4 ECLIPSE LANE - BUILDING JACKET 4 ECLIPSE LANE
t
1111/iE(�CG® 3
UPC 10330
No.153L unw
HASTINGS. MN
P1Oficial Use On
Commonweafth of hssac(usetts ro
Pernik No. 633
Department of F° e',Serfrices
Occupancy and Fee Checked
BOARD OF FIRE PREVENtIdIll REGULATIONS (Rev.1107) (leave blank)
APPLICATION FOR PERMI` fO PERFORM ELECTRICAL WORK
All work to be performed In accordance V4 h�he Maseechosetts Electrical Code(MEG),S27 CMR 72.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATID ) Date 3/6/2012
City or Town of: SALEM To the Inspector of Wires
By this application the undersigned gives notice of his or her "tOntionto Perform the electrical work described below.
Location(Street&No) I d aCL1PSE LnRa
Owner or Tenant: .7DCZLYN BR Telephone 978-594-5117
owners Address
Is this permit In conjunction with a building permit? YM—! [—] No ❑ (Check Appropriate Box)
Purpose of Building
Utility Authorization No.
Existing Service Amps / i Volts Overheand ❑ Undgrd ❑ No.of Mete��rs
New Service -Amps Volts Overheand ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity REPLACs THEttt4DSTATS
Location and Nature of Proposed Electrical Work
Completion of the following table may be waived by the Impactor of wlrea.
No.of Recessed Luminaries No.of Total
No.OF Cell tlsp.(Paddle)Fans Trenstonnerx _ KVq
No.Luminarie Outlets
No.of Hot u¢s Genemkors
KVA
No.of Luminaries Swlmming'1 ool Above grnd In gmd No.of emergency Lightning -
❑ ❑ Bette Unita
No.of Receptacle Outlets No.of Oil Burners
flRE ALARMs1No.of Zones
No.of Switches No.of Gas:' urners No.of Dedication and
Initiatin Devices
No.of Ranges No.of Air G nd. Total Tone No.of Alerting Devices
No.Of Waste Disposers Heat Pump Tens KW No,of Self.Contained
Totals: .� Detection/Alerting Devices
No.of Dishwashers Space/Ara eating KW Local Municipal Other
Conn
No.of Dryers Heating Ap liilnces _ KW Security systems
No.of Devices or Equivalent—
No.
uivalentNo.of Water Heaters Kw No.of Sigim No.of Ballasts Data Wldng:
No.of Devices or Equivalent
No.of Hydromassage Bathtubs No,of Motol 3 i Total HP Telecommunications Wiring
No,of Devicesor Equivalent
OTHER
Attach additional details if desired or as requ rod by the Inspector of wlrea.
Estimated Value of Electrical Work (When required bu municipal policy)
Work to Start Inspections it b(e required 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 includ n 'completed operation"coverage or its substantial equivalent
The undersigned certifies that such coverage is In fo ,Ond has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑X BOND [] OTHER:, (Specify):
I certify,Under the pains and penalties*f of perjury,that the information .11 his application i3 true and complete.. Al2�41
FIRST NAME: R s L BERUBE IZTZ� 'IC 12?C LIC NO.:
Licensee RONALD BERUBEStgnat re LIC NO.:
(If applicable,enter"exempt in the Iroense number line.). Bus-Tel No: 978-453-2338
Address P 0 HOX 537 DRACUT p1826 Alt.Tel No:
Per M.G.L. c, 447,s,57-61,security work requires Deph ent of public Safety•'S•'License: Lic.No:
OWNERS INSURANCE WAIVER:I am aware that the Licenses does not have the liability
Insurance coverage normally required by law.By my sl Irature below,I hereby waive this requirement
I am the(check one)Owner ❑ Owners Agent ❑
Owners Agent Signature Tel No. PERMIT FEE:$ ls.o0
I :
0004 ECLIPSE LANE 43-2000
GIS# 11388 ,r COMMONWEALTH OF MASSACHUSETTS
Map „ ,� 07
Block' ,moi„r, a94 .,, h ` CITY OF SALEM
Lot 0081°894 . ., .;.'
Category `'” 434 Residenhal:additi
Permtt# .,`.`.' 43-2000 BUILDING PERMIT
Project# ' `';'; JS-200 17'000048 :"?'
Est Cost $1,500.00 tk,
Fee Chazged:? $14.00 4
Bala~ce Due:;: $oo PERMISSION IS HEREBY GRANTED TO:
Const Class: =:x �?Contractor: License: Expires:
Use Group ! ` '' a iNoysa Home improvement STATE-074291
Lot Slze(sq ft) 0 ,# Ma
,
Zomng Owner: MARINER DEVELOPMENT CORP
Usuts Gau ed Applicant: Noysa Home Improvement
U uts Lost fir_.':'' AT. 0004 ECLIPSE LANE
Dig Safe#
ISSUED ON: 18-Jul-2000 AMENDED ON: EXPIRES ON: 18-Jan-2001
TO PERFORM THE FOLLOWING WORK:
Renovations to garage per drawing submitted.F.R.D.
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House# Smoke:
Water: Alarm:
Assessor Treasury:
Sewer: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2001-000048 18-Jul-00 8408 $14.00
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.
O. COPY
cotae),�
CERTLFJCI�TE O : OCCUPANCY
CITY OF SALEM - Issued.k 1 � Permit#:`1IL
.- �a SALEM, MASSACHUSETTS 01970 City of Salem Building Dept.
OCT OBER 29 99 71.E,-1.9`_-19
DATE 79 PERMIT NO.
APPLICANT Ff:)FARD DEV CORP. ADDRESS 2 :921 ELIOT ST REE 1•`562
(N0.) (STREET) (CONTR'S LICENSE(
CITY ASHLAND STATE rfIA ZIP CODE 2172 I TEL.NO. 508-8.81-1600
NEW I.-MILDING TWO OR MORE FAMi:1—Y NU +
PERMIT TO (_) STORY DWELLING
UNITS
(TYPE OF IMPROVEMENT) NQ (PROPOSED USE)
2004 ECLIPSE LAI'yE U181B ZONING I1
AT(LOCATION) DISTRICT
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION MAP 07 LOT--21-"A81 BLOCK 894 SIZE 1.5. 7C' ACRES
BUILDING IS TO BE FT.WIDE BV FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: BUILD 9+ L.IN.I.T CCINDOM:i:NIUI'A AS PER :--)L"(:-l3. BLDG 181. 1INS'f t-, C:ul'1CS-i S-("Y'I---E, r C)F
QC PERMIT
AREA OR ESTIMATEDCOST$ X0, 21160 FEE $ 9V_' 25
VOLUME
(CUBICISOUARE FEET)
OWNER F'RFARD FR. E. D. C. BUILDING DEPT.
ADDRESS x=90 EL .I.0 1 T ST RE IEJ BY �'S'S