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HomeMy WebLinkAboutWiring Permit - Permits #11535 - 6 LAVENDER CIRCLE 4/24/2013 Date..... ............ fy 40R?M TOWN OF NORTH ANDOVER a PERMIT FOR WIRING BACHU9� I r a This certifies that ......... . �. ��. . .4 .... ....... .. ...... has permission to perform ... ......� wiring in the building of......:: �".a.R t..t ....Z:.. �: �.�................I......................... f `� " u r t ,North Andover,Mass. Fee.... Lic.No. ........ ,� � y z:�, a.... ELECTRICAL INSPECTOR Chick# (� Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07) (leaveblank t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code QMMQ,527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: ' Z — /-3 City or Town of: NORTH ANDOVER 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)^ (y L A V C A/ QS-yj C I fi G C Owner or Tenant j,,M 4- k pZ�5 j' ,U M U I.L t A/ Telephone No. Owner's Address 7 A`M I' Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building R is 5 i V Ii1/G- Utility Authorization No. - Existing Service Amps / Z,6/ ,tlVolts Overhea 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: A � e�r�Gb L , k SfAiYtS any G � �sY — Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No. oLHaLUbs A/if Generators KVA Z 4) No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. BatteKy Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No, of Zones No.of Switches No.of Gas Burners No. of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons Tot No.of Alerting Devices No. of Waste Dis osers HeatPump Number Tons KW No.of Self-Contained p Totals: "" Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal El Other p g Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa e Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Equivalent OTHER:,&!C.r/c e_ /A 0,A V'T b D,L fir/f-r1GQ1, de:�h .' A x- — L 14 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: 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 covera s-in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) X certify, tinder the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: , 0 it r �4f be LIC.NO.:, Licensee:A/f�`j /I, G,uC�G6rs�k,' Signature bIC—.NO.: (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:$ Signature Telephone No. ❑ 2012 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 shalt 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 notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if 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: ***Note:Reapply for new permit❑ ❑Permit Extension Act—Permit/Date Closed: Trench Ins ection Pass M Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass 0 Failed M Re-Inspection Required($.)❑ Inspectors Comments: Inspectors Signature: Date: ROUGH 7NSP CTION: Pass ? Failed M Re-Inspection Required($.) ❑ Inspectors Comments: _ �z Inspectors Signature: Date: FINAL.INSPECTION: Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: )EB WEINHnl n _ _TOWN nF MFRRIMAC_MA_ __.__..riwPinhnlri(n7townnfinerriman.cnm Gwwo' ENERATOR APPLICATION DATE: q- 2 - LOCATION: OWNERS NAME: r✓� GENERATOR kw NO INSTALLATION OR GROUND DISTURBANCE BEFORE APPROVALS* CONTRACTOR: �� � � i� �G PHONE NUMBER: ELECTRICAL GAS (fRESIDENTIA COMMERCIAL TEMPORARY LOCATION OF GENERATOR: *ZONING DISTRICT: CONSERVATION APPROVAL North Andover MIMAP April 24, 2013 r r u ✓ j i yrj��J/ //� // /�;% - �� � � I ;��j�j���!jr�/j 1j��1�i%r✓ r I 'li I„u o �I' II Ii � i IIII �Ir / i ,/r � �i`fO�✓r � d//�r�/%� I r16 N J e ���w Jl S`�""/''Vt'"i�i /!"li: t I I /rlr.;..'� r/'�'%/�/�% H4N,;w';' // ,✓ f Inlerstates ^--Inters late Major Roads Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Roads Meters Data Sources:The data for[his map Was produced by Merrimack NORTH Valley Planning Commission(MVPC)using data provided by the Town of Easements Of 14e a �� North Andover.Additional data provided by the Executive Office of MVPC Boundary } bit r�"s dp Environmental ABalra/MassGIS.The Information depleted on this map is Parcels [. for planning purposes only.It may not be adequate for legal boundary O —• ' `"' to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING ` THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF THIS INFORMATION �SSACHUS�t 1"=63ft ^�} North Andover MIMAP April 24,2013 098.A-0134 098.A-0118 55 PEACH TREE,LN 098.A-0146 50 PEACHTREEIN <N 20 LAVET3ER CIR 098.A-0135 ct� cs 098.A-0117 47 PEACH TREE LN 12 LAV DER C1Ti 098.A-0136' 41 PEACH TREE LN 098.A-0137 098.A-0116 R3 6 LAVEDER CIR 098.C-0120 f f 4 098.A-0142 098.A-0138 098.A-0115 26'PEACH TREE LN 510 CHESTNUT ST 31 REACH TREE LN cad' 107.C-0011 098.A-0139 16 PEACH TREE LN 098.A-0114 098.A-0140 098.A-0144 Rail Line ":,,Wetlands Zoning Inlerslates Exempt Lands Busine s 1 District -•-Interstate Bulnei s 2 District Horizontal Datum:MA Stateplano Coordinate System,Datum NAD63, —Major Roads �191m Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack NPd Busine s 4 District AORTH Valley Planning Commission(MVPC)using data provided by the Town of Roads IM Genera Business District Of ,roman q�, North Andover.Additional data provided by the Executive Office of Pence Commercial Dev K ra O Envfronmental AffairslMassGIS.The Information depicted on this ma is a;nMVPC Easements Corrido Development Dist na .a d p' p tl` MVPC Boundary p 3' 4 for planning purposes only, r may not H adequate for legal boundary ry :Corrido Development Dist 4 -• `"' 1'A definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER m�Municipal Boundary rM,Corrido Development DJ,d MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Induslri I i District THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Zoning Ovaday `� rF Induslri 12 District C3 Adult Entenainment it s n' y OF THESE DATA,THE TOWN OF NORTH ANDOVER DOES NOT dins Induslri 13 District Downtown Overlay District µ o ��'o.♦ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF ),,.,,;.j,3 Historic District III Induslri t S District 'eo^,T`D �p�9' THIS INFORMATION Reside ce 1 District �Y ©Wafer Protection Reside ce 2 District �*�'' ^ ❑Parcels rr R—kle ce 3 District `ACHUS Hydrographic Features de ce 4 Distdct 1"=63 ft (j}.de ce 6 Dislrici SUeams " Y de ce 6 District ,,,ngo esidential District