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Home My WebLink AboutWiring Permit - Correspondence - 420 GREAT POND ROAD 5/27/2014 5 �i Date.. ......� F ................. r°; ~ TOWN OF NORTH ANDOVER PERMIT FOR WIRING 8�1CHU3E a .. This certifies that..:. .....!.. �g�..;. .. ...... 4. :.. ........ has permission to perform` f J ..:'... ::: wiring in the building of i l w f i at e �' ��'.............� ` ••..••, North Andover Mass. Fee......... , Lic.No. G. . .. .� ,.,.1�pp� �.f yy4r �\ ELECTRICZ T* ECTOR s �1 Check# �`_f r 4 'AC Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: May 18, 2014 City or Town of.•North Andover To the Inspector of Wines: By this application the undersigned gives notice of his or her intention to perform the electrical work described below, Location(Street&Number)420 Great Pond Road(WATER TREATMENT PLANT) Owner or Tenant Town of North Andover Telephone No Owner's Address 1600 Osgood Street,North Andover,MA Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Public Hoasing-Apartment Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:Disconnect and reconnect with new feeders Roof-top Units and Exhaust )n Roof and Unit Fan Heaters No.of No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Trans Total Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting 3 No.of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches No.of Gas Burners No. In Detection and nitiatin Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/AlertingDevices No. of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection Dryers Heating Appliances KW Security Systems:*No.of Dr y No.of Devices or Equivalent No. of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No. H y g No.of Devices or E uivalent r OTHER: c""" Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1200.00 (When required by municipal policy.) Work to Start:ASAP 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 �--j— 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 the pains and penalties of perjury,that the it f,,Wv Cation on this application is trite and complete. (� FIRM NAME: AURORA ELECTRIC,INC. LIC.NO.: 14881-A Licensee: JOSEPH M.DEMELO Signature - �' -Ad LIC.NO.: 29992-E (Ifapplicable,enter "exe n t"in the license number line.) Jose h M.DeMelo, roje t alter Bus.Tel.No.:(40 1)45 3-0004,Ext 25 Address: 148 SUMMIT ST.,E.PROV.,RI 029141 Alt.Tel.No.: (401)639-6044 Robbv *Per M.G.L c. 147,s.57-61,security work requires Departmen of/ blic Safety"S" License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Lice e 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: $ ' Signature Telephone No. 1 Please visit our web site at http://www.mass.gov/dpl/boards/EL AURORA ELECTRIC INC JOSEPH M DEMELO (EL) 36 SWEET FERN RD WARWICK RI 02888-5326 Fold,Then Detach Along All Perforations . OMM0 WEALTH CIF M ,N'OHU .TTS EhCrtRlC1-ANS ,I ` I ; S S U E S THE FOLLOW 1 NG 'LICENSE R>:GiS >vRED MAST IR E';LECTR:ICIAIJ' ` AURdIA ELECTR IC INC ' :iQSEPH F1 DEMEtp 36 SWEET FERN. RD IZ; t ARWICK RI, o2888-53z 07/ <<�� 772$3 ry I Please visit our web site at http://www.mass.gov/dpl/boards/EL JOSEPH M DEMELO (EL) 36 SWEETFERN RD WARWICK RI 02888-5326 Fold,Then Detach Along All Perforations k OC)MMO14WEALTH OV MA SACHUS S. . > <i -.BOAfi E�ECTRIC1ANS ISSUES THE FOL LOW INt L10ENSE JOURNEYMAN ELECTt?I C I AN H A,DEMELO 31Z 36 -SWEETFERN ,Rf] WARWICK Rr, 0288$ 5326 .. 29992 .E. ...:. ;.07/3.1:/�6 7Z2$2 0 0 ` CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYYYY) 04-28-14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(Ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM Michael Dace Davey Insurance Agency PHONE FAX FWe AX UOI 401-398-8017 EMAIL ADDRESS: 631 Main Street INSURERS)AFFORDING COVERAGE AIC a East Greenwich,RI 02818 _. INSURER A; Selective Insurance Co, INSURED INSURERS: Beacon Mutual Ins,Co. Aurora Electric,Inc. i srl,uRErz c clo Joseph DeMelo wsuRER D 148 Summit Street IrIuR�EI East Providence RI 02914 INSURER P; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ttN3Rf(—�— TYPE OF INSURANCE ADDL SURR POLICY EFF POLICY EXP LTRJPOLICY NUMBER IMIAIPDNYYYI (MMIDDNYYYILIMITS ¢GENERAL LIABILITY EACH OCCURRENCE $1 000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO REEn crrtNTED'rraPA,. ';�100,000 CLAIMSWADE I—x]OCCUR Q60811500 06/27/13 06127/14 MED EXP(Anv one person 00,000 PERSONAL&AOV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS•COMPtOP AGG 1$3,000,000 POLICY X pRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 00U 5 e A ANY AUTO BODILY INJURY(Pot person) $ ALL OWNED X SCHEDULED Q60811500 06127/13 06/27/14 BODILY INJURY Per ardent $ AUTOS Auros ( ) X HIRED AUTOS( NOWOWNED PROPERTY DAMAGE $ _ - AUTOS $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S1,000,000 A EXCESS LIAR I CLAInS4,IADE Q60811500 06127/13 06127114 AGGREGATE S1,000,000 DED I I RETENTION $ WORKERS COMPENSATION X VJC STATU OATH" AND EMPLOYERW LIABILITY YIN ` '--ANY PROPRIETORIPARTNERICXECUTiV E.L.EACH ACCIDENT $100,000 B OFFICEWMEMBER EXCLUDED7 N I A '12142 05/06/13 06106114 — — (Mandatory In NH) E L.DISEASE..EA EMPLOYEE S 100,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE,POLICY LIf:IT S 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1A1,Additional Ronnarks$chodula,If more spaoa Is raquhed) Waste Water Treatment Plant Electrical Work CERTIFICATE HOLDER CANCELLATION Town Of North Andover SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED Rt:PRESENTATIV 9 1988-2010 ACORD CORPORATION. All righ reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Electrical Telecommunications Affluroral n _:.._._._._...._.._.:..:_. ..._..........� .._.....:...._..w..__ . May 201h, 2014 Mr. Peter Murphy, Electrical Inspector Town of North Andover Inspectional Services 1600 Osgood Street, Suite 2035 North Andover, MA 01845 RE: Electrical Application Permit(enclosed) Dear Mr. Peter Murphy, Enclosed is the permit application for the electrical work associated with Energy Efficiency Project the Town of North Andover has with Ameresco, Inc.We are doing selective electrical work specifically within the Wastewater Plant located on 420 Great Pond Road. Per our telephone conversation we had with you today,the permit fee is waived since this is a town owned building. If you have any questions, please feel free to contact me. (401) 453-0004, ext. 25 Sincerely, Llo-y seph M. DeMelo [ O. Box 6301 e Providence, RI 02940 Phone: 401-453-0004 Fax: 401-453-6822 atAroi,aelec;tri(,",@(.-.ox.r)ct