a
CL_
(D
T
0)
7
0
x
o.
0
3
d
m
to
m
co
v
c
0
N
O
2
m
c
c
3
v
N
M
m
W
m
W
6
O
d
Q
x
m
d
w
0
x
m
v
D
v
ai
n
m
N
d
7
N
M
O
3
m
N
A
Co
0
O -n c
v Q
-A
c
3
cr m CL
o
O
L
3 V
N V)
S
N m
n N
n m
c �
V1 CL
CL
c
1
m
O
ori '
C
3
07m
O
C
N
E
3
� I
N
Uf
n
m
d
3
Q
n
n,
c
d
Q
�D
7
n
A
cr
m
cO
G
O
m
m
xfD
0)
O
m
W
0
O
co
N
cD
(D
n
°
O
O
to
Q
y
m
iD
xk
N
-p
N
ZZO
N
'a_
�#
c
d
N
'+
O
(D
C
m n
3
h
n
m
N
�
O
f°ND
3
n.
CL
0
°
r
c 'D
d
W
d
I
N
O
S
d
0
(�
c
N
S
v
m
,�-
O
N
.c+
O -n c
v Q
-A
c
3
cr m CL
o
O
L
3 V
N V)
S
N m
n N
n m
c �
V1 CL
CL
c
1
m
O
ori '
C
3
07m
O
C
N
E
3
� I
N
Uf
n
m
d
3
Q
n
n,
c
d
Q
�D
7
n
A
cr
m
cO
G
N
O
o
O �p
+
G
J
N
mfD
'�
m n
fA
3
n.
CL
°
r
c 'D
d
r+
N �
O
0
(�
c
n
v
m
,�-
O
.c+
m
O
N
�
i
0
r
3
d
m
V)
m
c4
N
m
0
CD
M
m
m
-o
n
�
m_
O
C
N
fD
N
v
G
y�
o
o
�
(D
C7
N
O
c
Q
O
z
m
g
n
c
5
cn --
w
:tt _0 9
o
O (DD
Q 3 3
a
O
Q Fo vi
3 Zi
3 3 x
7
° a
I �
'G
I �
O
O
O
� O
0
U)
0
ty
'O
v
3
(D
N
M
M
a
v
3
v
m
O
, 3
O
i O
N
i
O
O
O
d
2
3
0
m
0
m
m
n
0
O
m
v
m
E
0
0
6
O
D
� N
O
i m
CL
i
i
m
CD
m
.D
Nt
N
W
v
CD
0
O
2
C)
O
C
CL
U
,
N
0
O J
N
O
M
d
r
a
v
O
N
y
S
O
g
3
o
l0
co
m
o
N
�
(p
Z
N
0
r
�
�
CL
0
CL
3
�
n
c
o
C7
O
N
N
n
N
O
O
3
O
N
D
of
A
N
Z
O
E:
N_
N
CL
m
CD
m
.D
Nt
N
W
v
CD
0
O
2
C)
O
C
CL
2!
N
m
N
O
a
0
•v
FD
0
O
'p
tv
3
(D
a
d
7
d
3
O
m
3
.O
0
(D
(D
fn
O
7
O
3
(D
3
n
d
-d
N
n
Z
O (
O
1
n
O
3
a
3
C
(DD
C
=i
(D
CL
Q
O
(D
a
S
(D
a
(D
3
3
d
C
O
rt
I
1
I
I
N
N
Z7
(D (n N
3 d
to
D
A
_. o m (D
3 n
o a
m
m a a
O G)
G) m
m
d C
O
- (n
O
< tv
(D �.
d O.
fD 6
O
rF
V3
N 0 C
6 �
� N
1
O
a
(D (D
c 3
(D 1
3 ,-r
(D
3' a
(D (D
C O3
0 3
(� m
N
(a n
� cD
Q o
o O
(D (p
(D n
N d
: C
O
n 3
:r d
n '<
O N
N c
m (D
(Q C
m 3
rDN
7 N
O
1 (D
n _
SD n
d (D
3 3
CL (^
(D
=r (D
a
N 1
O
X <.
3 p•
v (On
O
a o
0 0
o
O
c 6
w —
3
o
o N
c
m
(D 3
n
(D
N
° N
N O
G V
'G
m
3
4*
0
v
0
m
tn0
R
a
c
d
m
m
m
n
0
v
m
3
N
W
W
V
CD
0
O
C7
0
C:
0-
C� a o
m
CT
N
n
a 0
CL lD
s o
V) D
CL Q.
a d
m C
0
o �
a G)
m =
c�
CD
i
0
0
n
0
c
a
N
7
O
N
7
a
0
m
3
v
N
� N
O
� �
U Office Use only
Vie Commonwealth of Massachusetts pemkk Na �z
Depunrnenf of Public Safety Occ",QyaI= CbmbDd
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90
O APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be periorned In aceore'enee with the Mas chuseru Eketricki Code, S27 CMR 12:00
(PLEASE PRINT IN INR OR TYPE ALL INFORMTION) Datei�l+
City or Town of A%_rr 2iL To the Inspector of Wfres:
The undersigned applies for a permit to perform the electrical work described below.
a
Location (Street 6 Number) ? - q a /1-(
er r Tenart 9(,,J
Owner's Address �' y sp g
Is this permit in conjunction with a building permit: Yes ❑ No (week Appropriate Box)
Purpose of Building Utility Authorization NO.7 X)
Existing Service Ftp Amps iZkO / j OVolts Overhead Undgrd ❑ No. of Meters e?
Kew Service io Amps 1?, 0 /� ! Q Volts Overhead /a. Undgrd ❑ No. of Meters _2_
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work `:w /
/iw d1 /! : _ n -L-_. "? kn n a - -
No. of Lighting Outlets
No. of Kot Tubs
No. of Transformers Tota
INA
No. of Lighting Fixtures
Swimming Pool Above In-
rnd. ❑ grnd. ❑
Generators KVA
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting
Battery Units
No. of Switch Outlets
No. of Cas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Initiating Devices
No, of Sounding Devices
No. of Self Contained
Detection/Sounding Devices
Local ❑ Municipal ❑Other
Connection
No. of Ranges
No. of Air.Cond., Total
tons
No. of Disposals
No. of Nests Total Totttaal
mom
No. of Dishwashers
-Pump
-
Space/Area Heating KW
No. of Dryers
Heating Devices 1I;W
No. of dater Heaters X►
Sie o Ballasts No ofWirLowiVVoltage
No. Hydro Massage Tubs
No. of Motors Total HP
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES ❑ NO I have submitted valid proof of same to this office. YES ❑ NOO
If you have checked YES please indicate the type of coverage by checking the appropriate box.
INSURANCE ❑ BOND ❑ orHER ❑ (Please Specify)
(Expiration to
Estimated Value of Electrical Work S
Work to Start -� O
Signed under the penalties of perjury:
FIRM rmm LIC. NO.�_®_
LicenserM Kll��c �iignature LIC. W. jC
Address /tel .Ltit, !?^, y ' _ 2fis. Tel. No.
Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I as aware that the Licensee does not have the irawance coverage or is
stantlel equivalent as required by !Massachusetts Canarall-sws, and -that my signature on this peratit
spplicotnaives this requirement. Owner Agent (Please check one)
7/11 � i h Ix Telephone No. FEE S
to orAgent)
�-fp I D 07. K --br P;-fo" 0
o yv 2 PA.J /SaatS
61AM J4 A7;;�ao W*Trot PPF
0