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Home My WebLink AboutBLDE-19-000216 " Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-000216 .17 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.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 PRINT MINK OR TYPE ALL INFORMATION) Date:7/11/2018 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) 100 CRANBERRY LN • Owner or Tenant .B&N REALTY TRUST LLC Telephone No. Owner's Address 480 ELIOT ST, MILTON,MA 02186 /) Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations(PER ATTACHED) Completion of the following 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 No.of Luminaires Swimming Pool Above 0 - o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 17 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number , Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Stens 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 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MICHAEL S SOBY Licensee: MICHAEL S SOBY Signature LIC.NO.: 10097 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 Lake Dr,Orleans MA 02653 Alt.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 Siga04t ature Telephone No. PERMIT FEE:$75.00 9/14 f3 1 irt /�m tamanar t�y of„/amactis _ Official Use Only W Permit No. a --0'al nh �epartneni of gin Sind • - I- Occupancy and Fee Checked 17.<O'I BOARD OF FIRE PREVENTION REGULATIONS . I/071 (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,`,jf tt SIR City or Town of: YARMOUTH To the Inspector of Wires: I;-- '- z By this application the undersigned gives notice of his or her intention to perform the electrical work described below. I eiN j$-_ Location (Street&Number) fob 114433 ry / ) CW ' Q"3 Li.:c Owner'orTenant ��i �� J Telephone No. 'J( _71�?/ .yl� j r-+ l o Owner's Address --""-r-c— �� U J i t Is this permit in conjunction with a building permit? Yes EL No ❑ (Check Appropriate Box) 11J > Purpose of Building ISu y' _ � _ ,<�11 y Utility Authorization No. Cd ....\ ; Existing Service Amps 4,0, 120 Volts Overhead �ead a Undgrd grd El No.of Meters New Service 240 Amps LT)/t ZD Volts Overhead da Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Elelical Work: 7,,� , /p y I i"P ,Y...,5 b.,17 -/ #p-7jtc ie),,,-,,a; ih:t> lJ''/5/B- . t0,0,4c,,9J Completion oftherfallowinntable may,be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Sasp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- No,of l mergency Lighting grnd grad Battery Units No.of Receptacle Outlets (7 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and ' Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number(Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area HeatingKW' Mun p Local 0 Connectiicipalon 0 Other No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No of Devices or Equivalent _ Estimated Value of Electrical Work `,GUS�� Attach additional detail if desired or as required by the Inspector of Wires. Work tot Start�� (When required by municipal policy.) on. INSURANCE COVERAGE Unless d toy the owner, permitin for the performance of e with MEC Rule el electrical work may,and upon 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 a BOND 0 OTHER 0 (Specify:) I cerrffy, under the pains and penalties of perjury,that the information on this application is true and complete. • FIRM NAME:4ty v � E' 5i��l�A ) LW.NO.: /et) 7,...,gLicensee: , H"' L e, ? , � Signature %�7`_S-M LIC.NO.: (If applicable,enter"exempt' int ice,Ge numbgr line.) l bd Address: (...1. �,Y TX��PfinS ,//t n�4; A14 Bus.Tel.No.:�?� he 9- j Per M.G.L.c. 147,s.57 security work requires Department of Public Sa "5"License: Lic.No. -- - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally n�lly required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent t Owner/Agent j Signature • Telephone No. ( PERMIT FEE: $