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HomeMy WebLinkAboutMiscellaneous - 102 HIGH STREET 4/30/20180 Date..,.7.".i?"... TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING This certifies that ........l 1. o.w. I . ...... 5.. ff'?. �. 1 ........................... has permission to perform ......5....... G ....... ........ wiring in the building of ......... .. N. ..q.4tu ............................................... Ir....... .7— at ...... ........5 ................................... . )Nprth Andover, Mass. IFee./ .6 . Lic. No...N.7 6C ........... - I-CK� CALINSPECTOR Check# `10825 °� abi crd aoi aCi o ;0 ca 00 M AMS b 'y cps �r _y Cd Q N �a c G Ua 0 U p U by P W Tj O c0 !-i ce `°U❑- � C `L❑7 L2 ly°'. •q CV c.ac�v qo N �w 3 ac o ob 7 t U0 .�.o Y ° •" o v� w '�.L .� ai N V •� N bq 'p 00, U W ti U C° C" uNi ai ObO O U GL y 413 0 o ti b❑ co bo Ell 3U 0 oN l� o O .O U a W C7 "�O o•� a. tA O o p 0- H bD B o y o o W Ga� C � C^. u C • 4 .ti wa O Q N y N FL bp ca or - C ° UU. y+ N N 4-4 N -y U rya 3oa oW m °'ca�w m ° ooh L a' NW ow o 3 0 a Go� o atii � �❑�❑ �.`' P�• .S U U H C, _ G • y a 1 W U O �i ca a'3 Wo & ° '9 aXi U •� U N U y V ti O yN, 9 N O p W C' N 2 F xa a,• r25 00 Lo til ` e .. •. i.ots%morrmoatttr cwrrchussffsL7- O=up=y fficial lire Only %03 zS Fezu Chwkrd BOAR[ OF FIRE PREVENTION REGULATIONS. Al wc&to be pzd med l i E�eCm�s•cone fie), sz7 zt u oo _ - (PIUSE.FMT1ffBXDRTYPE.9L'Dl� Dake: I /Z15I'Z City or Tcrwn af: N f) ('rn byewi To the Inspector of Wires: ]3y *is application $= tmdexsigned pees nal ce of his or 1= intmfi n„ to pmfozm i$e tlerfriral wdrk desm-b .d below. Location (9b=f & Ntmnber) d Q Gjfi' -� Owner or Teu=t Telephone No. TI) 10y - _ Owner's Address Jpj Ito JY 9-r, ' Worih"dove, _ zmqS' Is this permit is con juMctioa a btdlding permit? Yes ❑- No p (Check Apgropriaie Bm�j __ . Purpose of'SwIding Utility Authorization No. Service Amps 1 volts Overhead ❑ Undgrd ❑ No. of ]eters New Service Amps 1 volts Overhead ❑ Undgrd ❑ No, ofMeters Number of Fftders'and AmpacKy Locatioaand NaE¢reofProposedlllecfYicxlWork I► JfZ1W,�70h 1) ION V01I1 Tatj,• N. 1-6 •--_ U (/ Carr lefiart oJthe ollarrarg table may be wms�cd by fhe •Firspet9or of FPirsc, No. ofRecessed Ltmrinsires No, of CetZ-S¢sg (Paddle) Fans L of ToW Transformers $YA. .Na. of Lumnnaire Outlets No. ofHot Tubs Generators RYA a. of Lumbo res S�rimmmg Pool Above 11El2±t �� IIcg No. 6fRecepiacie Ounets No, of Oil Burners F=hT,dR iVf a. of Zonrt NO. of Switches o. of Gas BMraers oix and iaifia ' •Da. of Dett og-Devi ces No. of Ranges Tot No; of Air Can& Tour No. of Alerting Devices o, of Waste Disposers Heat Pump Totals: INtimber I Tons JKW of Self.Con ' Deteefiolo/AI Devices No. of Dishwashers SpacelArea Heating gW ❑hiMalapal E]Other• No. of Dryers Heating Appliances FEW Security Systems:', No. of Devices orF uivalent No. of Water KW Heaters o. of No. of Ballasts Data Wiring:• No. of Devices or$ trivalent No. Hydromassage Bathtubs- Telecommunications Win No. of Devices o r E • a -Mt A fach ad3rdwzd de ; if Auh r4 or as r qW-d by the Inspector of}Puss. Estimated Valve ofMtChical Work: � � (Wben mpired by nnmicipal pobcy.) Work to Start Inspections to be requested in aceardance wifalABC Rule 10, and upon completion. INSURANCE COQ; • Unless waived by the owner, no permit for tbo pmfb man= of eltcfrical waa'k may issue unless the lic;=wr provides proof of liability insmance including "comple:W opmmfion" coverage or its substanfiW equivalent The - undersigned cw i.f'ies that such coverage is is f be, an&bas eiEbited proof of same to the pemrit issuing office. Cl= ONE: INSURANCE BOND ❑ OTFIER ❑ (SPocify*') I certify, Under the pans oardpenulfres of p&jury, tkd the infbrmatlon IppMcafion is true amd complete. -FIRMNAMT.- Yl h Liam.:i4IL. f✓ Licetuee:^ jel Signature LIC, NO.: /y1 I (Ifappftc-bk r �—vpt"'r' � ) Bus. Tel, No-: jP `S2 Address: f'i�%� %Ulf__ 41V 0 ( 5q �Eb 1 Alt Tel. No.: *Per MG.L. c. 147, s.57-61, se work inquires Department of Public Safety "S" License: Lir'.No- io. 00 OWNER'S INSURANCE W- I am aware that iheLiccnsee does nothave the Habilityerage nomrally mWiued bylaw. By my s' below, I hereby waive Ibis requirement I am Em (cheer oare) owner • owner'seat Ownerfkgent j Signature Telephone No. .�rEIZ1 T `E`: $ L4 Ste'Lb N MMM Alte Department of Pu lie Safety One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 License: S - License Number: SS CO 001351 STEPHEN B COPPOLA 4931 N 300 W PROVO, UT 84604 Expires: 07/22/2013 Restricted To: 00 DPS -CAI %) 40M.09110-PC•DBSLICENSESPAPERFY11 ��xe 'toomvneaotul� '�"/t/%aeaac`ivaeil6 DEPARTMENT OF PUBLIC SAFETY S - License Number: SS CO 001351 Expires: 07/22/2013 Tr. no: 396.0 S -License: VIVINT INC STEPHEN B COPPOLA 4931 N 300 W C PROVO, UT 84604 Commissioner Tr. no: 396.0 Keep top for receipt and change of address notification. DIG SAFE CALL CENTER: (888) 344-7233 i vivint.com United States Canada info@vivint.com 4931 North 300 West 3030 9th St. SE 800.216.5232 Provo, UT 84604 Calgary, AB T2G 3139 801.705.2900 651.450.4853 April 11, 2012 Town of North Andover 1600 Osgood St., Suite 2-36 North Andover, MA 01845 Re: Electrical permit fee for AR# 2362665 Enclosed is a check in the amount of $45 for electrical permit fee for Dalia Kogan, located at 102 High St. North Andover, MA 01845. If there is anything else I can do to assist with your process please let me know, I can be reached at (877) 479-1667. Thanks, Leinani Fa'alafua Customer Permits LFaalafua@vivint.com ❑ 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 shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed forin. After a permit application has been acceptedby an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to 4 person, firm or corporation stated on the permit application. §uch 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 beAeemed by fire.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. le 8—Permit/Date Closed: l ***Note: Reapply for new permit ❑ 0 Permit Extension Act — Permit/Date Closed: �j Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................... V. ........................ has permission to perform ..... .............. wiring in the building of ....... 10 V .............................................................. at ........... ?7n. �.F.Al ....................................... North Andover, Mass. �ee... Lic. No. .......... /ECTR CALIN ECrMO Check # Ll -L7 tl It 10797 �l1Ci3PJfraCCtiIL � J /�L:��lSG�� oP S'ouoe BOARD OF FIRE PREVENTION REGULATION& L fnviat use jOnly / d % 7 Fee Checked cave blsmk P-PUGTION FOR P'.E-R-MtT-.J:C.PERFQM-EL.CTRICAL. RK �.._ All wow 4rc prrformad in acxardamce itiise Massazhasc4is Elecfmoal Cod. (MECO, 527 CIM 1100 {PIM&W P.RIN 1ffMOR TYPELLfl&o,ONj Dat--- q /(p /20 i 2-. . . Cid or To of: No rth &4OV61- To the Inspector of Wires: By ibis appiica ion 1' a tmdaiipt-d gives mot= of his or h.,r mten$= in pmfmm the aleatriml wD& descr3sed below. Lacatinn (Street & Nmuber) - ( V -�- Ag h C -t Owner or Tenant Owner's Ad4ress Is tb3s permit in cc Purpose of Building — Rusting Service Amps 1 Volts New Service Amps / Volts a Nw aber of Feedert•and Asmtpacity I.,ocatiea and USty Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Electrical Work: w otr l l noh 1A k eo rM 4h4 c , No. of Maters No. of Meters MMFBJ2 /1 & ,. U CamDief& oF& follairuar iabk a= be vaivad by the lmmeclor of Rrir v 03q No. of Recessed Luminaires Na, of CeU-gasp. (Paddle) Fans a of n Trans€ormers BYA No. of Luminaire Outlets No. ofHot Tubs Generators KVA No. of Immioaaio es Sfrmztoing Pool A de r-1 ' Irrnd. El .0 ° e ncy EloffET No. 6f Raceptacie Oufhets No. of On Burners FIRE AIA RMS o. of Zoites No. of Snitches No. of G= Burners o. of Detection and Inidia ' .Devices No. of Ranges No; of Air Cond. Tow ons No. of Alerfiag Devices No, of Waste Disposers amf Pump Totals: I Number Tons o. of 961VContained DetectieYeldl Devices I No., of DishwashersdJA.rca �c� Hea' hf.W Local nisi ❑Connection ❑ off= No. ofDryers -Of Heating Appliances KW Sysiems:11 No afDevices orEquivalent a. s r, o. of No, of ps Ballasts Data Wiring;Heaters Na of Devices orL uiralent No. Hydromassage Bathtubs lir ufslrfotoss�*-.c .• •••Total HP Telecommunications W' No. ofDevices Dirt alert OTHLR: . • ,, A fach ad&Woncd dpi trdesired or as required by the bupector r;f }l &=. Es6maSed. Value of EloctZical Work: G1 (Wben regmr.d by smmicipal policy) Work to Start: Inspections to be requested in accordance wifMR.0 We 10, and upon completion. INSURANC,R COYI33AM.. Unless waived by $e owner, no permit for the pmformamo of electrical work may issue unless the licensee provides proof of liabiht' y insumoc including "completed oration" coverage or its substantial equivalent. The - undsrs sed certifies that such eovwaga is in f btc and•bas &AZoitett proof of same to the permit issuing officc. CHECK ONE: INSURANCE q BOND [I OTHER. ❑ (Specify.) I cel*, under tie pains and pa uuldier of perjury, ikat the Warma6on o�Y6� is true and complef- F11IIf NAME: v l V I n f V1 6, LIC. NQ.: M-1.1.. G Licensee: � t elV e- Go p jLd �Gi Signature LIC. ILIO.: -r L ((f applicable, 'e=vpt" is the fi tst r an&r Rae-) Bns. TeL No. • 00 - Z Address: -I °I �l ��� �V - �1rU. �/E Alf. TeL No.� - (i *Per MGI.. c. 147, s..57 61 work regtr = Department of P,4blio Safety "S" License: Lia No. v OWNEW S INSURANCE W • I am aware fbat 1haLicansee does not fhe liability insurance wvm-age normally reggired by law. By my si below, I heroby v aiva this requirement. I am tba (check one owner ovaor's cul_ Owner/Agent Signature Telephone No. PMART * E. $ 14S t76 Vivint I Home Security I The better way of securing your home and family --- I f-� ') 11 � Introducing... The Better Way. Request a call Page I of 3 Fill out the form below and we'll call you to discuss your options and schedule an appointment. first name last name :email phone ,zip/postal code how did you hear about. us? (select one) ❑I am a homeowner Call me with a quote Vivint is a leader in smart home security. MaximumPC Magazine recently designated our home automation package "Top Dog" over ADT Pulse and our Advanced Security package was a recognized as a Consumers Digest "Best Buy." And you know your family and home http://www.vivint.com/offer/remember—when 5/8/2012 A., Vivint I Home Security I The better way of securing your home and family Page 2 of 3 z, are in good hands with our award-winning customer support. But don't just take our word for it. Check out this in-depth review from Tom's Hardware. At Vivint, our mission is to simplify your life and help protect your family. So why should you choose Vivint as your home security system provider? • 240 monitoring. Protect your home against fire, carbon monoxide, intrusion, and severe weather. Our technical support team is also available 24x7x365 to answer your questions. • Wireless technology. Get a system that communicates wirelessly—no old-fashioned phone lines that any intruder can cut. Cellular signals connect you to our monitoring center via your touchscreen panel, and there is always a live person at the other end of the line. • Convenience. Control your home through a color touchscreen display and get email and text notifications about any activity in your home in real time. • Remote access. Access your system from anywhere with your smartphone, computer, or tablet. Need more info? Call 800.216.5232 for a FREE home security consultation. http://www.vivint.com/offer/remember—when 5/8/2012 Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and 'Business Regulation (OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A -Z Topics Home > Division of Professional Licensure > ONLINE SERVICES ......... .. ..... .......... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency More... LICENSEE Name: STEPHEN B. COPPOLA REFERENCES & Business: VIVINT INC RELATED INFO GROVELAND, MA NEW SEARCH Disclaimer Regarding Website License Searches '*This Licensee has additional Licenses, click here to view them.** Enforcement Process Glossary Licensing Board: ELECTRICIANS Glossary of License Status Codes License Type: SYSTEMS CONTRACTOR TYPE CLASS: C More... License Number: 1471 Status: CURRENT Expiration Date: 7/31/2013 Issue Date: 9/28/1998 Exam Date: 6/1/1996 School: This web site disolays disciplinary actions dating back to 1993. This license has had disciplinary actions taken during this time. Click here to view this information. The page above has been generated by the Division of Professional Licensure web server on Tuesday, May 08, 2012 at 8:36:04 AM. © 200772011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/publiclpubLicenseQ.asp?board_code=FA&type_class=_c&lic... 5/8/2012 '0-0 Date i~.>....:. ..... 1 ........1.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....................................... ............... .................................... has permission to perform-.— -..-,..,.+ .................. e� ..... w%�T� ............................. wiring in the building of ....... ...... ..... ........................................................... atZ!2� ........4Z ........... -�ejl ...................................... , North Andover, Mass. Fee.d3.—..—.... Li .No�?17n� .... ..... ...................... ..................... -iLECTRIi&AL Wsphcm Check # 7211 -r COrit/1WKW¢Q:LUi O� �a.d�6GR(LJ¢�G7 1J¢Part`menf o��ire �erviced BOARD OF FiRE PREVENTION REGULATIONS V - Official Use Only Permit No. 9,x/1 Occupancy and Fee Checked' Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 C%IR 12.00 (PLEASE PRINT IN INK OR TYPE . tLL 1iYrORXfA7ION) Date: .2 — /3—a7 City or Town of: A/ To To the Inspector of Wires: By this application die undersigned dives notice of his or her intention to perform the electrical work described below. Location (Street S Number) / 0a �� / 6f� ' - Owner or Tenant 1_1�41 Telephone No. Owner's Address Is this permit in conjunction with a building permit". Yes /k No ❑ (Check Appropriate Bos) Purpose of Building Utility Authorization No. Existina Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Anips / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of'leters No. of 1•Ieters . Location anti Nature of Proposed Electrical Work: �� ���/0/ Connpletion ofthe following table nroy be waived by the 1nsP ctor of 117res. No. of Recessed Fixtures No. of Ccil: Susp. (Paddle) Farts No. of Total Transformers KVA No. of Lighting Outlets No. of Mot Tubs Generators KVA fro:-Litmg r>res / Above In- S�vimnting Pool rnd. ❑ rnd. ❑Batten o. o riergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches a No. of Gas Burners No. of Detection and Initiatin Devices of Ranges c/ TotNo. No. of Air Cond. Tons �l%C No. of Alerting Devices No. of Waste Disposers Heat Puntp Totals: Number 'Tons KW No. o Self -Contained Detection/Alerting, Devices . l I. ^ No. of Dishwashers Space/Area Heating ICivLocal ❑ IVIutttctpal ❑. Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of NaterNo. Heaters K, of. No, of Signs Ballasts Data Wiring: No. of Devices or Etluivalent No. Hydrotnassaoe Bathtubs b No. of'Motors Total HP I' elecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail ifdesired, or as required by the Inspector of Wires. INSUR.AaNCE COVERAGE: Unless %%aived 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: 1NSURANCE,,Z BOND ❑• 0'1-1•IER ❑ (Specify:),1 T &&4 wl — 3/— 67 (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule t 0, and upon completion. I certify, under the pains and penalties of erJury, that th/e inforination on this application is true and complete. FIRLAI NAINI 1: Coal—ler /'t l�C� LIC.NO.: Licensee: G % tJ. mit Signature LIC. NO.: (lf applicab e, enter ••ercinpt " in the license n:anber line.) Bus. Tel. No.: 79/- Address: A6 A14r4ri fWii&O Gi2�'� 171,Q �/y�f/y/% l Rx O/f1'6y Alt. Tel. No.: OWNER'S INSURANCE NVAIVER:.. Lam aware that the Licensee dors not have the liability insurance coverage normally . required by law. By my si,;naturc liel`ow, I hereby waive this requiremctri. I am the (check one) ❑ owner ❑ owner's agent. Owner/Anent FERdIIT FEE: S Sionature Telephone No. 3, ft,t4 e5;� '0 z r m m v