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Home My WebLink AboutMiscellaneous - 98 MARIAN DRIVE 4/30/2018 (2)OR 0 CO o00 0 D O - O D (T Z Y' v o ;o O < O r^ O 9854 Date......f. .. ................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING / tez- cv-- This certifies that ............��D.`.. 7—,U Zi�- 7–,r ....................................... has permission to perform ...... 6el- At'lzu--e- ......................................... ............................... wiring in the building of ......... -:74.41........... / ......................................... . .. .... .... ..... at ........l e ......... N!�!# .... A.1� . .................... . North Andover, Massi, Lic. No.142ffd ............ . ...... NSP"FCMR Check # 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00 § Rule 8: In accordance withthe provisions of M.G.L. c. 143, § 3L, the f permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed I 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.the.Inspector_of-Wires abandoned.and.invalid_if-he—_.. _ or she has determined that the authorized wojk has not commenced or has not progressed during the preceding 12-month period. Upon written application, an extension of time Or completion of work shall be permitted for reasonable cause.-:; 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: 12Z ✓ d% ***Note: Reapply for new permi�� ❑ Permit Extension Act — Permit/Date Closed: `" \\ 0 Commonwealth of Massachusetts official use only Permit No. Department of Fire Services Occupancy and Fee Checked ti BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] 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 INFORW TIOA9 Date: City or Town of: J j 6 r-�h A ndnye-r- 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) q f A2 6 cAn-1e i ��4,6 AY14nvce, /lam¢ Owner or Tenant g) M (E sa /I Telephone No q,7 y -_5M Owner's Address , u Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building . f- 51 �e ✓� G. 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: Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming -Pool Above ❑ - ❑ rnd. grnd. o. of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No -7 -of DetectionNo-7-o and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of -Devices or Equivalent No. of Water KW Heaters o. 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 uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10, and upon completion. I certify, under the pains and penallies of perjury, that the information on this application is true and completes FIRM NAME: C o ri+ c. L i e c i"v` i C.I L- t --C- LIC. NO. Licensee: Zo e f -+ T; Coy-,++, J V-- Signature LIC. NO.: j tog 9q A (If applicable, enter "exempt" in the license number line) Bus. Tel. No.:978-37a-(&931 Address: 79 , Nre-Yi L-4- -e , [4Ciyice-k t 0i MA 01193 a Alt. Tel. No.:Ehr,373-1�Fr5� 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 Signature Telephone No. PERMIT FEE. $ L I N2 2290 �/// 3 /� Date ..... ��/ ......... ........... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... .t6 ....... .................................. has permission to perform wiring in the building of ... ................................................... .................. .................... North Andover ' 4s. Fee ... Lic. No'/� ... ...... ..... ............. ELECTRICALINSPECTOR C`t '� ' U� I, ��- WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ,t The Commonwealth of Massachusetts Office Use OU76 Department of Public Safety Permit No. Occupancy & Fee Checked t BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 /= 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date � l / -;P- 7__Cg22E= Town of T*MW&ory A10 --0W To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Zn ci"q"a y Owner or Tenant __ _ __ _ _ � _d e Owner's Address !26� C Is this permit in conjuncti with a building permit: Yes ❑ No 11 (Check Appropriate Box) Purpose of Building c &J, "-El Utility Authorization No. Existing Service,yei::%) Amps za,0 Volts Overhead 42-� Undgrd ❑ No. of Meters New Service Amps Number of Feeders and Ampacity Volts Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work MA OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Compperations Coverage or its substantial equivalent. I have submitted valid proof of same to this office. YES NO ❑ let. If you have checked S, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) 0-0 Estimated Value of Electrical Work $ S Y Work to Start Signed under the penalties of perjury: FIRM NAME Licensee Z, Signature v�4J>K_ Bus. Tel. No. Address 9Alt. Tel. No. YES LJ NO ❑ (Expiration Date) LIC. NO. i ,01220 _IC. NO.�'=�i3 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) (Signature of Owner or Agent) Telephone No PERMIT FEE $ wl < 6) 0 Total No. of Lighting Outlets g g No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures Swimming Pool gmd gmd. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas burners 4 of No. of Detecti FIRE ALARM/al o Total No. of Ranges No. of Air Cond. tons Initiating Devi Heat Tot Total No. of Disposals No. of Pumps T s KW No. of Sound No. of Self Co No. of Dishwashers Space/Area Heatin KW Detection/So MuNo. Local ❑ Cother of Dryers Heating DevicesKW No. of No. of Low Voltag No. of Water eaters KW Signs Ballasts Wiring No. Hydro 4assage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Compperations Coverage or its substantial equivalent. I have submitted valid proof of same to this office. YES NO ❑ let. If you have checked S, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) 0-0 Estimated Value of Electrical Work $ S Y Work to Start Signed under the penalties of perjury: FIRM NAME Licensee Z, Signature v�4J>K_ Bus. Tel. No. Address 9Alt. Tel. No. YES LJ NO ❑ (Expiration Date) LIC. NO. i ,01220 _IC. NO.�'=�i3 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) (Signature of Owner or Agent) Telephone No PERMIT FEE $ wl < 6) 0 It I Date'... -c .... -:� ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING "SACMUS� This certifies that—? c r .................................................... has permission to .......................... wiring in the building of 0.0 at .... 4.........-t'`C't'! `ii' �..... Fee .O ................ Lic. s.: Check # 4324 ��...�h Andover, Mass. .......... �..V�..................... ELECTRICALI pECTOR THE COMMONWEALTHOFMASSACHUSEM Office Use only DEPARTMW0FPUX1CS4FETY 4.3 )Y BOARDOFFIREPREVEAWONRF FAH S527CMR12 qPermit No. � Occupancy & Fees Checked _ o �✓ APPUCARONFOR PERMIT TO PERFORMELECTRICAL WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) %Date Town of North Andover To the spector of Wires: The undersigned applies for a permit to perform the electrical work describe below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: S i rm�: Yes No (Check Appropriate Box) Purpose of Building (//.< � Utility Authorization NdQ8 Existing Service % D Amps �JiV&Olts Overhead Underground g No. of Meters New Service Amps ,Volts Overhead Under 'round g No. of Meters Number of Feeders and Ampacity ,— Locagon and Nature of Proposed Electrical Work No. �f Lighting Outlets FNoof Hot Tubs No. of Transformers Total NoAl Lighting Fixtures ing Pool Above Below KVA Generators KVA round round No. of Receptacle Outlets il Burners No. of Emergency Lightin Batte U No. of Switch Outlets No. of Gas Burners No. of Ranges No. of Air Cond. Total No. of Disposals No. of Heat Tota] Tons Pumps Tons No. of Dishwashers Space Area Heating No. of Dryers Heating Devices No. of Water Heaters KW No. of No. of li Not Hydro Massage Tubs Si ns Bailasis No. of Motors Total HP FIRE ALARMS Total No. of Detection and KW Initiating Devices Kw No. of Sounding Devices No. of Self Contained Detection/Sounding Devices KW Local Municipal ElConnections No. of Zones ►nurauzWVHage, ttustlat>LtOttreiatgmanaZofMassachLiMCi nWLaws haveao. entLiabih yhmt nce i tt!chttlutgCompke CDVCWoritSMb�aleVi algia y� },�,,�,;,,� of - tie.,., : !""1C1 � hawsubIrLtlNO ellYdKi ('O0 "Ge � ',,,,— j Lf .'�VFC n ' ` CCUEthe }, ' !'t}�^.tl!Y C1D� C� 14SURANM[Ly BOND OTEER Other �«ktoS1attD& Rough Esl nWdVakofEbctiicalWodc $ ignedunder�iePr�'paj� Fitt RMNAME ,Q66 IL) Lioat9eNo. --- ogee Signafi= :tL IicffwNo Bu T" No.4 JVINLR'S INSURANCE W Ah Tel No. A1VFR;Iamawaiv thelioteredoesrathavetheinstuat>�covaa�,eoritssubsumtiale�valatasmgtucedbyMa%achusemCe etalLaws 3thatmy�gt�atnteonthisp�nitappll � ��.ria� lease check one) Owner Agent Telephone No. PERMIT FEE signature o caner Or gen