HomeMy WebLinkAboutMiscellaneous - 1875 TurnpikeOV
N fl -'673 Date...
v f NORTH
TOWN OF NORTH ANDOVER
T. PERMIT FOR WIRING
This certifies that ...... ....... P&( ........ �-a ...........
has permission to perform ...... Jr..( ........... .................................
wiring in the building of ....... ...... .............................
at ..... ........... . ............. /�/, North d6ver, Mass.
\,--4 Z/�vw
Feej..� ... Lic. No.... .... . ..........................
INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
c�„ommorecvea�I�x a� �i�a��ac�xtc9ei�s
_.LJeparinxerd of }ire Services
EOARD OF FIRE PREVENTION REGULATIONS
1 Ofliciai l:sc inn!`: n
Permit No.
i
i Occupanev and Fee Checked
[Rev. I !:99) Heave blank!
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All :Murk io be performed in accordant-, with the �lass::rhusetts Electric:a Codc (NIEC)l j_'C,%Ir 12.00
(PLL;I.SE PRINT IN INK OR 7'YJ>E ALL IM"ORM.1710rV) DaIe:(� p
Citi' or Town of: /� , �u-�To th Irtsheccor of F1'ires
By this application the undersiLmetd Lives t3otice of -his or her intention to perform the electrical work described beV.v.
Location (Street &- Numl)er) g 5 i-U(LNpIV
Owner or I•enaut PL, 1 t< N pyh [ c��P
OwTier's Address a5-1 Ty2"Pt}Cc k?� S"k
! lid'.
S)00
L-01
S aL,:111 , 4-0
I�cJtnx- t/tYt.✓
Telephone�'OOGa-
Is this permit in conjunction with a building permit".
Yes
No ❑
({.'heck Approprinte Box)
Purpose of Building
tib, or LialttinQ {
a Fixtures
Utility Autliorizntion No.
Existing Service Allilm I Volts
Overhead
❑ Undgrd
❑ No. of deters
Nei. Service .melts / Volts
Overhead
❑ Uudgrd
❑ No. of :deters
Number of Feeders and Anipacit}•
No. of Alertina Devices
Location and Nature ur Proposer] Electrical Work:
i No. or Waste Disposers
if It fAm A-
Lumber , _'ons
_._.__..M...
r
Corrtolctiorr of the following table ma,: !m u•aired fir the lasnector o(1t ;res.
No. or Recessed fixtures
`lo. -of Coil.-Susp. (Paddle) trans
No. of Total
Transformers KVA
No. of Lighting; Outlets
No. of Ilot Tubs
Generators KVa
tib, or LialttinQ {
a Fixtures
Above ❑ In- ❑
St►11111t1131� Pool arnd. arnd.
`3 o. of mergenc_v 3g ung
4Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALik];UMS lN'o. of Zones
`'to. of Switches
No. of Gas Burners
N
No. or Detection and j
Initiating Devices j
t\ of Ranges
INV
Total
No. of Air Cond. Torts
No. of Alertina Devices
i No. or Waste Disposers
Elect Yntnp
Totals:
Lumber , _'ons
_._.__..M...
h1�`
_.._._._.___.
No_ of Self -Contained j
DetectionlAlertina Devices
\'o. of Dislovasliers
Space/Area Heating KW
Local [I tVlunieipai ❑ Other
CollnectioIl l
J`tio. of Dryers
illentina Appliances KW
tSecurity Svstctns:
j
No. of Devices or Equivalent
!No. of \]ratert'N0
h�V
of !��- Of 'uat:1 �i'irind
Heaters
Sins Ballasts No. of Devices or Equivalent
(—
No. Hydromassage Bathtubs
Telecommunications Nl'irina:
�No. of itilotors Total III' � No. of Devices or Equivalent
A OTHER; oe-%1_A-1�- A
;teach additional detail jdesire,,, or as required fir the hispector of "Vires.
1\SURANCE COVERAGE: Unless t.'ai:•ed by the ot%ner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coveraee or its substantial equivalent. The
midersianed ce-titles that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK'O1\'E: INSUR.'1\'CE C BOND ❑ 01 -HER ❑ (Specify:)
tE.Ypir:aion Daie)
Estimated Vaitic of lcctrxal �lrufk: �Q� (When required by ntutticipal poise;.)
',Voik to Stat;: 047100 Inspections to be requested in accordance with NIEC Rule 10, and upon con,pietion.
I terrify' trttr(er the limits atm penalties of lrerjun', that the information on this alrplication is true and complete.
LIC.10.: J.iloy(rac
Licen�.see• KP►r'' e r0sSshnature i IC. NO.:J
i% f� ;t ic�i�ir, �rucr " trcrrrpt " rn dir lrcenm number line:! Bus. Tel. No.:7 $F
Address: Alt. Tel. lo.:
0\N".NER'S INS IZA-NCE: NVAIVEIt: I am aware that the Licetlsee does not have the liabiht ' insurance coveragc nocrnatty
feG'U!f tI LSV la'.t'. Y' :11V 51+ [l iilifC;uelo�Y, t Ilcfet?;' tt'a,t'C 'UIUS regturCniclit. 1 aill tilt: (Chet~ onc} ❑ vt'.tlei []
0„ncrl.,-e:lt .. 1 PegmiT-FrE- 13S,00'
0
k
r
r—
IC
OF ELECTRICIANS
REGISTERED SYSTEM CONTRACT
ISSUES THIS LICENSE TO
JEWEL PROTECTIVE SYSTEMS It
MICHAEL A DECOSTA
8 I RE NE AVE
BILLERICA
MA 01821-501
1526 C 01/31/01 9307714
l tir
Fold, Then Detach Along All Perforations
f.
•`r.. ✓�.�• �nayH�xc•�tu�en�/f O�•..!%�JJCI�Itf�Jnt/J �
DEPARTHEHI 0r PUBLIC SATETY
SEC SYS`CERT. CLEARANCE
,rM NE�Rber: Expires: Birthdate:
to
.I
5S ,.0 :000514 08/21?2000 0aF21 1,...
i' RPstriCted to: Da
I'
NICHAUAe GICOSTA
tib F.L'Of KE ST
MA; Ur► ; aA D21aa
06/13/2000 11:37 FAX 1 978 682 8482 DURRIN,DEVRIES & PIZZI x{001/001
0
Irkin DeVries & Pizzi Ins Agcy, LLC
.0. Bax 770
estford, MA 01886
BRIM 06/13/2000
ONLY AND CONMS NO MGM UPON THE CERTIFICATE
HOLDER TIM CERTMATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
COMPANY
Patricia Capadanno Ext A
D Jewell Prot.Sys. Inc.D/B/A ULTRA Guard Prot. ! COMPANY
99 (Rain St
Mal den , MA 02146 ' COMPANY
COMPANY
INDICATED, NOTW HSTANDM ANY REQUR mW. TERM OR CONOTION OF ANY CONTRACT OR OTHER OOCUU9iT Wirt! RESPECT TD WHICH THIS
OWFLCATE MAY BE ISSUED OR MAY PERTAK 7W MJRANM AFFORDED BY THE POLICIES DESCRIBED HERRN 16 SMSCT TO ALL THE TERMS.
EXCLUSIONS AND CONMnONS OF SUCH POUQE& L Mff$ SHOWN MAY HAVE BEEN REDUCED 6Y PAID CLAW.
PTRI rfmor-ROWAKE POLICY MIN" POLICYsFECTIYE 1PO=E~nox � u1WfS
OATEp�AMMM 0ATEpMYIDDI9Y#
QW&MLLLAGNM GENERALAGiGREWE !1$ 2,000,000
X COMmawAx GasuLumurf PRODUM-COMPMAt : si 2 000 000
A0"MMADE 0 ODOM /B/A OSji9/2000 05/19j2001 H'eRSoaALaAOYRii4lRY ! s 11,
000000
} ON S6CONLRACTOHtBP[iaT EMNOCCURRENCE Is 1000,000
X ERRORS & OMISSIONS FFREDAMAGEVManeke) IS 100 000
usual to alarm/service/install
SHOULD ANY OF THE ASM DESCRIBED POLF = BE CANCELLED BBFORE THE
flXPtA 7MO►TFTSF,TWi%W=COKPANYVNLLiNDFAVORTOVAIL
_�,i)�1i71 �ii� �R pLDERHUIYEDTO'ffiELEFT,
BUt FAIL S OBLJiiAT10N OR LLABOM
DP ANY 7f,oc
Inspector of Wiring department
X
EACH ACCIMI S
MW VP(Aayafepe=0 s 10000
AUTOMMLE LUkKnY
1 XZU LIABLRY
ANYAUTO
UMBRELLA FOWAGGREGA
GMMEDSINGLE LUT t S
ALLOVAHEDAUT'Q,q
OTWM THAN tA*K*W A FORK
Y
8
ITIDN AND
F
ALPL.OYEk9' LLI{BBJTY
ILY INJURY !i
(Par'
TORY tJMtTB ER
SCHFAUI�AUIDS
THEPROPRIETOAIrARTNSPUSZ�
I�F)
W r
s
Ei EACHACCIDEK Is
�
HiaGt,
OFACERSAFiE: E6CL
Y
T10
AU8
OL DMEASE-EAO PLOM ! S
iP -monTH tIt
is
PROPERTY DAMAGE ; S
{ammEmmUn
AUMONLY-EAACCOW 's
j�u�� ANYAiJiO
OTHW THAI AUTO ONLY
usual to alarm/service/install
SHOULD ANY OF THE ASM DESCRIBED POLF = BE CANCELLED BBFORE THE
flXPtA 7MO►TFTSF,TWi%W=COKPANYVNLLiNDFAVORTOVAIL
_�,i)�1i71 �ii� �R pLDERHUIYEDTO'ffiELEFT,
BUt FAIL S OBLJiiAT10N OR LLABOM
DP ANY 7f,oc
Inspector of Wiring department
EACH ACCIMI S
AGGRMATEI 6
1 XZU LIABLRY
FSACK OCCUIVIENCE s_
UMBRELLA FOWAGGREGA
_
TE � 6 ----
OTWM THAN tA*K*W A FORK
8
ITIDN AND
F
ALPL.OYEk9' LLI{BBJTY
TORY tJMtTB ER
THEPROPRIETOAIrARTNSPUSZ�
Ei EACHACCIDEK Is
aotsEase-PatCYLwtr
HiaGt,
OFACERSAFiE: E6CL
OL DMEASE-EAO PLOM ! S
usual to alarm/service/install
SHOULD ANY OF THE ASM DESCRIBED POLF = BE CANCELLED BBFORE THE
flXPtA 7MO►TFTSF,TWi%W=COKPANYVNLLiNDFAVORTOVAIL
_�,i)�1i71 �ii� �R pLDERHUIYEDTO'ffiELEFT,
BUt FAIL S OBLJiiAT10N OR LLABOM
DP ANY 7f,oc
Inspector of Wiring department
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DING IG
Maiden U.EY PREMIUM SOU
�i. 586-1171 - VA a.
n 3U-7160 M111111 Sn-6111118 isoei
ijol 3MI 806 (61
Partsmouft NN INSTALLED BY FACTORY TRAINED TECHNICIANS:�`
"k MA AN
��Qulncy.
(SOM 436-7548
.(617) ...
ilgII-15110,
WINDOW a -: � _
AlIONAL TOLL FREE 1-800-370-lq( �n
--RNAT
TION #100792
:,-�:,-9�tMASS REGISTRATION
LTA
7 CO NSU
SOURCE .'13 SOURCE
DATE
7 M
WO MW R
ME TEL:�kk 6'836
EY 50 White Street,Haverhill 1 hereafter..
& SIDING9
V L WI DOW
etwe
THIS AGREEMENT,'.m&,a1nd entered into b
P
referred to as a contractor D:
ref tor STATE LIZl
.h2 ZIP - *
�4
CITY -
A ESS/STREETA
:�` hereafter DDR
referred to as owner. a
necessary to install the following described work
furnish all labor and materials necessa
E SAID CONTRA
CTOR hereby agrees that I
t ... ... d work
ti
d t
CONTRACTOR
_,��.�:premi�es loca e a: JOB ADDRESS,.,
ks after final fittings and complete describe
%:�:f wee
e* ribed
-start d work on/or about
agrees to ZL
described
T,
V irabout i1bo working'da
INSTALLATION BEFORE
NOT START INSTA
DELAYED INSTALLATIONS: DO
CONTRACTOR shall not be held liable.for,delaysdue to causes; beyond control,
The following Work Includes'alI
labor.indmateria s needed tocomplete your job in a workmanlike man
'j
al I,nstn
Area: to be sided,
Si
be used` z
n
to
to
Insulatil
IM4
"Color
'Brand, -V
Siding
1 rte.
'Style
'added:to'arjyamoun v�
iitri 7.. r
INOWN
0
olor Customer (nit,
06-,
i
tOned by: a
. -14
BY. VALLEY:
(1.3 '6EPO*SiT$
je on completion $
,thereto fat ra.piece ,i6thee.th.ati.the;
6tIfy,Vjj.qeIIerIn W'AtInOthlima
,than midnight of the third In
. . . . . . . . . . . . .
.... . . . . . . . . .
rtnLm coil 'Aluminum OPY.
n ow It 41
Door treatment
Trim m Co or
'tre'a:tm4nC,.'1,
Shutter bran
Fascia
"i -
pjpj Style
_Q.f fit re a:imenC
'added:to'arjyamoun v�
iitri 7.. r
INOWN
0
olor Customer (nit,
06-,
i
tOned by: a
. -14
BY. VALLEY:
(1.3 '6EPO*SiT$
je on completion $
,thereto fat ra.piece ,i6thee.th.ati.the;
6tIfy,Vjj.qeIIerIn W'AtInOthlima
,than midnight of the third In
. . . . . . . . . . . . .
.... . . . . . . . . .
n ow It 41
Door treatment
Shutter bran
.0
Gutter Style
pjpj Style
E -Z Blocks
3—j
Dryer Vents.* 14 Amt
-4 F
gw
1��Slz
Gabler Vents,=,77=777.
PAY
THE OW ER.SHALL ... FOR THI
13 Irf CasfV6tjQhec,lz. Zip�t
-d-
0' B izAtion,
Bank 0
y
adrdement It.-Itl
Xou May: can6el"this"i . -1- 1—
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Location '7.S
l
,No. � �2 Date
SEP 14
I, 1"A --C121111
6543
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Perini
$
Sewer Connection Fee
$
WIRe&' Connection Fee
$
TOTAL
$
i
Building Inspector
Div. Public Works