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Home My WebLink AboutBLDE-18-6797 Commonwealth of Official Use Only %.37.111/44Th Massachusetts Permit No. BLDE-18-006797 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07) 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 PRMT ININK OR TYPE ALL INFORMATION) Date:5/31/2018 City or Town of: YARMOUTH 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) 411 ROUTE 6A Owner or Tenant FOUR ELEVEN MAIN LLC Telephone No. Owner's Address 632 HIGH ST,DEDHAM,MA 02026 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re-wire lights&receptacles following flood.(UNIT#5) ! , Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 15 No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ ln- 1:1No.of Emergency Lighting grnd. grnd. -Batten,Units No.of Receptacle Outlets 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and initiating Devices No.of Ranges No.of Air Cond. 2 Total 3.5 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW ,No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* ,No,of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection 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 0 BOND 0 OTHER 0 (Specify:) I ceniify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: James B Jones Licensee: James B Jones Signature LIC.NO.: 12351 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:118 MAPLE ST.HYANNIS MA 026015746 Mt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$100.00 4, Ole S' ea\ta- ravrkev Wwwie t f V \�0\11 at, l.ommonwea&of aexclwujfe . ,, Official Use Only Tu_ ag-6,79. 7 .,____ ccyye.7pp1JrParfmsnt of Dire JervccesPermit No.Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/01 ' (leave blank) APPLICATION FORTPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code S) ci. 7 CMR 12.00 im i PLEASEPRINT IN INK OR TYPE ALL INFORMATION) Date: 4 j ?� �s' Z City or Town of: YARMOUTH '1 ',!)! o the I eco of Wires: coN g. y this application the pndersigned gives notic of his or her intery on to rfo the lectrical work described below. • yres: •Location(Street&Number) H )1 TV I�( S CGA\ Mali S :lai Tenant (-t I l In`-‘ /- t.r-I's�^¢I Jas Telephone No. ()LI!6 Owner's Address W I Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) IX Purpose of Building CO 41 Utility Authorization No. -------_'Existing Service IFGc Amps (]r./ ZUK+Volts Overhead ❑ Undgrd CE' No.of Meters 12 New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location amara of roposed Electrical Work: f vJetI(. , I.,c(4S k Phase tS 1 a (til tea. \Ciacs Completion of the followinttable may be waived by the Inspector of Wires. No.of Recessed Luminaires Na of Galles No.of 5 usp.(Paddle)Fans Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.a-Emergency Lighting 0Land. grnd. Battery Units V No.of Receptacle Outlets IS No.of OB Burners FIRE ALARMS INo.of Zones No.of Switches < No.of Gas Burners No.of Detection and No.of Ranges Ttal Initiating Devices JNa of Air Cond. j_.. Toons 3 No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices c No.of Dishwashers Space/Area HeatingMunici al KW' Low❑Connection ❑ °th er r No.of Dryers Heating Appliances KM' Security Systems:* `vtJ/ No.of Water No. No.of Devices or Equivalent Heaters KW of No,of Data Wiring: Signs Ballasts No.of Devices or Equivalent J No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER: • I • Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of I trical Work: o�pOQ (ashen required by municipal policy.) VJ Work to Start: (� I� Inspections to be requested in accordance with MEC Rule 10,and upon completion. V) INSURANCE C V RAGE: 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 0 OTHER 0 (Specify:) V I cetrtfy,under thins and penalties of erjury,that the information on this application is true and complete. it FIRM NAME: �1'.r.e$ 1j3 p�� LIC.NO.: 12,351 -13 Licensee: \\.0.,v+tis, f 'Scntj, Signature y /y 7// LIC.NO.: (Ifapplicable,enter'eze pt tjLthe licp�semrr4lerlNa . / Address: 1 1t6 }-1 f{ Bns.Tel.No.: �''� 7 "s frt Alt.Tel.No.:� J *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 icrequired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent m Owner/Agent i Signature Telephone No. 1 PERMIT FEE:$