HomeMy WebLinkAboutMiscellaneous - 1 Singlewood LaneThe Commonwealth of Massachusetts Office JUse Only
Permit No. �`?' Z
Department of Public Safety Occupancy & Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
3190 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts-Electdcal Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date February 24, 2006
City or Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) 2357 Turnpike Street
owner or Tenant Valley Realty Development LLC
Owner's Address 2357 Turnpike Street, North Andover, MA
Is this permit in conjunction with a building permit: YesE] No❑ (Check appropriate box)
Purpose of Building Pump Station Utility Authorization No. --444M
Existing Service Amps / Volts Overhead❑ Undgrnd❑ No. of Meters
New Service 100 Amps 120/208 Volts Overhead❑ Undgrnd Jt❑ No. of Meters 1
Number of Feeders and Ampacity 341, 146 gnd
Location and Nature of Proposed Work Furnish and install Power for Pump Station
Other:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws:
YES ❑ NO ❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent.
YES ® NO ❑ I have submitted valid proof of same to this office.
If you have checked YES, please indicate the type of coverage by checking the appropriate box:
RANCE ® BOND[] OTHER❑ (Please specify) Carlin Insurance
Expiration 7a -Fe
ated value of electrical work $ $150,000 (Total Const. Cost)
to start Immediately Inspection Date Requested: Rough will call
Signed under the penalties of perjury:
FIRM NAME Consolidated Electrical Services a division of
Licensee Lawrence Pantano Signature
Final will call
LIC. NO. 17502A
LIC. NO. Same
Address 661 Pleasant St. Norwood, MA 02062-4603
Business Telephone No. (781)-769-7110 Alternate Telephone No. (800)-628-7110
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required
by Massachussets General Laws, and that my signature on this permit application waives this requirement. ❑ Owner ❑ Agent (check one)
Cgnature of Owner or Agent)
Telephone No.
Permit Fee $ 225.00
Total
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
KVA
Above In -
No. of Lighting Fixtures
Swimming Pool
and rnd
Generators
KVA
No. of Emergency Lighting Battery
No. of Receptacle -Outlets
No. of Oil Burners
units
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Detection and
No. of Ranges
No. of Air Cond.
Total tons
Initiating Devices
Heat
Total Total
Flo. of Disposals
No. of Pumps
Tons KW
No. of Sounding Devices
�i.
No. of Self -Contained
of Dishwashers
Space/Area Heating
KW
Detection/Sounding Devices
No. of Dryers
Heating Devices
KW
Local 0 Munlc. Conn.
Other
No. of
No. of
Low Voltage
No. of Water Heaters KW
Signs
Ballasts
iwlrin,,
No. of Hydro Massage Tubs
No. of Motors
Total HP
Other:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws:
YES ❑ NO ❑ I have a current Liability Insurance Policy Including Completed Operations Coverage or its substantial equivalent.
YES ® NO ❑ I have submitted valid proof of same to this office.
If you have checked YES, please indicate the type of coverage by checking the appropriate box:
RANCE ® BOND[] OTHER❑ (Please specify) Carlin Insurance
Expiration 7a -Fe
ated value of electrical work $ $150,000 (Total Const. Cost)
to start Immediately Inspection Date Requested: Rough will call
Signed under the penalties of perjury:
FIRM NAME Consolidated Electrical Services a division of
Licensee Lawrence Pantano Signature
Final will call
LIC. NO. 17502A
LIC. NO. Same
Address 661 Pleasant St. Norwood, MA 02062-4603
Business Telephone No. (781)-769-7110 Alternate Telephone No. (800)-628-7110
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or it's substantial equivalent as required
by Massachussets General Laws, and that my signature on this permit application waives this requirement. ❑ Owner ❑ Agent (check one)
Cgnature of Owner or Agent)
Telephone No.
Permit Fee $ 225.00
n �4
O
:o Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PERMIT NO.:1,74-7-7 PROJECT: )�-4e A'I )r 5 INSPECTION DATE: T - Z'7- 0(7
UNIT NO.: FLOOR: WING:
REMARKS:
sQiLV, Gc- to
BUILDING NO.:
r3 100 A Z.o� vo f �" t
5p � -4-t- -5� 7 F , 4,�)
Excavation - depth and soil conditions
Framing -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector.
Footings and foundations and drains -
Insulation -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Electrical - rough -
Plumbing and/or gas - rough -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Electrical - final ��
Plumbing and/or gas - final
Other:
Date: �"" a�— g 6
Date:
Date:
Inspector
Inspector
Inspector
ire Dept -
oil burner, tank, stove, smoke detectors
Final inspection
Certificate of Use and Occupancy
Date:
Date:
Date: C of 0#
Inspector
Inspector
Inspector
PERMIT NO.:
UNIT NO.:
O• wO�ty 140
G
Town of
NORTH ANDOVER
BUILDING PERMIT INSPECTION REPORT
PROJECT: IFF, H (-A-wWS INSPECTION DATE;
FLOOR:
WING:
REMARKS: "'� �t�+ti�t10 TA olsi c)ni-0e 2G/?OL4 )
30 41h1r�lp.
Z - ZZ • 06
BUILDING NOY Bu,10'0�17 J
c v
Excavation - depth and soil conditions
Framing -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Footings and foundations and drains -
Insulation -
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Electrical - rough - PA t
Plumbing and/or gas - rough -
Other:
Date: j — Z Z '" O
Date:
Date:
Inspector �%r
Inspector
Inspector
Electrical - final
Plumbing and/or gas - final
Other:
Date:
Date:
Date:
Inspector
Inspector
Inspector
Dept -
,ire
oil burner, tank, stove, smoke detectors
Final inspection
4
Certificate of Use and Occupancy
Date:
Date:
Date: —Cof 0#
Inspector
Inspector
Inspector