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Home My WebLink AboutWire Permit - Permits #12897 - 601 MAIN STREET 11/12/2014 O 3 IMM MR M MO Date OR ..... ..z EN .. �' • ' °g ' III ME TOWN OF_ . MI VER M NOR �. T FOR °, `a \ 14U MM pm ggo ME Th1S1 4- \ \ on certifies at t = 3 v NIE ft1,171 S �* Perform . \\ \ permission - 01 \ 2I 111 th :.. I in e building of..... -�, .. :. ME 11:10at M � ................... �` _ EN \\ T o .., �� ME fee... , Forth Andover, \ IBM\ Lic. No. \' 5, \ e� Ll - Check £E�.�c`�-xtc r \�\ 0 I�vsp�cTox, z R IN AM a\ I\ �O Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS I[Rev. 1/07]. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEQ,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: November 5th,2014 City or Town of: NORTH ANDOVER ' To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to'perform the electrical work described below. Location(Street&Number)60MAIN STREET(KI'TTREDGE ELEMTARY SCHOOL) Owner or Tenant Town of North Andover Telephone No(978)688-9500 Owner's Address 120 Main Street,North Andover,MA 01845 Is this permit in conjunction with a building permit? Yes 'Fj No (Check Appropriate Box) Purpose of Building Elementary--School Building Utility Authorization No. Existing Service Amps Volts Overhead[—I Undgrd 7 No.of Meters New Service Amps Volts Overhead❑ Yndgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:Replace power wiring/connections to Ten(10)unit ventilators 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 No.of Luminaires Swimming Pool Above n- No.of Emergency Lighting grnd. El grnd. F� BatteEy Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tota Tons No.of Alerting Devices , Heat Pump J.NyP!PeT..J..' qqs IKW No.of Self-Contained No.of Waste Disposers Totals: .............. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local R Municipal Connection [:1 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters KW Signs Ballasts Data Wiring: — No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel-ecommunications W rn No.of Devices or Egiuiivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $9500.00 (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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE P9 BOND F1 OTHER M (Specify:) I certify,under the pains and penalties ofperjury,that the inforn6Won o on is true and complete. FIRM NAME: AURORA FLECTRIC,INC. tl� tr LIC.NO.: 14881-A Licensee: —JOSEPH M.DEMELO Signature�(� i LIC.NO.: 29992-E (ffopplicable,enter "em It 11 1-n the license number line.) h M.DeMelo,Project Manager Bus.Tel.No.;(401)453-0004,Ext 25 Address: 148 SUM TST.,E.PROV.1RI 029141 Alt.Tel.No.: (401)639-6044 Rob by ...........*Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety "S"License: Lic.No. 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) E]owner El owner's agent. Owner/Agent I Signature Telephone No. PERMIT FEE. $ ` urora ELECTRIC, � � �� INC.� �� 0 �� Q�. � �� Electrical & Telecommunications Novennber5m ZO�� 12-0 � 2 ' / � r-/�~� �~�� / * �� ~~� � U \ � | Attn: Building Department / �� \ Ob��^� ' � o // ��^� / r~ Electrical Inspector / TOWN OF NORTHA0D( VER | 8 1600 Osgood Street | Building 2[L Suite ZO35 North Andover, MAD1O4G RE: Becthca| PennitAppUcations—EndVsed Dear Electrical Inspector: Please find the attached five (5)electrical permit applications for work associated with energy efficiency contract the Town of North Andover with our general contractor,Ameresco, Inc. I had called your Building Department earlier and they told me the permit fee would be waived. | have enclosed a copy ofrny license,our electrical license and copy of insurance ofcertificate. If you have any questions, please feel free to contact me in my office: (401)453-0004,ext. 25 P.O. in erely, Pr je t Manager BoxG3O1 9 Providence, R| 02940 * Phone: 4O1-453-OOO4 Fax: 401-453-G822 ° aurorae|eotrio@cox.net I TI I+ A 'lam F11ATIEIMMJ0WMY� 5-14 THIS CERTIFICATE I$I$SUED AS A MATTER OF INFORMATION ONLY AND CONFEF S NO RIG ITS UPOlJ THE CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER.THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF IN$URANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poiley(les)Must be endorsed. If$UEIROGATION IS WAIYED,sukject to the terms and conditions of the policy,certain policies may require an endorsement.A statement On this certificate does not con€er rights to,the certificate holder in lieu of such endorsement(s). PROC JCER c2a! Michael Dac _ Dacey Insurance Agency PI oNs .d01.398. 0.20 FAAI .401-398-80'17 ,MAIL. .._.... ..Ns 631 Main Street I RER s AFFORDIMelcoVl RA E Aic d East Greenwich,RI 02818 iNsuRaFt A-,Selective Insuronce.Co.. INSURED INSUREk , . I3eeCOn Mutual Ins.CO. Aurora Electric,Inc: clo,Joseph DeMelo INSURER 6 148 Summit Street INSURER E! East Providence!Ri 029.14 INSURER P: COVERAGE$ CERTIFICATE NUMBE REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF IN$I,IRANCE.LISTI D.BELOW HAVE BEEN ISSUED TO THE INSURES?NAME6'ABOVE FOR THE POLICY PERIOD INDIcATED, NOTWITHSTANDING ANY RE,IUIREMEAIT,TERM OR Ct7NDITIC}N OF ANY CONTRACT OR 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. INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE OLICY NU ER LIMIT,4 GENERAL LIABILITY EACH OCCURRENCE .s k 000,000 A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 000 0110 CLAIMSWkbc VI OCCUR MED EXP one person) s .•__ 10,000 Q60811500 06/27/14 06/27/15 PE!Si NAL a ADV iNaURY s 1 00D,000 ',GENERAL AGGREGATE 0,000,000 000 GEN'L AGGREGATE LIhItT APPLIES FEW PRODUCTS-COMPtOPAGG $3,000 000 POLICY f X PRO LOC $ AOTOMOBILEUA131LITY Gt?MSiNED:SiNt3LELIrIrr L.400�000 A. ANY AS3TO SODILY INJURY(Per persan) S ALL OWNED 1xx SCHEDULED AUTOS AUTOS Q60811500 'BODILY INJURY(Per acredsnt) 5NON-O'NNE 06/27/14 '06/27/15 D PROPERTY DAMAGEX HIRED;AUTOS AUTOS S s X UMSFSLLALI6ce X E7CCL : .EACH OCCURRENCE 111111191 A EXCESS LIAR ei AIIas: ADS Q60811500 06/27/14 06/27/15 AGGREGATE s 1,000 0(30 DED RETENTI. N WORKERS COMPENSATION WC STATU- I .OTH. AND EMPLOYERS'LIASILITY" YIN ANY PROPRIETORIPARTNERIEXEGUTIV EL.GA9gAGCfD NT _ S l GO 000 8 OFFIGERIMEMBER EXCLUDED? NIA 12142 06/27/14 Q6/27/15 (Mandatory In NH) IE L nlsEas -I r EMPLOYEE $100 000 if yes,describe under -- ---— DESCRIPTION OF OPERATIONS below IE1.DISEASE-POLICY LIMIT $500,000 DESCRIPTJON OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 10i,AddlNonal Ramarics Snhstlui4,IT'rnortapaee Fri mgWrodl Electrical work associated with Town of North Andover's Buildings CERTIFICATE HOLDER CANCELLATION Town of North Andover 'SH LD ANY OF THE,ABOVE DE CRISEo P tleiEB as CANCELLED EIEFORk THE EXPIRATION DATE; THEE ga, NOTICE WILL Elk DELIVERED IN ACCORDANCE:WITH THE.P6LIOY"PROVIMONS. AUTHORIZED 6IEPRE8ENrATIV 19884010 ACORD CORPORATION. All righ reserved. ACORD 26(2010J0$) The ACORCI name and loge are registered marks of-ACORD. � � = - - v A 6 Fold,Then Detach Along All Perforations ON WE I.:TH it S A ELE�'TF�9CiANS ! r ISSUES `7MlE �`OLLOWi N6 L f C"ENSE <ELECTR I C I Aft a JO t'FI M OEMELO ' 36 •SWEET-rt 'RD WOWICK 02888 5326: 29q�2 E ''07/3��6': 282 • Fold,,Then Detach Along Ali Part orations ,n �+ s. ".. Of��1finI1■�■■Q Yr `LI r1 �I»i C11" ISSUES THE 44LOWING L.II;EUSE AS REG1 T�t,HD MASTER 6LECTR i C1 AN"", AWRORA ELECTRIC INC ° Jt�SEI�H J. pE L# 36 SWE F"ERN RD to F d I CK fit 188853 6; 01/3,1ij