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HomeMy WebLinkAbout- Permits - 740 TURNPIKE STREET (3) Town of North Andover µeRTH =o4�fuEo tia q,t.Q I Office of the Zoning Board of Appeals Community Development and Services Division * s 27 Charles Street r North Andover,Massachusetts 01845 D. Robert Nieetta Telephone (978) 688-9541 Building Commissioner Fax(978) 688-9542 Date: r 1 7" �— Dear: ib r I ol r !� Y c r�� J�a_� ? 19 s1�— J As you know, the Zoning Board of Appeals has granted a Variance and/or Special Permit or Finding for premises located at: t 1 Your 20- ay appeal period will have passed on the following date: 0��a e( Once the appeal period has passed,please pick up your certified copy of the Zoning Board of Appeals decision,and your signed mylar(if a mylar was required)from the Town Clerk's office located at 120 Main Street,North Andover,MA 01845(978-688-9501) Please bring the Town Clerk certified copy of the decision & the signed mylar to the North Essex Registry of Deeds, 381 Common Street, Lawrence,MA 01840(978-683-2745), as the decision and mylar must be filed at the Registry of Deeds as soon as possible. Once this is completed, please bring the copy of the certified decision &the Registry of Deeds receipt to the Building Department, which is located at 27 Charles Street,North Andover,MA 01845. Failure to file the decision and mylar with the Registry of Deeds will result in your inability to exercise your variance and/or special permit and your inability to obtain a building permit with the Building Department. Furthermore, if the rights authorized by the variance are not exercised within one(1)year of the date of the grant, they shall lapse,and may be re-established only after notice,and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two(2)year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, they shall lapse and may be re-established only after notice and a new hearing. If you have any questions, please feel free to call (978-688-9541) or fax (978-688- 9542), Monday through Thursday, 9:00 AM to 2:00 PM. HOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 y Commonwealth of Massachusetts Official Use Only -tea Permit No. 1� Department of Fire Services _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leaveblank 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: - O City or Town of: C)"t n 0 6 01>- 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) U '—FL,-r n i Ke S4._ t� k # N, .UJ t 1+ Telephone No. I q L�, �D-c�� 5�, Owner or Tenant k V1 l S r-' t.�C:�ZL � Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility A thorization No. Existing Service Amps 1 Volts Overhead❑ Undgrd❑ No. of Meters New Service Amps ! Volts Overhead❑ Undgrd ❑ No. of IYieters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security system F Completion of the fiaflowin table may be waived by the Inspector pf Wires. ' No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Na.o Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No, of Lighting Fixtures Swimming Pool Above ❑ n- ❑ o.a ,mergency Lighting rnd. grnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No. of Switches No.of Gas Burners o.of Detection an Initiating-Devices No. of Ranges No. of Air Cond. Total No.of Alerting Devices g Tons No. of Waste Disposers HeaToPump Number I Tans KW No. Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local R Municipal ❑ Other i No. of Dryers Heating Appliances KW G &ql§o.of Devices or E uivalent No. of Water KW No.of No. of Data Wiring: Heaters I Signs Ballasts No.of Devices or Equivalent No. H dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: Y g No.of Devices or E quivalent 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:) p (Expiration Date) Estimated Value of ElectricalWork: c� 36 , 0-1 (When required by mun€cipal policy.) Work to Start: 0 ^iU - UP-inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the paints and penalties of perjury,that the information on this application is trite and complete. FIRM NAME: --LIC.NO.: Licensee: Jo.ha S. BasS t Signatur LIC.NO.: 1533C (Ifapplicable, enter"exempt"in the license number ) ,1!- Bus.Tel.No.: 8 Address: Alt.Tel.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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $