HomeMy WebLinkAboutWire Permit - Permits #8024 - 120 MAIN STREET 2/29/2008 Ell
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Permit No. (F
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: 2/25/08
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) see attached
Owner or Tenant Town of North Andover Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes F] No FX (Check Appropriate Box)
Purpose of Building Miscellaneous Utility Authorization No.
Existing Service Amps Volts OverheadE:1 Undgrd❑ No.of Meters
New Service Amps Volts Overhead El UndgrdF-1 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Miscellaneous electrical work throughout town
Completion oj'the.fbllowing table may be waived by the Inspector of Wires.
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 Ei In- -No.of Emergency Lighting
grnd. ❑ grnd. F� Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of Detection and
No.of Switches No.of Gas Burners No. Initiating Devices
No.of Ranges No.of Air Cond, Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat PumplNqmber Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal R Other
Connection
No.of Dryers Heating Appliances KW Security Svstems:*
I No.of bevices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters I Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or uivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires,
Estimated Value of Electrical Work: $ 5,500.00 (When required by municipal policy.)
Work to Start: 2/25/08 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 coverage is in force,and has exhibited proof ofXame to the permit issuing office.
CHECK ONE: INSURANCE El BOND [-] OTHER F-1 (Specify:r is
I certify, 10 n
under the pains and ofpe�jury,that the informati n n is true and complete.
FIRM NAME: Andover Electrical Services,-Inc. LTC.NO.: 14302
Licensee: Robert J. Branca Signature " LIC. NO.:
(If applicable, enter exempt"in the license number line.) Bus.Tel.No.: 978-475-4995
Address: 19 Dal St, Andover, MA 01810 Alt. Tel.No.:
*Per M.G.L. c. 147, s. 57-61,security work requires Deparf/ment 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 F-1 owner El owner's agent.
Owner/Agent
Signature Telephone Na. PERMIT T FEE: $
Andover Electric Services, Inc.
Town Electrical Work Permit Log
Location Work Completed
�Highway Dept Troubleshoot calcium pumps Yes,
Town Hall Troubleshoot heat in Town Manager office
Water Dept Troubleshoot sum pump. Install new relays supplied by Water Dept Yes
Steven Estate Remove &replace existing outside fixtures
Steven Estate Furnish & install light in closet
Water Dept Replace corroded fixtures
Water Dept.
(Boston Hill) Replace emergency battery
Water Dept
(Alcott Village) Repair 4' fluorescent fixture & mount
Water Dept
(Winter St) Troubleshoot & repair fixtures
Water Dept
_(Blue Ridge) Troubleshoot& repair fixtures
PO Box 629
A n d o v P, QJ_8 10
... .......... --------
T e 1.: 75--4995
- 1 192
Fav (978) 4T`5
ANDOVER ELECTRIC SER VICESs EVC
P.O.BOX629
206 ANDOVER STREET, SUITE#5
ANDOVER,AL4 01810
PH: (978) 475-4995 FAX.- (9 78) 4 75-�1192
Date 2/27/07
To: Town of North Andover
Atta, Peter Murphy From; Bob Braves
Rc:Permit !W
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Peter:
Per your request the following is a list of current small service jobs tha I we are doing
around to My office will keep you updated as it changes.
My office has mailed the original permit to your office .
Thanks a a' or your cooperation
Bob B
And Electr ic,
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