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HomeMy WebLinkAboutMiscellaneous - 1705 Turnpike J a �'1 Z b I� IV I I 1 � i { I I { r Date... �" .. ........ ...... N° + J 8 t pORT1{, "a,� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING cHusE�h This certifies that ................`...'... ....... �.-.... � . . �.. . :.:/.� ............ has permission to perform ...Y` -�'...... - .: ...- 7. ................................ .................. wiring in the building of Z2 5.' at.. ...............r ............. ..................,North Andover,Mass. Fee'? .... ......... Lic.No. .%,' . ............................................................... ELECTRICAL INSPECTOR 07/28/98 15:08 25.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer i Office U e Onl Permit No_ � �Y", 9 Sa�ry Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ,(JV `` Ali work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date �^/7 To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. / Location(Str+eet&Number �7 Q S �v/h 12iuP / L�,-e / Owner or Tenant P,C,C G ct Z l Owners Address Is this permit in conjunction with a building permit Yes ❑ No) (Check Appropriate Box) Purpose of Building nUtility Authorization No. Existing Service o20 Amps gC, '?yG Volts Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work SA OBJ'« GS G Total No.of Light8rig Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimminq Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No.of Sounding Devices y No./of Self Contained No.of Dishwashers Soace/Area Heating KW DetectionlSounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hy0ro Massage Tuds No.of Motors Total HP p� OTHER: kzzj /I �N 1 0'( fv t INSURANCE COVERAGE. Pursuant to the requiremen8ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking th appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: `I FIRM NAME ��//M el. 'Fle,C�2I t� �� LIC.NO. �� LIC.NO. 3' Licensee C / L� h Signature ^ (` n el No. SG7- 7 Address awl-C3 \ �Jy Alt Tel.No. -2!;--yS-y 5 2 OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required bbssachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) 0l[7 i Telephone No. PERMIT FEE $__.--- (Signature of Owner or Agent) American States AMERICAN STATES INSURANCE COMPANY Insurance INDIANAPOLIS, INDIANA A SAFECO Company COMMERCIAL INSURANCE POLICY NAMED MICHAEL P TIERNEY DECLARATIONS INSURED DBA TIERNEY ELECTRIC AND MAILING 20 PELCZAR RD POLICY NUMBER 01-CE-371117-1 ADDRESS DRACUT, MA 01826 RENEWAL OF NEW 04-98 AGENT BYAM BROS-MAHONEY INS AGENCY NAME 191 PAWTUCKET BLVD AND P 0 BOX 1396 POLICY PERIOD FROM 04-06-98 TO 04-06-99 12:01 AM ADDRESS STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. LOWELL, MA 01853 20-11962 ( 508 ) 454-2926 THE TOTAL ESTIMATED PREMIUM FOR THE POLICY TERM IS $564 . 00 . YOU WILL BE BILLED THROUGH YOUR CUSTOMER ACCOUNT #809-0935-976-01 . THIS POLICY IS SUBJECT TO A FINAL AUDIT. IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. COMMERCIAL LIABILITY COVERAGE PART . . . . . . . . . . . . . . . . . . . . $ 564.00 564.00 I Ilf COUNTERSIGNATURE BY (DATE) (AUTHORIZED REPRESENTATIVE) 9-CC(0887) COMPANY USE ONLY HARTFORD 21 (41865) CB INSURED COPY PREPARED 04-21-98 C-AN-2I-PRINT001-0394-0005-J J 1 • COMMERCIAL LIABILITY COVERAGE PART DECLARATIONS PAGE CG 1-LAST NAMED INSURED: MICHAEL P TIERNEY POLICY NUMBER: 01-CE-371117-1 FORM OF BUSINESS: INDIVIDUAL --------------------------------------------------------------------------------- L I M I T S O F I N S U R A N C E --------------------------------------------------------------------------------- COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTS-COMPLETED OPERATIONS) $2,000,000 PRODUCTS-COMPLETED OPERATIONS AGGREGATE LIMIT $2,000,000 PERSONAL AND ADVERTISING INJURY' LIMIT $1 ,000,000 EACH OCCURRENCE LIMIT $1,000,000 FIRE DAMAGE LIMIT (ANY ONE FIRE) $ 100,000 MEDICAL EXPENSE LIMIT (ANY ONE PERSON) $ 10,000 --------------------------------------------------------------------------------- LOCATION OF ALL PREMISES YOU OWN. RENT, OR OCCUPY: 1. 20 PELCZAR RD DRACUT,MA 01826 ---------------------------------------------------------------------------------- CODE I CLASSIFICATION-PREMIUM BASIS EXPOSURE I RATE I PREMIUM ------------------------------ ----------------------- ULTRA CONTRACTORS LOCATION # NA 00201 ULTRA CONTRACTORS - ELECTRIC WORK - WITHIN BUILDINGS - NO BURGLAR OR FIRE ALARM INSTALLATION WORK PRODUCTS-COMPLETED OPERATIONS ARE SUBJECT TO THE GENERAL AGGREGATE LIMIT (PER NUMBER OF FULL TIME EMPLOYEES) 1 564.00001 $ 564.00 ------------- COMMERCIAL LIABILITY TOTAL $ 564.00 THE FOLLOWING FORMS CURRENTLY APPLY TO THIS COVERAGE PART: IL0017 1185 - COMMON POLICY CONDITIONS IL0021 1194 - NUCLEAR ENERGY LIABILITY ENDTS CG0001 0196 - COMMERCIAL GENERAL LIABILITY COVERAGE CG2033 0397 - ADDL INSD - AUTO.STATUS WHEN REQUIRED CG7635 0396 - ULTRA PLUS LIABILITY ENDORSEMENT IL7201 0392 - COMPANY COMMON POL CONDITIONS CGO054 0397 - AMENDMENT OF POLL. EXCL. CGO055 0397 - AMND. OF OTHER INS. CONDITIONS I, 9-CC(CG) (0787)HARTFORD (41865) PREPARED 04-21-98 CMD40 SEQ.0001 C-AN-21 PRINT001-0394-0007) Location /70 S -7U Q ti S7' No. I_S Date j q/ pf MOoT;�tia TOWN OF NORTH ANDOVER Certificate of Occupancy $ �, ; Building/Frame.Permit-Fee $ ,ssACMUSEtt'' Foundation Permit Fee $ _ r vu. Other Permit'he tj $ 5"0 Sewef;Connection,Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works � . NORTH ,9 16R 0 VIA T 0 W N O F — -_-_ NORTH ANDOVER T O _ LAKE COCHICHEwICK DATE: l X91 AORATE D P' 'CC�l NORTH ANDOVER, MASS . %SA C H U 5� PERMIT # I WS S I G N P E R M I T cye ©, C. Core P THIS CERTIFIES THAT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-. . . . . . . . . . . . .... has permission to erect . � ��. .. .. . ..� . . . . . . . . . . . . on .�.7R�. 1�P.2ti' „'/ provided that the person accepting this permit shall in every respect conform to the terms . of the application on file in this office , and to the provisions of the Codes and By-Laws relating to the Sign Regulations in the Town of North Andover . VIOLATION of the Zoning or Sign Regulations , Section #6 , Voids this Permit . 'Th 117 C'_ ., XIS ►��- ;�vuo�� `LA z r'� R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . >c��s 10 ►� x/37-90 1)7 l ' Building Inspector P .�G' X117 f it e•�w,.� rf � { FF { y} 9 r )P Y�, h A t1111r 4 t I n � I r. Ii 'gA7 Gir{, 1 w.Fl � � � 16.'U �' {> W 1 i �,� ' T.r�l.;. , i� ��k1 l� • of 1lil�k �rrd;�1'� ,»'I 1 I� I � ��1� �, �i � � l`171 • i y r y z w,5 �' d 11 v � �III'r,� r � I d�fex � (�' t • 1��� 1�i`i,1 i � � W�fu�,�€��� � � �I, N {`i�) o�ziC.� ,+� f:�l l t'�t / / • �rl{I,y��y� ," '� 1t�tA �y}(a;�`���� � ! �� �I� ';rt, �Ifl ; N ��� '�W�1�1�(�. .• • s#� 'I 1� ,�..; afro ��� �p� Gp tF �.fll, ' • SC�1 4 q� pi 1 r ' t "� � r��1 � ' � �;� �� I�I�I �R � �Mr I�I r • .�r n �'JF d q�� ' I s:� � .�� ,v p ,��1p�'J :!�'}ATMA tG 1 � AA!>f� • • A� \ I i, r SIGN PERMIT APPLICATION NORTH ANDOVER BUILDING DEPARTMENT Division of Planning & Community Development Date Filed: Mr 1 . Site Address Q � � 2 . Owner 3 . Applicant 4 . Number of Signs I Size of Sign(s ) 0' 5 . Site of Proposed Sign(s) 6 . Materials : +' '� �% "J'_- =�a 7 . How attached : (a) Against the wall ( ) 0d) Roof ( ) Ground ( ) Other ( ) 8 . Illumination : (a) Not illuminated ( ) Internally illuminated ( ) c) Illuminated from separate service ( ) 9 . Proposed Colors : Background 1�j --- Lettering Border 10 . Will sign overhang any public road or walkway: Yes ( ) No 11 . If Yes , Name of Agency who will provide liability insurance : 12 . Attachments : ( ) *Photographs of building ( ) Material sample ( ) Color samples ( ) Site or Plot Plan (Required for all free-standing signs ) ( ) *Drawings of proposed sign ( ) Other, specify 13 . Is Board of Appeals decision required? Yes ( No Li Signature of. Applicant 1988 R? h JOld Office Use Only �/6 c'� / a ung �alrtmnn�uE i of giasaErhu�i;'tts Permit No. rOccupant/& Fee Checked e 3egartl f= of iftlhlit fP2T1 �. _1 3I90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 C'dR SZ:aa APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:00 9 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date cCi�"J QM or Town of YORTH A NnOVFR _ Ta the inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street 3. Number) Owner or Tenant %U12AlPI1<F uZ'f- Owner's Address _ Is this permit in conjunction with a building permit: Yes — No (Check Appropriate Sex) Purpose of Suifdina Utility authorization No. _ �/circ Overread '_ Unagrnd No. of ,deters Existing Service Amps _J _ New Ser.,ice Amos _J Volts Overread _ Uncgrna I_ No. of Meters Numcer of Feeders ana Amoacity L ccaticr, arc Nature at Prcoased E`.ectria�i "lerx I _ - Tata: No. at -!g.^ang Cuciets No ys I No. at:ranstarmers kVA _ - - KVA No. at - Lignnng xture i Swimming P^Oi grna. — gr Td• — Ganerators No. at Emergency Lighting i No. at =ecectacie Outlets I No. of Cil _timers i 3avery Units No. of Switch Outlets No. or Gas = rr,ers ` =P.E .ALARMS No. of Zanes Total Na. at Ceection and No. ar Ranges No. at Air or.c. tons initiating Oavices Hezc Total Tatai No. at Disposals No.af ?u-_s :ons �w No. at Sounding.Devices _ 7� Na. at!ec::orvSouneinSaif Contained Oeteg Devices No. at Oisnwasners - SoacarArea r+eatira Munic:oai ^Other Lccai COnnec::an No. of Otters Hea::ng Oev:ces 'C''V — No. at No. Of I Low `Joitage No. of '.Nater Heaters KV! I Sicns - 3ailaszs l Nir:nC No. '-+yaro Massage Tucs No. at motors Tota: :HP INSURANCE CCVERAGE: Pursuant co the recuirements at %iassac-usars generai !aws eCui NO 7- I I have a current Liapiiity Insurance Policy inctucing^C:- :eed Ooeratit rtsyou naveage or ;ts c ecxea `'ES. p easte inaicace the type vaient. YE: Xaveerage Cy nave suomirea valid proof at same to the Orrice. YES _ NO r� - cnecxing the aop90 crtace cox. INSURANCE 3CN0 = OTHER = (Please Saec:ty) (Ex..,acton Catei Estimated Value at Eiec:ncai Work S - Fnai inscec::on :)a-,a Racues:ec: Roti n Wcrx :o Start /�� ( �/� Signed under Penaittet ?ery p 1J1�c-�"►� ` UC• NO. �iRVt :NANtE IFS g,g^ac re L: NO. Licensee bZ� Bus, '741. No. lOf�3 � 3 -79 Alt. Tel. ^la. Address OWNER'S INSURANCE bVAIVEP: I am aware that one Licensee apes not nave trta insurance coverage or its suentarowner w eduival9 as auirea my Massachusetts General Laws. and :nat my signature on :n:s aermit apaicaucn «dives this requirement. Ow d (Please cnecx ones etecncne No. EERnUT FEE S iSigr.ature at Cwner ar Agentl Date......... 862 r E NORTH, TOWN OF NORTH. ANDOVER PERMIT FOR WIRING ;� - , ,* z' +, •^,,rip��'"�h - ,SSACMUS� This certifies that ....... lfl. .ct. ...... .{ C<<. .t. �. has permission to perform ....!IA..................e..0....r- .t...................... wiring in the building of K i �`Q `� ....... .. ........ ................ ........ ........................ ..... at... 7 ...... .R w .1 ....:..................... , rth Andover.Mass. t q c Lic.No. Fee.. ... ............ /.4.�J.�................ ... ... .... .... .... Aer ECTRICAL INSPE R w C h G-339304/10/97 10:42 20.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer