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Home My WebLink AboutMiscellaneous - 21 Bradstreet Road�J- ��t) i 3 5 72 Date..... ........................ i' (0""0 RTH,•`` .: "� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that (.......`�/ i �/ J.. �!................................................ ,has permission to perform .........1.`. ^ � � jL `(j` ............................ ............................ wiring in the b wilding f ............ v'..f f ...y ........ at .. /...��`� �..:... .. ........................ . .arth Andover, ass! Fee. ��i&=M-1�CAL `.. ... G INSPECTOR Check # 7?15 XZ7yd0?2ZUUZ7131057 Do -&—t 4P-0-- Sa00 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Official Use Only °- Permit No. , Occupancy & Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number. Date /0,1— To To the Ins ector Wires: Owner or Tenant Lt 1/7 e !�eyf, q n ey Owner's Address -51m -e_ Is this permit in conjunction with building permit Yes d No ❑ (Check Appropriate Box) hail Purpose of Building % �f/1�Z°z� Utility Authorization No. Existing Service�� Ampsd13 CICO <9 Voits New Service Amps Voits r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Overhead Undgmd ❑ No. of Meters Overhead ❑ Undgmd ❑ No. of Meters OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Plgase Specify) Estimated Value of E ctri�r I, Work$_ Work to Start d Signed under the Penalties of perjury: FIRM NAME ) C9 © 0(Expiration Date) .. Inspection Date Bus. Tel No.— 6 o 3 -e-13a LIC. NO. 7 p LIC. NO.sJ 6 52 / Address X Y Aoyu V"C Alt Tel. No. OWNER'S INSURANCE wAiVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ o (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ No. of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No. of Emergency Lighting No. of Receptacles Outlets No. of Oil Burners Battery Units No. of Switch Outlets No of Gas Burners FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices I Heat Total Total � o. of Di sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained !No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Si ns Bailases Wiring No. Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Plgase Specify) Estimated Value of E ctri�r I, Work$_ Work to Start d Signed under the Penalties of perjury: FIRM NAME ) C9 © 0(Expiration Date) .. Inspection Date Bus. Tel No.— 6 o 3 -e-13a LIC. NO. 7 p LIC. NO.sJ 6 52 / Address X Y Aoyu V"C Alt Tel. No. OWNER'S INSURANCE wAiVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ o (Signature of Owner or Agent) 21. BRADFORD STREET 3572 COMMONWEALTH OF MASSACHUSETTS NORTH ANDOVER ELECTRICAL PERMIT PERMISSION IS HEREBY GRANTED TO: Contractor. License: toohey k. Licensed electrician - 36579e Owner: SLADE, RICHARD P Applicant: SLADE, RICHARD P AT. 21 BRADFORD STREET ISSUED ON. 01 -Feb -2002 EXPIRES ON. 01 -Aug -2002 TO PERFORM THE FOLLOWING WORK. kitchen remodel THIS PERMIT MAY BE REVOKED BY THE NORTH ANDOVER UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: electrical REC-2002-000002 01 -Feb -02 1093 $40.00 27 Charles Street, Phone:(978) 688-9545, Fax:(978) 688-9542, Email:Buildingcomm@townofnorthandover.com GeoTMS@ 2002 Des Lauriers Municipal Solutions, Inc. 4227 Date.. //—.... 2:.`.'..:. ................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... t..J. .................................................... has permission to perform ........ wiring in the building of 4.. . ................................................ ar� ................ . North Andover, Mass. Fee.... ...... ...... Lic. .............. ELECTRICAL INSPECTOR Check # /� %(0 T11E COMM0Ar9 EALTH OF MASSACHUSETTS DEPARTMEA1 OFPIIBIICSVVY BOAROOFFIREPREVEMONRFaLWONS527C lR12.-00 Office Use only Permit No. q -L7 -c Occupancy &Fees Checked APPLICAHONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date Town of North Andover P—ZAO, . To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street � Owner or Tenant Owner's Address Is this permit in conjunction with a building permit:. Yes No (Check Appropriate Box) Purpose of Building (,` n dl G r4 t� 01 ° y4 �a Utility Authorization No. Existing Service Amps Volts Overhead Underground d ED g No. of Meters New Service Amps /Volts Overhead M Under 'ound � No. of Meters Number of Feeders and Ampacity ---- Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Lighting Fixtures No. of Receptacle Outlets S No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of Water Heaters KW a No. Hydro Massage Tubs Nn of Ir,.. 'I,.l... _. Swimming Pool Above 1"�7 Below No. of Oil Burners No. of Transformers ucncrarors -u. ui emergency Lighting Battery Units No. of Gas Burners No. of Air Cond. Total FIRE ALARMS Tons No. of Heat Total Total No. of Detection and Pum s Tons KW Initiating Devices Space Area Heating KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Heating Devices KW Local Municipal No. of No. of Connections Si ns Bailasis No. of Motors Total HP Total KVA KVA No. of Zones OTHER [rrnaanoeCo�age Ptustlanttot}teteqtiite<rta>tsof'Massaclgt�t�Laws [ha,caamaltLi"tyiruatloepbliCywlxlQlg]cte- 'Co�aageoritssub�arltiateqtrivalerrt y 'haw subrntltadv�tlidpmofofsametatheOffioe. YES � NO IrddrIgthe box Ify()Uh dudcedYES,pleasoud *theNMOfcoVUageby NSURANCE BOND OTIC (pqase y) i E>�ationDate votkto Stag / o» d Estirrlaled VakiedBacfixal Wolk $ /600 gnadunL�TT)e 0i1 Rough Final PgJ�Y IRMNANIE ioen9ae amu/ � ,e Signature WNQZ'SINSURANCEWAIVER IamawatethattheLiomsedoesnothai ddial mysigrlahueonitrispmnitappficah� thisIogni emett 'lease check one) Owner Agent Signature of Uwner or Agent Other Iicea>`seNo. LioellseNo . BusiimTelNo. _ 79/ Ilii n 5 li;/A AIL Tel No. ffcmmmoovcrageorAswbstffWepvakilasmqmbyMamciumGuieWLam Telephone No. PERMIT FEE L d!