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'._ A t rL 1 ," ) ,i 1 ,.<x4.,,. .'� t .�.: s., 1. rt N 1� �. j Sia ,J 'i i x� a �., i z.:f .. .�. . , I , [ .I r., f I I _ - - - _ - ,�. ,r- official Use Only commonwealth of Massachusetts Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] leave blank APPLICATION FO.R PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CIviR 12.00 (PLEASE PRINT IN INK ORP ALL IX66V61L MATION) Date:. City or Town of: To the Inspector of Wires: By this application the undersign gives notic his or her intention to perform the electrical work described below. Location(Street&N ber)4fiRV03T6 Owner or Tenant Telephone No. 6 Owner's Address _ Is this permit in conjunction with.a building permit? Yes ❑ No (Check Appropriate Boz) Purpose of Building Utility Authorization No. I Exist ncr.Service_ Amps /:-. - _Volts OFerhend ❑` Undgru ❑ No.-o`,Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security and or Fire alarm systems Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ o. o mergency Lighting No.of Luminaires Swimming Pool rnd. grnd. Battery Units • No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatin Devices' otal No.of Ranges No.of Air Cond. Tons No.of No. Devices Heat Pump Number Tons KW No.of elf-Contained No.of Waste Disposers __..___.... Totals: Detection/Alerting Devices _ No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other _ Connection No.of Dryers Heating Appliances KW Securi Systems:* No.-of Devices or Equivalent N`o.of Water KW No.of No.of Data Wiring: f Heaters _ SlEns Ballasts No.ofDevices or Egnivatent . No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNDjcer Wiring: � No.of Devices or Equivalent OTHER: ,{ , Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value af Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage.or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify,under thepains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC.NO.: 1533 C _ Licensee: Kenny Wong Signature ._. ,--- LIC..NO.: 5966D (Ifapplicable,enter "exempt"in the license number line.) Bus.Tel. No.: 603-594-5900 *Address 18 Clinton Drive Hollis N.H.03049 Alt.Tel.No.: 603-594-5930_ *Security System Contractor License required for this work; if applicable,enter the license number here: SS CC 001975 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑.owner's agent. Owner/Agent PERMIT FEE. $ ' -fO Rpature Telephone No. .o Town of NORTH ANDOVER BUILDING PERMIT INSPECTION REPORT PERMIT NO.: S�0 PROJECT: '- �` '�' �� INSPECTION DATE: 3. 2�-06 UNIT NO.: 6p FLOOR: WING: BUILDING NO.: r REMARKS: 1L, n,4 L- "./e C-_ 12, CA 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: 3 ' 2 o- L Date: Date: v .Inspector '� Inspector Inspector Fire Dept- oil burner,tank,stove,smoke detectors Final inspection Certificate of Use and Occupancy Date: Date: Date: C of 0# Inspector Inspector Inspector 1 �Mo.TM o � w �sc+ust CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER i.,Building Permit Number 779 6/23/0D Date: April 5, 2006 THIS CERTIFIES THAT THE BUILDING LOCATED ON 2357 Turnpike.Street='Valley Realty Dev LLC.for Units #601 -612 (12 Units) 600 Adler ay MAY BE OCCUPIED AS Town Houses (12-units) 40B Project Bldg 6 IN ACCORDANCE WITH THE.PROVISIONS OF THE MASSACHUSETTS STATE° BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Valley Realty Dev LLC 23ii4on Street Ste 1B Noifh.Andover MA 01845. f - Ji