39A-76 (49) Oct 15 01 12:27p UNION STATION 413-586-5359 p.2
rp-'` 3419 -76
' Commonwealth of Nlassachuse i g fa
..pw
t Department of Public Safe _ E
Elevator Inspection Divisio
Teleahorre 617-727-3200 Fax 6/7-248-08.1 1 OCT 1 4 2001
NOTICE OF CITATION FOR NON COM'LIRsLDIN INSPECTIONS
qON MA
OR UNSAFE CONDITION OF UNIT
BU1Wi R/ NP,EEulr.Ix 6�kAm //I��eft // n
GAINER'S ADDRESS 47a` PL(�/C///,tcAi2 v] rzEE jic
N Yr /{y}MreAi
TNI- LOCATION S.9t?rjet
`t 4 c of NbII —// r —
DATE OF INSP CcT I CN /V /2 FGi STATE TDYL—P /67
Pursuant to 524 C.M.R 8.03 notice 1s hereby given that the folloei.nc Conations have
ender a thle enat i non cvylianccAuanaee,
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(J.1Gff TUuc) .14kpiem)
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J
N -ifte 6V4(e. @:1 P�'f-' (J INTO pi.tNOJ/1gscp
.%(i !REN.c?,AJ I aV _(CJ11rDOM -+E C° L(AIY EW6 CF 47r...a nP
NOISTnI•it j -€ Mae /4 WE- 20o ink-,
THESE CONDITIONS MUST BE CORRECTED BY ///z/0!PURSUANT TO 524
C.M.R. 8.02 IT SHALL BE UNLAWFUL TO OPERAT SUCH EQUIPMENT AFTER THE
DATE STATED IN THIS NOTICE UNLESS SUCH RECOMMENDED REPAIRS OR
CHANGES HAVE BEEN MADE AND THE EQUIPMENT HAS BEEN APPROVED, OR
UNLESS AN EXTENSIOflFTHE TIME HAS BEEN SECURED,IN WRITING, FROM
TH r EPARTMENT OF II EIC SAFETY.
_
IA(t.4/ TJ a _ Y /_ — /0/O!
-NSPa, OR PAPE. ii1 /
surL.ING OWW'R/LESSEE DATE/
(1) ?WNRR L) CONTRACTOR (3) L.P.S. BOSTOt
0
MATTHEW M. PITONIAK
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Commonwealth of Massachusetts
n Department of Public Safety
pF
Elevator Inspection Division
•',•�.ar Telephone 617-727-3200 Fax 617-248-0813
UNIT WORK PERMIT
THIS MUST BE SUBMITTED BEFORE C�OMEDICIMG WORK
BUILDING OWNER/LESSEE OU/Ch pd.-5"w/ /C/T/S't-/\ ``,,
OWNER'S ADDRESS /,Lh1'/*S *v//' Si'. /�/- /if4 i..7/b/t/
UNIT LOCATION 52/513/Y// tt
STATE INSPECTOR I�/�L./Y/i2ia ELEVATOR CO. 2123-2123-2A1411A� Spy/1-^ /
. `.61J/f/F/ (^{:
04
COST OF WORK / lOOO eL 4120
PERMIT FEE q
DATE OF PERMIT REQUEST I2 G1'/� Of STATE ID* 2/y-IJ`io%
ESTIMATED DATE WORK WILL BE COMPLETED
DESCRIPTION OF WORK TO BE PERFORMED
5/2/n..- ,/20a/va /-v/J/Jp/./4
4.2i3/2//"/Ii/14 +L c 4 C- -n/ Uiv/✓
UNIT WORK PERMIT FEE:
The permit fee is based on the contract value of the work required or the value of the work if it
were chargeable to the ow/ter for each unit.
Base fee is$20.00 dollars for the first one thousand dollars of the above value PLUS$8.00
dollars for each additional one thousand dollars(or part thereof)of the above value,with a
minimum fee of$40.00 dollars.
PLEASE SEND THIS FORM ALONG WITH THE WORK PERMIT FEE TO.COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF PUBLIC SAFETY, One Ashburton Place, Room 1301, Boston, MA 02108-1618
MAKE CHECKS PAYABLE TO 'THE COMMONWEALTHE_ALOF MASSACHUSETTS' . DO NOT
T SEND CASH
BUILDING OWNER/REPRESENTATIVE �� r/ DATE /`OC/1d/
(1) D.P_S. Boston, with fee (2) Elevator Contractor/ Building Owner
a COMMONWEALTH OF MASSACHUSETTS
' }/ DEPARTMENT OF PUBLIC SAFETY
\ ELEVATOR DIVISION
'i4 C
WORK COMPLETON NOTICE
Unit Address 419 a jLh31f4emo" i 7. /U. Mi/w.0
Number/Sn-eel p City/Town
Date of Inspection /OVz/0/ _ Inspector Name: O/2uA//0/4.
State ID Number: 2//1 •A_/69 Filing Date of Work Permit: /a o et" 0/
The unit is ready for inspection and all work orders have been completed. lliilminioisimemplinere
/a./A''eniti . fh'CA'Alva / /I Or?a/
Elevator Company Signature Date
ELEVATOR SERVICE & REPAIR „--2473 ,
�,.. :_.
12473
CO INC. w-so
P.O. BOX 776
WEST SPRINGFIELD. MA 01090-0776
53-7054/2113
PAY DATEJ2- OC/-- 0/
TOYHE $
OROER OF /WJN&N W/R//e-r/-21 D� /L//}SS _ � C
T
___-—DOLARS 8' . �..M.
First/sass. r„,.®.auettia.,,r,A
]Yara0:mi1ispy 3AMix Siren
vWmm IM 01608 /
FOR a/l/C.t a/ia,ee il'ile a-..�` L - ,Li_ no
IPO i 247311• t: 2 L L370545i: 499125876•
Commonwealth of Massachusetts
' n Department of Public Safety
_
a Elevator Inspection Division
zT D
Telephone 617-727-3200 Fax 617-248-0813
NOTICE OF CITATION FOR NON COMPLIANCE
OR UNSAFE CONDITION OF/JUNIT
BUILDING OWNER/LESSEE (y1 ul�((I�/K &Am I[ N.}�LF�/``/ n
OWNER'S ADDRESS 1(9a YL(AsAq 'ra' / or—i H'/yitcp- oA
UNIT LOCATION ZO rir Jar< 40birc �J �/ /^/ // 7
DATE OF INSPECTION /0 /jA 14" //11 STATE IDA CV/ej -• r -(,L:7
Pursuant to 524 C.H.R 8.02 notice666is hereby qiven that the follovinq conditions have
render d this unit inal/laza-gad .
-non-compliance/unsafe: _
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()(s(triue) .ta74Lee m)
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(-7ttiirOAL I (icrrearfON -k L 14No46 Cr Ar;=vg7Ce,
/it(stab,A { , VY?A-O 4(LIN. ?OC IM..)
/
THESE CONDITIONS MUST BE CORRECTED BY J.// z/cL PURSUANT TO 524
C.M.R. 8.02 IT SHALL BE UNLAWFUL TO OPERATESUCH EQUIPMENT AFTER THE
DATE STATED IN THIS NOTICE UNLESS SUCH RECOMMENDED REPAIRS OR
CHANGES HAVE BEEN MADE AND THE EQUIPMENT HAS BEEN APPROVED, OR
UNLESS AN EXTENSIO F THE TIME HAS BEEN SECURED,IN WRITING, FROM
TH DEPARTMENT OF UBLIC SAFETY.
_ '/ ^ Y //J//G!
rNS a TOR ///" C� i, DAT4' /t' /
NER /6/2/0/
BUILDING OWNER/LESSEE DAT I
(I) OWNER (2) CONTRACTOR (3) D.P.S. BOSTON