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TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Hudson

BROWSE TOWN OF HUDSON (NH) FORMS

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Fire Alarm Fees:
Residential - $60.00 (waived if principal occupant is 65 or older)
Commercial/Industrial - $60.00 plus $0.50 per initiating device
Permit Renewal - $15.00 INSP-40 - Rev. 10/2018
TOWN OF HUDSON
FIRE DEPARTMENT - INSPECTIONAL SERVICES DIVISION
12 School Street · Hudson, New Hampshire 03051 · Tel: 603-886-6005 · Fax: 603-594-1142
FIRE AND EMERGENCY ALARM PERMIT APPLICATION
Installation Address: _______________________________________________________
Business/Complex Name: ________________________________________________
Type of Occupancy: Residential
Commercial/Industrial
Building Square Footage: ______________ Number of Floors: ______________
Office Use:
Permit #: _________
Map: _________
Lot: _________
Zone: _________
Requested Work: New System Existing System Modification Renewal
Type: Master Box Private Alarm DACT* *Make/Model of DACT: _______________________
Fire Alarm Control Panel (FACP)
Make: ______________________________________ Model: _________________________________________
Addressable System: Yes No Zones in FACP: ________ Sprinkler Zones: ________
Heat Detectors: ________ Smoke Detectors: _________ Manual Actuated Devices: ________
Other Activation Devices: _________ Prerecorded Message*: Yes No
*If yes, message to be approved by Hudson Fire Department and comply with Saf-C 803.
Fire Alarm System Description: _______________________________________________________________
Person Responsible for Alarm System Operation: ______________________________________________
Address: _____________________________________________________________________________________
Telephone #: _________________________________ Mobile Phone #: _______________________________
Second Responsible Person (Required): ________________________________________________________
Address: _____________________________________________________________________________________
Telephone #: _________________________________ Mobile Phone #: _______________________________
Alarm Monitoring Company: __________________________________________________________________
Address: _____________________________________________________________________________________
Telephone #: __________________________________ Email: _______________________________________
Alarm Service Company: _____________________________________________________________________
Address: ____________________________________________________________________________________
Telephone #: __________________________________ Email: _______________________________________
_____________________________________________ _________________________
Applicant Signature Application Date
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TOWN OF HUDSON FIRE DEPARTMENT - INSPECTIONAL SERVICES (Town of Hudson)

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Completed 23 January 2021

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