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Home My WebLink AboutMiscellaneous - 11 ALCOTT WAY 4/30/2018 11 ALCOTT WAY 2101025.0-0016-0011.C 11AWAY' / 2101025.0-0016-0016-0011.0 (/(� It Date...w..".1 f LORT4 • r°.,�`".:•- "�,� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING �SSACHUS� Q This certifies that .. ........./ 566-41 ............................ ' ...................... ..............�...... has permission to perform .... ?4 ! ... 5 '� - ... wiring in the building of........ ..................... at......4........... ..........................North Andover,Mass. Fee... '.. Lic.No. 4. 4(.?............... .. f ELECTRICAL INSPECTOR V V Check #M95-8-111 6993 Commonwealth of Massachusetts OfficialUseOnly ? Permit No. C Department of Fire Services . . - Occupancy and Fee Checked • BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05]. 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: '' 4 5-0 0 _ City or To.*n of: A) AwA00bf\� To the Inspector of Wires: By this application the undersigned gives notice of his or her int noon to perform the electrical work described below. Location (Street& Number) faC3�'�ry7j til _ Owner or Tenant Ll s,, I. A2 Telephone No. ��, 41S 54% Owner's Address _ Is this permit'in conjunction with a building permit? yes No (Cheep Appropriate Box) Put•posc of Building Utility Authorization No. Existing Service Amps / Volts Overhead IJ Undgrd ❑ No. of lActers New Service Amps / Volts Overhead❑ •Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security and or Fire alarm systems tq �� RJ q Completion of the followingfable may be waived by the Inspector of Wires. of No. of Recessed Luminaires No.of Ceil: TransSusp.(Paddle)Fans Total Trsformers ICVA �. No. of Luminaire Outlets No. of Hot Tubs Generators KVA — Above In- o. o Lighting ig ing d. No.of Luminaires Swimming Pool rnd. ❑ rn ❑ Batter 'Jnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No..of zones of No. of Switches No.of Gas Burners . No. In Detection and itiatin Devices Tot No. of Ranges iNo. of Air Cond. Tons No.of Alerting Devices Heat Pump 1\umber Tons_ K__W_ No. of Self-Coniained No. Of Waste Disposers Totals: '" ' _u Detection/Alerting Devices � TCn eipal ❑Ne. of Dishwashers S ace/Area Heating KW Local❑' ohnc�on Other Heating Appliances Security Systerns:' No. of Dryers. g PP KW No.of Devices or Equivalent IN'0. KW Of vlatCr vo.0. No. o! Matzt}Jr:'[a: . Heaters Si ns Ballasts• No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors TTelecommunications Wiring: HP ' No.of Devices or E uiva!ent� i OTHER: 7-• I Attach additional detail if desired, or as required by the Inspector or Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 of same to the permit issuing office. CHECK ONE: INSURANCE N BOND ❑ OTHER ❑ (Specify:) I certtfy, under the pains and penalties of perjury,that the information on this application, is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: 1533 C • Licensee: Kenny Wong Signature .2� LIC. NO.: 5966D .fifopplicable, enter "exempt"in the license number line.) Bus.Tel. No., 601-5,94-5900.— Address 03-594-5900_Address 18 Clinton Drive Hollis N.H.03049 Alt.Tel. No.: 603-594-593Q_ *Security System Contractor License required for this work; if applicable,enter the license number here: SS CC 001975 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. .1 am the(check one)❑ owner ❑owner's agent. Owner/AgentT.Ionhnnr Na. DER1✓IIT FF—E: $ I- BUTTERWORTH & O'TOOLE, INC. P.O. BOX 8294 SALEM, MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY .- TELEPHONE (978)741-5731 FAX (978)740-9109 1 June 12, 2000 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen City/Town Hall City/Town Hall ADDRESSES North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Alcott Village Condominiums Address : 11 Alcott Way North Andover, MA 01845 Policy No. : CAU102398 Loss of: 6/06/00 File or Claim No. : 06-1028 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Robert L. Smith, Jr. Adjuster BUTTERWORTH & O'TOOLE, INC. P.O. BOX 8294 SALEM, MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE (978)741-5731 FAX (978)740-9109 r June 12, 2000 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen City/Town Hall City/Town Hall ADDRESSES North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Alcott Village Condominiums Address: 11 Alcott Way North Andover, MA 01845 Policy No. : CAU102398 Loss of: 6/06/00 File or Claim No. : 06-1028 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000 . 00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 31B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Robert L. Smith, Jr. Adjuster Address . %/ Anel z:r La, Title of File Page of Date File Open: Date file closed: Doc Document/Action-Title Date of Refer to other Purpose of Document/Action and notes T action Document/ document/ Num. Action Department Board of Appeals - Board of Health - Planaing Board - Conservatio-Commission - Building Department