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HomeMy WebLinkAboutMiscellaneous - 1101 TURNPIKE STREET 4/30/2018 (3)�� c N r' �� The Commonwealth of Massachu efts arm Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 7 CMR 12:00 3/90 Office Use only Permit, Xo. 56 3 Occ,ipancy & Fee Checked j (leave blank) APPLICATION FOR PERMIT TO ERFORM ELECTRICAL WORK All work to be pcTiormed In accordance with th Massachuseru Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL City or Town of The undersigned applies for a permit to per Location (Street & Number) Owner or Tenant Owner's Address 1011) Date Z- Z3— 0C To the Inspector of Wires:• the electrical work described below. �p 3 Is this permit in conjunction with a building permit: Yes S No ❑ (Check Appropriate Box) Purpose of Building C4 d �( Utility Authorization N0. )VIA Existing Service _Amps Volts Overhead ❑ Undgrd ❑ No. �Off Meters New Service Amps / Volts Overhead < ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity t'' Location and Nature of Proposed Electrical Work WMI u ` r $ (jtjfl�l ,5 ' /QLAAM A) w o�cM! J 1 l No. of Lighting Ouglets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ grnd, grnd. Generators KVA No. of Receptacle Outlets No. of Oil Burners Batter Emergency Lighting No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑ Other Connection No. of Ranges 8 Total No. of Air Cond. tons No. of Disposals No. of Neat Total Totalpay g Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No. of Signs f Ballasts W w Voltage No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES( X NO C3 I have submitted valid proof of same to this office. YES® NO 0 If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE XLL.+BOND ❑ OTHER ❑ (Please Specify) xp rat on ate Estimated Value of Electrical Work S Work to Start Z— Z,3" Q9 Inspection Date Requested: Signed under the penalties of perjury: FIRM NAME Rough Final LIC. NOA 16 5 1 9 Licensee TIANTFT _F PTPFR_ Signature _ir�.caG:r ILIO. N0. E22699 Address PO .BOX 1246 LEOMINSTER MA 01453 Bus. Tel, 0-( 78) 537-3520 Alt. Tel. No.(978)_ 84n-3?SQ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or is sub — stantial equivalent as required by Massachusetts General Laws, and that my signature on this pe it 7 application waives this requirement. Owner Agent (Please check one) ,_ _„ -J) PE E 668 — ? C� r fWA pptf 01, Nol� 40 6—ow Gni INA � AWK U0 / �- I `� kc,J 6#0- urm Pat- w o lam Wal 1ANk (& AND CONTACC, U, XC( J 9 A3 I- q Date... ................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING ................................ This certifies that .......... has permission to perform ........................... wiring in the building -of .................................. ........................................ at ... A11.../..........., ,,? ... ..... ........................ . North Andover, Mass. At Fcel':::.� ......... Lic. N Sh�af.. .... ......... ELECTRICAL INSPECID' t Check# 1-1� 91372, 67�-6 � 7- ,� 2-.1- 0 k Date. . ............................... TOWN OF NORTH ANDOVER VOW PERMIT FOR WIRING This certifies that ......Z?&_ ......................................................... has permission to perform ....4, .. . ......... wiring in the building ..................... at ...I /. Lt-No.���4 ...... �:14. .... .................. . North Andover, Mass. Fee ..Z ............. Lic. ELECTRICAL iNsPE&oR Check # . 4411,74? v (57 6821 Commonwealth of Massachusetts i-- - ----,)fficial t se Only -- — ----� q� Departmentof Fire Services Permit No. Ciba / BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IZ/. ,o + [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) Date: 07/11/06 City or Town of: NORTHAIVDOVER 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) 1101 TURNPIKE STREET Owner or Tenant NATIONAL GRID Telephone No. 508-389-2556 Owner's Address 25 RESEARCH DRIVE WESTBORO MA. Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building OFFICE / GARAGE Utility Authorization No. N/A Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: INSTALL CAT 6 CABLES AND FIBER FOR EQUIPMENT HOOKUP Comnletion of the following table may be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above In- Swimming Pool ❑ 1:1 o. o Emergency Lighting rnd. rnd. 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 Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number ................. I ............. Tons ............ I KW. ............ I No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers HeatingAppliances KW pp Security Systems:No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices ;,r 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: $4,000.00 (When required by municipal policy.) Work to Start: WILL CALL Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the informat' '`ott` t/ #Pic&bin is ue onkomplete. FIRM NAME: Renaud Electric & Communications, Inc. A LIC. N '. A17459 Licensee: Thomas Renaud Signatur E24023 (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: 508-865-1300 Address: PO Box 36, 18 Providence Rd, Sutton, MA 01590 Alt. Tel. No.: 5oR-865-3513 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally re- quired by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ 75.00 Signature Telephone No. Commonwealth of Massachusetts ' )iii�l, l t (►I,I> w Department of Fire Services hrll,lit��� Y Occuraw Anil Fre Chcckcd /21f)" r% BOARD OF FIRE PREVENTION REGULATIONS '--� �- [Res. r_ ) 1)i� i l_;lac hl;lllkt -J APPLICATION 11 %,irk to lie I`FOR PERMIT TO ,PERFORM ELECTRICAL WORM a�Lu-�It� I.Ic0n•c,tl CO,le 1\II.C!. 51_7 (AIR 122.1;0 TLE:I.S'F_ !'RL\ri.N, 1AKOR TT)TE.ILL 1AFt)R.11I(ION) Date: City or Town of: To 117 Gispeclor of 16'irrs: 13v this ,Ipplication the tlndersigiled glees nutice ot'his or her ltrntiun to pert'urm the JeCtrical 'Anrk de crihrd hcluktv. Lociltion (Street Sr. Number) /,'l©/ v N Owner or Tenant NA 7/04/ /{ telephone No. Owner's Address `% A 1 :5, i Le- _. e -►T Is this permit in conjunction with a building permit? Yes Yo � ❑ (Check Appropriate Box) Purpose of Building/ t9 rA Il Q/") Ltility ,authorization No. Existing Service amps / Volts OverheadEl Lndgrd IJ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd E] No. of Meters Number of Feeders and ampacity Location and Nature of Proposed Electrical Work: ��i�.. , i , 1 i✓ - - — ' q, rrrl IMIMI ll:If /Q/i1e Hftl� !te !I .III L ;'l' ,;IL, Lr.; a. ;'il• li/ No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. o Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA .No. of Luminaires Swimming Pool ,lbove In- o. o mergency Lighting �rnd. rnd. i0attery_l'I,its No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of 7 -ones No. of Switches No. of Gas Burners No. of Detection and 11 Initiating Devices No. of Ranges No. of Air Cond. Total Tons :No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. 1►rSelf-Containe Totals: DetectioniAlerting Devices No, of Dishwashers Space/Area Heating KW ' ! Local ❑ Municipal 0 Other Connection No. of Dryers Heating appliances KW' .. .:.. ........ Security Svstetns:* No. of Water Vo. of No. No. of bev ices or Equivalent Heaters KW of Si ns Ballasts —.--_- _ Data Wiring: No, of Devices or Equivalent — ---- No. Hvdromassage Bathtubs No. of Motors Total HP f clecommunications Wiring: 1T.n� No. ul' Devices or Ei uiv alent .. l:. M. .ilhn ,�r r: i�f:(l:.i;r.lJr.rll.j'.h••,,; (l. f'.tim;rted VJuc of Electrical Work: (1.1 hen required by municipal policy.) \kork to M;lrt: In>pections to be rCqurstcd in aCLurd3fte �01`i \IEC Rule i0, and upon Completion. 1NSL RANCE CON ER:\(:E: 1. nlr,s waiVcd by the omivr. no permit Iur the perlurnuulCC ,>t,_Iertl'iCal ��urk may ;.Aur � nit. 'hr liccitset: I?rc%b3es proof o h;lhlllty 1115111':Illl'C Ilicludlll'� Ct!I1lp ICtCd tit?l r;ItlUll Ct1L 11':I'(l' ta• its `I.Ih,wiltlal •. glllb 1112; lt. Vliet':.,' 110.1 C,: 1'11tIC'. that "rich l:Ut.''I':1",e I' in It 1%:L"_ :Md h;l" C' Illbitk.'(.1 :Ila- �c1`.L: i.'•,;;1 i�.\,•; , �(,\.1) jj I R I. (,`j%a� =j � I.',!`_t.CllV:) G� V G .�1'�I�It, .'.'P r,(,�'l !!IN,'rl�!!.i' ..:1(� q!•. ):'Ii'r'i' �f !)r':'�'d�'t', .'1'Jr `tl t' : ?/U/''�1,.�„yq �'' i.l' f' )!'<':r?Fr,.•! •,r .� 79 : ,:' .' •!!I .l� lir-.,.. ..., JII`• �'� 3. T.A.��o.: -a- Address: 311 .. Q�1.� �/------- CCLIIItY .'+V IC!11 !_ ;ntl'arti`I' L.ICUn' C I l .IIIIfC 1 to i. [1115 '.71.r'k; Ii ,ipNllcahlC. Clltrr 11C IICcIL;I• litln11%T heti: _ __ 3WNFR'S IvSL 14, CE IN, IVER: I ;Im a.mII-C 111at 111,: 1,i';.:n;eC;J;,.' n/ l;'.he iabiht' insul'u11C,.' ' :rI I n:lil.. Ic.luired by law. 13v nl; ' itjnattu-C brlc; I hrrt.hv '. ;Ii�C this, r�quirun�nt. I .un tht.: t _hick I;nc) Owner,'.l(yent nrlatur'c _ /(76 ��,7,a r, --t,44 X --"t 6 4`13.06 ��—f(,o6 S/V�z L rm Location % [ l k U Pikt— No. i s 's Date I TOWN OF NORTH ANDOVER y Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee `t'e-T— $ TOTAL CC>-" v ca �Ra Check # 2� 1 r mk-, i 7597 Buildin�r-lnspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT 1.2 Assessors Map and Parcel Number: Map Number Parcel Number APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 54 -s BUILDING PERMIT NUMBER: DATE ISSUED: 1.6 BUILDING SETBACKS ft Front Yard . Side Yard SIGNATURE: - Required vide Required Provided Building Commissioner/Inspector of Buildings Date r54) SECTION 1- SITE INFORMATION 1.1 Propetty Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number r rG/ tW n 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required vide Required Provided R red Provided r54) 1.7 Water Supply M.G.L.C.4t1. 1.5. Flood Zone Infomnation: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System D SECTION 2 - PROPERTY OWNERSIIIPIAUTHORIZED AGENT 2.1 Owner of Record Name (Print) �.a u 7F-7)- l d&D Address for Service: Signature 4Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele one SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: MA VZ-1>t41tVA Licensed Construction Supervisor: 115f 5tV,4�� ` ` A dress mrt� 7 o-"9 ignature Telephone Not Applicable ❑ License Number �F Expiration Dattel 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone SECTION 4 - WORKERS COMPENSATION (AG.L. C 152 § 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes ...... No ....... 0 SECTION 5 DesciA tion of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify yt dZ4 Brief Description of Proposed Work: 5l ge 1 X Z Zi ' l �! I.0 i . �% L1 1 3 6 t/ AJD '01-44' _ SECTION 6 - ESTIMTED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed b permit a licant �(}Fi'CI��ISK01+t1y �- � �; }� ,�r� (a) Building Permit Fee Multiplier 1 . Buildin g / 2 1 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 SG - Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION n�� ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief P N� Si ature of Owtter/A ent Date ° NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2 ND3 RD SPAN DEVIENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE FORM U e LOT RELEASE 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 applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Q S 5 _ �I e C7 PHONE M- 7 -?S -10Z"0 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET �tJrLh 2,A -e, Sf" �ST. NUMBER-&( ********************************OFFICIAL USE ONLY******** *********** RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR COMMENTS TOWN PLANNER COMMENTS DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm O Q1 cli a Ro � t10h1 � ABLY \ aIE hyo%T A'9R J i I •� � fi 44 � 1 O�OOGAI.EA. ANT \ C O .t jMACUATION ASSEMOLY AS N ;ETLY . SITE' PLAN EVACUATION et�v 601nvrnr rlwVe IMM o/1Z4z% ';a1C1 �e BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 060219 Birthdate: 04/27/1954 Expires: 04/27/2005 Tr. no: 9542 Restricted: 00 MARK TRAI NA _ 33 HANFORD RD STONEHAM, MA 02180 Administrator 11 L1 Jicl)arlittcttt oJ lttatistrtal Acctacttrs offlCe CUM092#89S 600 If'ashitigloti Slrccl Boslatt, Mass. 02111 orkcrs'-compensation-insur-ancc-A-ffidavit- - --- — -- Ilj' hone a �] I am a homeowner performing all work myself. (] 1 am a sole proprietor and have no one working w any capacity Ft+ am an employer providing workerscompensation for my employees working on this job. cnm an name: n --- nlr onc if: c) insurance cn. �`!'� dlo. 0/2- C���`'-'`�:.rIT,Y'"cz-��."r�`cif.'�-`.'sg"�"'%T�+-�j3rn'tSt•'c j I ant a soic proluiclor, I;cncral contractor, or itomco,ricr (circ lc onc) and liavc Fired Utc contractor:; li';ted holo%%, \vho li;ivc: (li. (nllt,��-int• wt,rl:cr::' cnntla:n:a(icni In11�Cc;: ,HI1011)'. !:11 tc:- -- ltlrr.ss: rant tan nantc: , Insurance co.___ I allure to secure coverage as required under Section 2SA of hICL IS2 can [cad to the Imposition of eriailaal penalties of a frac up to SI,S00.00 aadfor one years' Imprisonment as well as civil penalties In lite form of a STor WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of tlris statement maybe forwarded to llte Office of Investigations of the DIA for coverage verification. I do hereby certify under the p I s and penallies of )crjury that the Information provided above is true and correct. 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U w C w W p°G w w CQcn Ec cn C* W H W CJ* �m o ' �3 m� o � V o 'Z 0 �C-7 C ' y W .:C y m awo C3 y m m .0 COQ m O :C�dC c c o 1. m c : ado $ = o .gyri azwc CD .� arm-. ca E a C aMCon m O • • 0 d * Go Ec m O C* W H W CJ* g 0 Fo CO C/) W II92 Y/ LLI N oG W 12 W N �m o ' �3 m� S 4% m 'Z C ' y W .:C y m awo C3 y m m .0 COQ m O o yZ co c c o 1. : ado $ ym$� .gyri azwc y AS CL aMCon g 0 Fo CO C/) W II92 Y/ LLI N oG W 12 W N Massachusetts Electric A National Grid Company September 8, 2004 Building Inspector Town of North Andover Building Department 27 Charles Street North Andover, MA 01845 Dear Building Inspector: RE: AFFIDAVIT OF INSPECTION In accordance with Section 1028.3 of the Massachusetts State Building Code, 6ffi edition, on September 1, 2004 I inspected the exterior emergency egress stairs at the Massachusetts Electric Co. Building 1101 Turnpike St., North Andover, MA. This letter serves as my certification that my inspection on this date found the stairs and stair supports to be structurally adequate. These stairs will safely serve the building occupants as an emergency means of egress. Please contact me if you have any questions. Very truly yours, Thomas L. Adduci, PI Cc: M.Rodgers P. Burns RECEIVED SEP 13 2004 BUILDING DEPT. 100 E. Ashland Street Brockton, MA 02302 508-897-5714 Fax: 508-897-5561 thomas.adduci@us.ngrid.com Date...... � i ...... 3r `° TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ♦Ion_ n e_` This certifies that .. AL f.c.-c .. �- �:�.:�.���... :(... %.�-�.�9r....... . has permission for gas installation ... . r <' X'.6 .`.......... . in the buildings of..................... . at ./. ic:.!...! :T ..:` .. ............ , Nofrth Andover, Mass. Fee. . J ..:. Lic. No........' ... ...... j.... r....:� ...... . GASINSPECTOR r Check # 3;71 MASSSACHUSEIIS UNHURM APPUCATON FOR PERMIT TO DO GAS FT,rnNG \\ (Type or print) Date G �O•C (.yam d� NORTH ANDOVER, MASSACHUSETTS Building Locations \ \ A\y C 4x Permit # Amount $ Owner's Name New Renovation ❑ Replacement Plans Submitted ❑ (Print ortype)�` Name \` Address o�.G s SySc�-• C� Certificate Company Name of Licensed Phunber or Gas Fitter cv ~ •�� `' `� ��\� Partner. Firm/Co. INSURANCE COVERAGE Ch one: I have a cunvntliabilityVplindicate policy or it's substantial equivalent. Yes Noo If you have checked, the type coverage by checking the appropriate box.Liability insurance policOther type of indemnity 13 Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 0 Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Masmqhusf4s State Code and pter 142 of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumnber Or Gas Fitter Plumber W) 2S Gas Fitter License Number Master Journeyman January 9, 1997 Massachusetts Electric Company 1101 Turnpike Street North Andover, Ma 01845 Attention: Dick Harding Dear Sir: I recently became aware, through a Permit, that a service was reconnected without my approval. This is was an emergency repair which was Ok'd by the Fire Department to reconnect. The Fire Department has no authority to authorize these reconnections. I'm on call 24 hrs...a day. the Fire Department has all my numbers, including pager. If � I can't br-,, reached, my assistant, Paul Denton, is next, in line and they have his numbers. The only other people who can authorize a power turn on is the Building Commissioner, Robert Nicetta, or the Local Building Inspector, Ken Surette. If Mass. Electric chooses to reconnect on the approval of someone who is not authorized to do so, they assume all responsibility for the inspection. The Permit for 402 Sutton Street (service repair) now has a notation that Mass. Electric reconnected without an Electrical Inspection. The Fire DepL. never attempted to notify me nor did the Electrician who performed the work. The standard procedure is for the EIE.Ictrician to notify the Fire Dept. which in turn attempts to contact us in this order: 1. Jim DeCola 2. Paul Denton 3. Robert Nicetta r ,L Jan. .10, 1997 page 2 4. Ken Surette These four persons are the only ones who can authorize a power reconnect in the Town of North Andover. Thank you for your cooperation in this matter. Yours truly, Va^AA- James DeCola, Electrical Inspector De/g c: Bob Nicetta Ken Surette Paul Denton Chief Dolan Date .... —18 .3 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .....�.� has permission to perform ..... `. ra 1 c o a Y1 ......................... wiring in the building of .... .... " . AJC ............................... at(� ...Tv � N...P� t<t ............................. . North Andover, Mass. ................. '� / Fee..Ls0........ Lic. No. ..E.3o3� T. -: t n(...� ELECTRICALINSPECfOR Check # 31 G 8 9 4392 Depar�-ment of Public Safety Permit No. Occupancy & Fee Checked Vr BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12003/90 200 Cleave Clank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All urork to be performed In accordance with the Massnchuscm Electrical Code, 527 CM nn12:00 (PLEASE PRINT IN INK OR TYPE hn INrORMA y0N) Date l� GAJ City r Town of `���hi5�,� To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) j 1 \J 1 , F-� KMU �Zwrner or Tenant a�\U1v(�►L- ��t� O:lner`s Address Is this permit in conjun ' n with a building permit: Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting outlets No. of Hot Tubs INo. of Transformers To cal KyA No. of Lighting Fixtures SwimmingAbove ❑ In- ❑ Pool grad. grnd,. rt Generators 1\JA No. of Receptacle Outlets INo. o: Oil Burners fyEmergency Lighting No. of Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Rangeslilo. of Air Cond, Total tons Initiating Devices Heat Total Totalpumos No. of Disposals INo. of Tons KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local[] Munici?al ❑ other No. of Dishwashers Space/Area Heating KW No. of DryersHeating Devices KW Connection No. of Water Heaters hW No, o: No. o ISitns Ballasts Low Voltage Wirin£ No. Hydro M+ossage Tubs E No. o_ N.otors Total HP OTHER INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES [] NOF] I have submitted valid proof of same to this office. YES ❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER J (Please Specify) Expiration Date Estimated Value E Electrical Work S© \ 1 f, Work t9 Start 11 (n Inspection Date Requested: Rough ,�� Final Signed under the penalties of perjury: FIR`t Nly�ti Licensee Edwin B. Coghlin, Jr. Signatu� Address 100 Prescott St., Worcester, MA 016 5 LIC. No. A13033 IIJC. No. E17466 Al T4_ No.- (508) 793-0303 OWNER'S 1.;SURkNCE WAIVER: I an aware that the Licensee does not ave the nsurance coverage or its suo- stancial equivalent as required b;. Xassachusetcs General Laws, and that my signature on this perm = npplicntion .:nivr-s this rcquir---:!n-.. C.n•^r Agent (Plense _.. ck one) Phis certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0068 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. This is to certify that (Name and address of Insured) COGHLIN CONSTRUCTION SERVICES INC 100 PRESCOTT ST WORCESTER, MA 01605-1713 is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by anv reauirement, term or condition of anv contract or other document with respect to which this certificate may be issued. Ex iration Tvve Continuous* Extended X Policy Term Workers Compensation General Liability Hx Claims Made Occurrence Retro Date Automobile Liability X Owned X Non -Owned X Hired Umbrella Excess O M M E N T S 01/01/2004 WC7-111-252943-013 Coverage afforded under WC law of Employers Liability the following states: Bodily Injury By Accident CT, MA, NH, Rl $500,000 Each Accident Bodily Injury By Disease $500,000 Policy Limit Bodily Injury By Disease $500,000 Each Person 01/01/2004 TBI -111-252943-023 General Aggregate -Other than Prod/Completed Operations Products/Completed Operations Aggregate $1,000,000 Bodily Injury and Property Damage Liability Per $1,000,000 Occurrence Personal and Advertising Injury Per Person / $1,000,000 Organization Other Liability Other Liability 01/01/2004 AS2-111-252943-043 Each Accident - Single Limit - B. I. and P. D. Combined $1,000,000 Each Person Each Accident or Occurrence Each Accident or Occurrence 01/01/2004I TH1-111-252943-033 ( $10,000,000 Each Occurrence $10,000,000 General Aggregate 'If the certificate expiration date is continuous or extended term, you will be notified if coverage is terdnated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Special Notice - Ohio: Any person who, with intent to defraud or knowing that he / she is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Important information to Florida policyholders and certificate holders: in the event you have any questions or need information about this certificate for any reason, please contact your local sales producer, whose name and telephone number appears in the lower left comer of this certificate. The appropriate local sales office mailing address may also be obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below) . Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policies until at least 00 days notice of such cancellation has been mailed to: Office : WORCESTER, MA Phone: 508-753-1840 Certificate Holder: Town of North Andover 146 Main Street North Andover, MA 01848 Therese Triboski Date Issued: 03/17/2003 Prepared By: KS 'Remittance Advice Paee 1 of 1 Check: 31688 Paid by: COGHLIN ELECTRICAL CONTRACTORS Our Account # Date: 03/14/03 Paid to: TOWN OF NORTH ANDOVER Vendor Code: NORAND Amount: 150.00 Inv. Date Invoice No. Job Number Inv. Amount Discount Amount Paid Retention Remarks 03/14/03 031403 R4778 150.00 0.00 150.00 0.00 Check Totals 150.00 0.00 150.00 0.00 Date.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that` ............... e ........................................................................ has permission to perform ........................ ........................ ► wiring in the building of ....... ....................................... at Al�?L. ...... ......... . North Andover, Mass. Fee,/4� ...... ..... Lic. No .............. .... V4�............... ............. k ELECMICAL INSPECTOR Check # AI 5613 Office Vis• Only The Commonwealth of Massachu efts �^- Permit So. J �D Department of Public Safety Occupancy S Fee Qiscke4 5, BOARD OF FIRE PREVENTION REGULATIONS 7 CMR 12.00 3/90 (leave blank) APPLICATION voork (oFORTePERMIT rdance �TO MaERFORM ELECTRICAL WORK csachusetu Electrical Code, 521 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALLVrm ION) Date Z — Z 3 — OC City or Town of NO N� To the Inspector of Wires: The undersigned applies for a permit to electrical work described below. Location (Street & Number) 'NJ, Omer or Tenant_ M A i(( �L —A Qr &L Owner's Address Is this permit in conjunction with a building permit: Yes J2!J No ❑ (Check Appropriate Box) Purpose of BuildingT; 4 - Utility Authorization NO. NIA Existing Service _Amps Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead, ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work A) No. of Lighting Outlets No. of Lighting Fixtures No. of,Receptacle Outlets - No. of Switch Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers No. of.Water Heaters No.•Hydro Massage Tubs J OTHER: No. of Hot Tubs Swimming Pool Above ❑ In- grnd. grnd. ❑ No. of Oil Burners No. of Gas Burners No. of Air Cond. Total tons No. of Heat Total Total Pum s Tons. KW Space/Area Heating KW Heating Devices KW KW No, cl o, o Signs Ballasts No. of Motors Total HP No. of Transformers Iota KVA Generators KVA No. of Emergency Lighting Battery Unirs FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices LocalMunicipal ❑ Connection ❑ Other LOW.Voltage + INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liabilit Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES U X NO I have submitted valid proof of same to this office. YES 0 NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE n BOND ❑ OTHER ❑ (Please Specify) &Q*% tjy &A® -- Estimated Value of Electrical Work $xPirat on ate Work to Start -i— Z"3— ap Inspection Date Requested: Rough g Final Signed under the penalties of perjury: FIRM NAME k LIC. N0AJ6� Licensee TIANTFT F pTppg Signature Y jLIC. NO. E22699 Address PO BOX 1246 LEOMINSTERMA 01453 Bus. Tel. 0,(978: 537_;520 Alt. Tel. No. (� R4(1- 9 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or is su - stantial equivalent as required by Massachusetts General Laws, and that my signature on this pe it application waives this requirement. Owner Agent (Please check one) ffe Telephone No. PERMIT FEE S t• r —JIWA Mum qyl P& Gee — KW Id WA dr ANP AJkkAw , Cl) 41 o� e�1��4G� cs�urel � S-OCrJ 64C INA l rz kw Wi;v- 6 c0l®k ANO &Mm 400C if N MK&,oNlC4C bc)hi -INfldkl c -c) otj ry cgcCkj v JU V cru (toM r OW OuMu � m cv0(M 9*494 Y i 6 s