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Home My WebLink About- Permits #11545 - 102 HILLSIDE ROAD 4/29/2013 1 E Date...................� Cp NORToy,� • �L TOWN OF NORTH ANDOVER PERMIT FOR WIRING @BgCHUg� i � ................r..........................................................� This certifies that ..... .. .. `' has permission to perform , ,._.:.K a...... 9 r wiring in the building of... i ..R................................................................... it at ................ ...:: . p`��+.., ':..........................................North Andover,Mass. Fee ,�.................Lic.No `. ......�. ..:...................................................................... ELECTRICAL INSPECTOR Check# ,01, — ClinmoniveaR ol Va6jac4ujeffi Oflicial Us� nly APermit No.. palfinont 013ipa sorvicei Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 2, City or Town of: _A) 11�15 I-)Ad6U'f6"' 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) e�; Owner or Tenant e�l t, Cl h17 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building-41,eoei(�w ce Utility Authorization No. Existing Service Amps Volts OverheadF] UndgrdF1 No.of Meters New Service Amps Volts Overhead R UndgrdEj No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I g-) re Completion of thefiollowing table inay be waived by the Inspector qf4fires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above F] 0.of Emergency Lighting gi,nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Air Cond. Total Tons x—, No.of Alerting Devices Tle—atPump JAW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[I Mtm'c'P!d [I Other Connection No.of Dryers Heating Appliances KW Security Systems: ® I No.of Devices or Equivalent— ks— No.of Water KW 0.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: I No.of Devices or Equivalent OTHER: i( — of Electrical Work: Attach additional detail desired, or as required by the Inspector of PVires'. Estimated Value (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion, INSURANCE COV 4 RAGE: 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. f1l,I CHECK ONE: INSURANCE _,130ND F-1 OTHER n (Specify:) 1�f617 0r,"/"� — L I certify,under the arras onVenalties ofperjury,that the iqforl lion on this al)lVication is trite andconiplete. r FIRM NAME: Licensee:a Sig ( nature LIC.NO.: Z If applic —7 ble,enter "exempt"in the license number line.) Bus. el.No.: A� Address: Alt.Tel.No.: *Per M.G.L.C'. .147,s.57-61,security work requires Department of Public Safety"S�'Licensc: 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 n owner [-]owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Division of Professional Licensure: License Search Page I of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency more LICENSEE Name:JAMES M. LEONARD SR. REFERENCES& METHUEN,MA RELATED INFO Disclaimer Regarding Website License Searches Enforcement Process Licensing Board: ELECTRICIANS Glossary JOURNEYMAN ELECTRICIAN License Type: TYPE CLASS: E Glossary of License Status Codes License Number: 38197 Status: CURRENT More— Expiration Date: 7/31/2013 Issue Date: 6/24/1996 ij Exam Date: 6/1/1996 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional.Licensure web server on Monday,Aprit 29,2013 at 2:35:30 PM. 0 2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://licensl-,reg.state.ma.us/public/pubLicenseQ.asp?board—Code=EL&type_class=—E&li... 4/29/2013