HomeMy WebLinkAboutMiscellaneous - 2 Berry Street N�
Date....... .:.%..-1.. ........
NORr�y
°� •�� TOWN OF NORTH ANDOVER
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' PERMIT FOR WIRING
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This certifies that ..........�T �-u�2 r-
has permission to perform ...f.,¢/q�.......
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wiring in the building of..��77
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I (,T..c{i f! .... ,.„,North Andover,Mass.
Fee. . ..:. .....Lic.No. ................. .................. .. ............. .. .............:. .........
�^ ELEcrfacAL INSPECT Sit
Check# 60�J
11707
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit Number I1-7
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS ev.9/05 (Leave Blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(AMC),527 C D?1200
(Please print in ink or type all information) Date: 7/8/2013
City or Town of: North Andover To the inspector of Wires
By this application the undersigned gives notice of their intention to perform the electrical work described below.
Location(Street&number) Utility Pole#2 on Berry St.PS#27-078(In Front of Driveway for N Andover Riding Academy) _
Owner or Tenant Comcast Corporation Telephone No. 1-800-556-9979
Owners Address Attn:APSS Department 1701 JFK Blvd. Philadelphia Pa 19103 Tax ID 24-2084784
Is this permit in conjunction with a building permit? YES u NO■ (Check appropriate box)
Purpose of building Power Supply Cabinet on Utility Pole Utility Authorization No. 15227311
Existing service NIA Amps N/A Volts Overhead❑ Underground❑ No.of meters NIA
New service 50 Amps 120/240 Volts Overhead■ Underground o No.of meters One
Number of Feeders and Ampacity 2-#8 THHN Feeders and 1 -#8 THHN Neutral
Location and nature of Proposed Electrical Work. Install an Aerial Mount Power Supply Cabinet on the above mentioned Street
and Utility Pole#. Includes the installation of a 50 Amp service with a Bypassable meter socket with a3/4" PVC riser and 2
circuit disconnecting means for Power Suppl Cabinet and all related wiring between each piece of equipment
OMPletion o the Jbilowing table may be waived b the Ins ector of Wires
No.of Recessed Luminaires No.of Ceil.-susp.(paddle)fans No of Total
Transformers KVA
No.of Luminaires Outlets No of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above o Below o No.of Emergency Lighting
Battery units
No.of Receptacle Outlets No.of Oil Burners Fire
Alarms Number of zones
No.of Switches No.of Gas Bumers No.of Detection and
Initiating devices
No.of Ranges No.of Air Total No.of Alerting Devices
Cond. tons
No.of Waste Disposers Heat pump Number Tons KW No.of Self Contained
Detection/�SMunicipal
No.of Dishwashers Space/Area heating KW Local Other
ion
No.of Dryers Heating Appliances KW Security Systems:*
No.of devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaterssigns I Ballasts No.of devices orEquivalent
No.Hydro massage Bathtubs No.of Motors Total HP Telecommunications Wiring:
Other: I
No.of devices or Equivalent
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 X Bond Other (Specify):
Estimated Value of Electrical Work $1500 (When required by municipal policy) (Expiration Date)
Work to Start: Inspections to be requested in accordance with NEC rule 10.And upon completion.
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
Firm Name: Stewart Electrical Contracting Lic.No,: A16239
Licensee: Frank Stewart Signature: Frank Stewart Lic.No.: A16239
(if applicable,enter"exempe'in the license number line) Bus.Tel..No.: 9599r
Address: 115 Blueridge Rd. N.Andover, Ma 01845 Alt Tel No• A97 �-60"a y a yd9
' Security System Contractor License required forthis work:If applicable,enter license number here Lie.No.:
Owner's Insurance waiver.I am aware that the licensee does nothave the liability coverage I am the(Check one)Owner Owner's Agent❑
normally required by law.By my signature below I hereby waive tbis requirement
Owner/Agent Telephone
Signature Number Permit Fee: $