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Home My WebLink AboutMiscellaneous - 1367 GREAT POND ROAD 4/30/2018 (2) P14- 7/No 2 4 9 6 Date..... t NORTI{, 3j°._�`".;•_�.."oo4L TOWN OF NORTH ANDOVER p PERMIT FOR WIRING &S MUS This certifies that ....... VN.............................................. (� vl U ` .... ... .. ................ has permission to perform ... ....... ..a...... .... .............................. . . .. wirin in the building of......... ?.�.. r.................................................... at �. .....�.r,1: . N6rth Andover-,] r Fee.....J..�..:JJ Lic.No.:............�.........�.\�••�r•:��:....,1.. ................ --�_ / $IL�Ci'. RICAL INSPECTOR Check # �L/l�/ WHITE:Applicant CANARY: Building Dept. PINK:Treasurer a Tom Argenta Jr. T.J. Afgento tll Thomas J. Argento Jr'. Master Electrician `- MA License:A 11137 260 Mass Ave. Boxboro, MA 01719 Phone:978-263-2971 Fax: 978-266-9670 Residential Commercial Generator Sales & Installation < . •General Wiring Security Systems •Service Changes •Fire Alarm •Septic Pump Systems •24 hr. Monitoring E •Sound Wiring •Sales& Service •Telephone&-T.V. •Fully Insured ' Corrunonweaith of Massachusetts Official Use Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS 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(NEC),527 CMR 12.00 (PLEASE PRINT 17V INK OR TYPE ALL INFORMATION) Date: City or Town of: To the Inspector of Wires: By this application the undersi es notice of his or her intention to perform the electrical work described below. Location(Street&Number 01"+ Aew Owner or Tenant Telephone No. Owner's Address CSi��7l Is this permit in conjunction with a building permit? Yes ❑ No R1 (Check Appropriate Boz) Purpose of Building Utility Utility Authorization No. Existing Service /00 Amps 1,21) 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: ��,,,s, �, e— an-.e Completion of the ollowin table be waived by the Ins ector of Wires. Na.of Recessed Futures No.of Ceil.-Sasp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Futures Swimming Pool b d e ❑d . ❑ No.o Urgency Lighting grnNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of fiction and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers eat p um r ons___ _ o.o Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ umcipa ❑ Other Connection No.of Dryers Heating Appliances KW SecurityNa f Systems:ices or Equivalent No.of Water KW o.of No.of Data Wiring: Heaters Signs Ballasts No,of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HI' e N of Devices mmunicatioor 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 ❑ OTBER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: `t' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NEC Rule 10,and upon completion. I certify,underthepailits and penalties of perjury,that the information on this application is true and complete- FIRM ompleteFIRM NAME: Thomas J Argento Jr.Electrician LIC.NO.: Al 1137 Licensee: Thomas J.Argento Signature LIC.NO.:E16356 (If applicable, enter"exempt"in the license number line.) Bus.Tel.No.:9,78-263-2971 Address:260 Massachusetts Avenue Boxborough,MA 01719 Alt Tel.No.:fax 266-9670 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. I an the(check one)❑owner ❑owner's agent. Owner/re PERMIT FEE. $ L30 .6 Signature Telephone No. Feb 01 , ' 10 -42 EST by: AMNMary Nelson (10 : 44) Page 2 of 2 mm( dr� MMADarY1 PaaDucER 02/01/00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GALLANTINSURANCE INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 199 GREAT RD ALTER THE COVERAGE-AFFORDED BY THE POLICIES BELOW. P. O BOX 975 j COMPANIES AFFORDING COVERAGE ACTON MA 01720 COMPANY A THE COMMERCE INS COMPANY INSURED COMPANY THOMAS J ARGENTO JR B TRAVELERS INS COMPANY COMPANY 260 MASS AVE C BOXBORO MA 01719 COMPANY D :�_ �C':• - :::•:'}moi':':':::{'i:':SL{.;:•: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY RECUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. CO POLICY EFFECTNE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MWDD/YY) DATE.(MMIDIM) LIMITS GENERAL uAealTY H 917 0 0 02/15/00 0—27-1-5 To-1 GENERAL AGGREGATE $ X COMMERCIAL GENERAL LIABILITY PRODUCTS•COMP/OP AGO $ CLAIMS MADE[X]OCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 FIRE DAMAGE(Ary oro fire) S 50,000 MED EXP(Arty orr pawn) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED ALTOS IIODILY INJURY SCHEDULED AUTOS Per pemon) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Por Axlderd) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S .......................... .......................... ANY AUTO OTHER THAN AUTO ONLY., EACH AOCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND XHUB 9 0 9K2 315 0 0 2/05/00 2 0 5 O1 X TORY uH+4T8 ER . EMPLOYERS'LIABILITY EL EncH ACCIDENT $ 100,000 THE PROPRIETOR/ NCL EL DISEA$6POuCr uMrr $ 500,000 PARTNERILM(ECUTIVE oFFHCERy ARE EXCL EL OISEASE-EA EMPLOYEE $ 1 0 0,0 0 0 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESAPECIAL ITEMS ELECTRICIAN �3CE443F.1�DG'K'��:��iOff�DE13:=:�:�:= :=:�:�r:=:��: •� �: :;��'�:�:�: •�: •::;::•::•:::•::::•:::'::::�.;. SHOULD ANY OF TM ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE THOMAS J ARGENTO JR EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS W WTTEN NOTICE TO THE CERTIFICATE HIS MUM TO THE LEFT, 260 MASS AV BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY r BOXBORO MA 01719 OF Aryl, KIND UPON THE WMm fry AGRn Og_pEpRZSpffA=EL AUTHORED REPRESOWATIYa Marg Nelson #`.. OLCJo�r�no.rtiuea o�/ aaaclucae ✓ ; � Y,ur�u� y; �L>-+ ai ;CDL Driver's License DEPARTMENT OF PUBLIC SAFETY 11-28-43 11-28-01 M 5'09" A 032325556 License SEC SYS CONTRACTOR. Date of Birth Expires Sex Height class Number 11-15-96 Number,SS CO 000230 Endorse Issued Birthdate• 1728/1.943 ARGENTO THOMAS J JR Expires 1 x/28/2001 Tr.no: 98 e 260 MASS AVE ` Restricted TO: 00 BOXBOROUGH. MA 01719-1613 THOMAS J ARG ENTO Jft 260 MASS AVE BOXBOROUGH, MA 01921 Acting Commissioner - COMMONWEALTH OF MASSACHUSETTS --�. s ° BOARD OF BUILDING REGULATIONS OF ELECTR.I.CIANS license CONSTRUCTION SUPERVISOR A S A REG JOURNEYMAN E L E C T R I C I A# Numbex=-IIJS 004182 ISSUES THIS LICENSE TO i 1 t12311943 Birthdate F THOMAS O M A S J AR-GEN-.TD JR Expires 11#23/2001 Tr.no: 9387 E: MASS AVE i Restci0ted To: 00 I. THOMAS J ARGENTO JR 260 MASS AVE ( ,,..��i B 0 X B O R 0 MA 01719—0 0 0 0 1 r�T V' r BOXBORO, MA 01719 Administrator 16 356 .E 07/31/01.. 857190 COMMONWEALTH OF MASSACHUSETTS ® ' OF' ELECTRICIIANS REGISTERED MASTER. ELECTRICIAN ISSUES THIS LICENSE TOIN 11 Association of Electricali Inspectors ; SECTION CHAPTER DIVISION MEMBERSHIP NUMBER , NOMAS J - A R G E N T 0 J Rm i 60 000 }1472EI. Thomas J. A.rgen�to Jr.o X60ISS AVtr °,' , 6/15100 INSF' 6l15l85 B lXBf3. ;i3 MA 01.719-1- 1 _- VALIDYHROUGH MEMBERSHIP TYPE LOYAL MEMBER SINCEi -1:15 7 >A 07/31/01 6i3�s6$ -No 2326 Date....... t HORTM'1 0 TOWN OF NORTH ANDOVER 10- P PERMIT FOR WIRING SSACMus� This certifies that .........�Jr��...!.. ..5.......... .G��. ........5f �..:.................. has permission to perform ......'...<C t ' 'c L ' l wiring in the building of..... .�!r,..G?..� .5.. ��! .. ..�J............................. / /n 1 fcr l' ,e0d�� '?G. North Andover Mass-: Fee....,?..5.:.�.:... Lic.No. ...........5 ....................... ....................................... 6 ELECTRICAL INSPECTOR Check # 7 Z . WHITE: Applicant CANARY: Building Dept. PINK:Treasurer l-ommonwea&of MasjacItuee(fs Official Use Only y — cc� 7 Permit No. 3 2.1 arlmertt o f,}ire erviced -A REGULATIONS Occupancy and Fee Checked BOARD OF FIRE PREVENTION [Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NIEC),527 C1IR 12.00 (PL EI SE PRINT LV INK OR TYRE• ILL L INT-'ORAL i 710N) Date: 51, 100 City or "Town of: l v • /'[p�(�/2t/ To the Inspector of 1, if•es: By this application the undersigned gives notice of his or her intention to pe orm the elecn ical work described below. Location (Street �C Number) C-p- -f �d Owner or Tenant � . \ Telephone No. Owner's Address Is this permit in conjun on with n building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building 05ide-r) -e,_I Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.oCilIeters . New Service Amps / Volts Overinead ❑ UrYdgrd ❑ No. of 1Ieters. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1, li Com lesion oftlntable may be waited bt•the his cctor of i vires. No. of Recessed Fixtures No.of Cefl.-Susp.(Paddle)Fans No. of Total Transformers KVA No. of Lighting Outlets No.of IRot Tubs Generators hVA No.of Lighting Fixtures Swimming Pool Above ❑ ln- ❑ t o.o mergency tg itrng b grnd. grnd. Batte Units No:of Receptacle Outlets No.of Oil Burners FIRE ALARIMS No. of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. total No, of Alerting Devices Tons No.of Waste Disposers Heat Puunp Number ITonstained Totals: Detection/Alertina Devices h No. of Dishwashers Space/Area Heating KW Local ❑ itiiunici al Connection El Other No. of Dryers Heating AppliancesKati Security Systems: No.of Devices or Equivalent No. of Nater No.of No. of Heaters heti Data;✓iritng: Sigtrs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of MotorsTotal IIP 1elecommunications Wiring: No.of Devices or Equivalent OTHER: 1Ittach 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 iii 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: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I Certify, under the pains atrtl penalties of peijury,their the information ort this a11lication is true and complete. FIR211I NAME: B I oks flome, Sec LIC.NO.: C( 1 Licensee:Mar J iSUIMS-kr SignaturePS LIC.NO.:5J50)-l)W5q (If applicable, enter t'. empt""id the license number line.) Bus.TCI.No.:q 78'lo57'y�14 2J Address: P_54 91 -��W��rYLli'tAfD>7��}�(gB7 A1t.Tel.No.• 5Dg-$&q-t7j$y OWNER'S INSURANCE WAIVER: I am away that the Licensee does not have the liability insurance coverage normally required by law. By tnv signature below, I hereby waive this requirement. I am the(check one) ❑ owner F-1 owner's aunt. Owner/Agent Signature _ Telephone No. P1:RtIfIT TE•E: S tj z; '/ 0 Date. ! .`. . :.!.�. .. NORTH TOWN OF NORTH ANDOVER nFt�.ao ,^1h0 F'yop PERMIT FOR GAS INSTALLATION h C.HUSE,�< This certifies that . .f :?.r�'. -1y. . . . . . . . . . . • . has permission for gas installation . . J?/-) .'y r. .! . .Ia!� Y. !.� �. . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at ,(, ? . , ,/a:a, ./. . ... . . . . . . . . .. North Andover, Mass. Fee. Lic. No.. .. . .. .. . . ... . . . .. . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Z (Print or Type) t,tk-rV4 tN Dov eIL —, Mass. Date to" 20 O Permit# 3 y?d Building Location � ( ' C StI�C'A'�' � (�„� Owner's me Q,Cp .gjrS Telephone g7R- G86—� � Ty p fOccupancy V—Io�S 42, New ® Renovations Repla ment Plans Submitted: Yes ❑ No® 0 m +' rn °' w d ° 0m = E2 In M In a+ R d1 Z' O = O C W Vl 0 y 2 d +O' O C r d o > ►. d V �N.+ d R 01 > N 3 C �N �' a C O W 2 0 = u- C9 J U O 6 11 °) O SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Check one: Certificate Address 500 Myles Standish Blvd. X❑ Corporation 115C Tauton,MA 02780 Partnership Business Telephone (800)822-1300 x8051 Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson INSURANCE COVERAGE: EnergyUSA has a current liability insurance policy or its substantial equivalent,which meets the requirements of MGL Ch.142. Yes X❑ No 11 If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity El 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: Owner Agent Signature of Owner or Owner's 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 the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. Type of License: By Plumber Title X❑Gasfitter Signature of Licensed Plumber or Gasfitter City/Town XX Master APPROVED(OFFICE USE ONLY) nJourneyman License Number 3707 FINAL INSPECTION SKETCHES BELOWFOR OFFICE USE ONLY FEE PROGRESS INSPECTION NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME& TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GAS INSPECTOR