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Home My WebLink AboutMiscellaneous - 33 Berry Street. Date....... .................... :•'�" °oTOWN OF NORTH ANDOVER 70 PERMIT FOR WIRING i This certifies tha............ ............................................................................ has permission to perform .......... .�� 0 S ,c/1 C, .............................................................. wiring in -the building of .......1!. �...... ... .....t...... f..K............................................. atn��,; /Zy?n .. ,�.......................................n , North Andover, Mass. z.. Fee ..................... Lic. No ............ ............ .� .......... % ....:............. J 9�/ ELECMCAL I SPEc�tox Check # I 9390 9�1_1_7 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Onl C� Permit No. J ! o Occupancy and Fee Checked [Rev. 11/991 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)�5 Date: 4E , Z co %c:�.f City or Town of o rj7 /q iv4 vt - 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) 492 ,,, V Owner or Tenant (2me h z,ured `,_o r f e elr (fyS Telephone No. % 3 /S6 Owner's Address .'/ 416 al •o Y til e' V c. —'%e. i,+ /--5 b V -r i,/ Is this permit in conjunction with a building permit? Yes El No ❑ (Check Appropriate Box) p� Purpose of Buildings Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service l.jj;� Amps (ZY,-> Volts Overhead E3--- Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: %�—Ght D �"'_t. V? G2 Completion of thefollowing table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of CeilSusp. (Paddle) Fans No. of Total : Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑In- ❑ o. o mergency Lighting rnd. grnd. Battery 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 Dishwashers S ace/Area Heating KW Local ❑ Municipal ❑ Other p g Connection No. of Dryers Heating Appliances K`1, Security Systems: No. of Devices or Equivalent No. of WaterKWo. of No. o Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) 0A/ 6 k (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: I certify, under the pains FIRM NAME: _ Inspections to be requested in accordance with MEC Rule 10, and upon completion. penalties of/perjury, that the information on this application is true and completes n vi'a Lam, z / _f!. c-. LIC. NO.: A 1 rig required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. LIC. NO.: j Bus. Tel. No.- Alt. o.-Alt. Tel. No.: lot have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE: $ No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number I TonsKW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW Local ❑ Municipal ❑ Other p g Connection No. of Dryers Heating Appliances K`1, Security Systems: No. of Devices or Equivalent No. of WaterKWo. of No. o Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) 0A/ 6 k (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: I certify, under the pains FIRM NAME: _ Inspections to be requested in accordance with MEC Rule 10, and upon completion. penalties of/perjury, that the information on this application is true and completes n vi'a Lam, z / _f!. c-. LIC. NO.: A 1 rig required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. LIC. NO.: j Bus. Tel. No.- Alt. o.-Alt. Tel. No.: lot have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE: $ �4' Town of North Andover NORTH pf 1 le OFFICE OF i1 ytt ° COMMUNITY DEVELOPMENT AND SERVICES ►. 27 Charles Street North Andover, Massachusetts 01845 .c_"^r° WILLIAM J. SCOTT Director (978)688-9531 John A. James, Jr. 23 Main Street Andover MA 01810 Re: Rte 114 & Berry Street Peter Hingorani - Dear Mr. James: February 25, 199§" (978) 688-9542 I am in receipt of your letter regard the above property. Please be advised that I will be on vacation from March 1, 1999 through March 15, 1999. 1 will not be able to review your request until I return from my vacation on March 16, 1999. I will contact you to set up a time when we can meet and discuss the Qproject relative to the zoning issues when I can organize my schedule. DRN:jm Very truly yours, D. Robert Nicetta, Building Commissioner BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 F T H O N +.j 2 k V) I�k V:1 N ro n WELL DATABASE ADDRESS: AGE OF WELL: WELL DRILLER: WELL PERMIT 4: WELL LOCATION: WELL PERMITDATE: DEPTH 0 WELL: TYPE OF WELL: a.. DRILLED tis., DUG c. UiVKiNOWN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: HIGH MANGANESE: Y N HIGH IRON: Y N OTHER CONTAMINANTS: Y N filo i i FORM U = VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any app 1'c local or state law, regulations or requirements. ��( /�„ ****************Applicant fills out this section***************** 5G `6 APPLICANT: Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street �� C t'Y _ St. Number ************************Official Use Only************************ NDATION O TOWN AGENTS: Date Approved 74CoservaioAdministratorDate Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector -Health Date Rejected 1 Date Approved Sep is Inspector -Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date t' �j �� }+ �� J� "_ '.. x _.: '!.�. _ �~ -�.:'�'•.i .. Trac �s `: � Y�.-9_'T�*n t^", s� .^l $n _ t' �j �� }+ �� J� "_ '.. x _.: '!.�. _ �~ -�.:'�'•.i .. Trac �s `: � Y�.-9_'T�*n t^", s� .^l t ;;•'. .4: '�� F. '. ^ c. 'Y '�. f� b' � .. � .r t- ^. 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