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Home My WebLink AboutE-19-1362 ;r Commonwealth of Official Use Only or Massachusetts Permit No. BLDE-19-001362 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 IN INK OR TYPE ALL INFORMATION) Date:9/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 517 ROUTE 28 Owner or Tenant CEA YARMOUTH LLC Telephone No. Owner's Address 1105 MASSACHUSETTS AVE#2F,CAMBRIDGE,MA 02138 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: Install power pole and check wiring.(SMOKE SHOP 541 Rt-28) 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 ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Batten,Units No.of Receptacle Outlets 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 I Number Tons I KW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 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: Heater 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Robert W Pierce Licensee: Robert W Pierce Signature LIC.NO.: 12359 Of applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 FOSTER RD,E SANDWICH MA 025371040. 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 owners agent. Owner/Agent Signature Telephone No. PERMIT FEE:$260.00 &(/� � 1 i • t 4, Commonwealth o1 Ma achwe[/s /Ofi'�cial Use Only C � [t �7 I .PermitNo. �J -' ( ' 6� w a„e...k...3 eparinumi oil ereicd ``�� a� Occupancy and Fee Checked ,., BOARD OF FIRE PREVENTION REG LATIONS [Rev. 1/07] (leave blank) C (11 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the M. sachusetts Electrical Code(MEC 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIO I Date: qZ 18 City or Town of: a,, - - . ' �• To the Inspector of Wires: By this application the undersigns, gives notice of his or her in ention to perform the electrical work describedelow. Location(Street&Number) _. ' RA., ' I � LS (G Let s1 n- c.s,'`--art Q . t) tan, ) Owner or Tenant PI [C . I L t c. . 1 Telephone No.c51101-}6-1 It/ Owner's Address FS 13 o t( Z 'Z( 1' t4 punt.. s µA O Z.GO I H Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building (el-b,,,, I. Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters t- 0 0,1 L New Service Amps / Volts O lUndgrd erhead❑ 0 No.of Meters > i_ Number of Feeders and Ampacity Ili `n g Location and Nature of Proposed Electrical Work: jyLSL11 pato e,,T p b 6_ 1- t"_l ac 1„/,troll W \ \o 0 fJ W If Completion of the following table may be waived by the Inspector of Wires. w J C/J o No.of Recessed Luminaires No.ofCeiL-Susp.(Paddle)Fans TraannTof Kotal Transformers KVA fA5 r No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No of Emergency Lighting gild. grnd0 Battery Units No.of Receptacle Outlets No.of Oil Burners I FIRE ALARMS No.of Zones fd No.of Switches No.of Gas Burners I No.In Detection Devices oNo.of Ranges No.of Air Cond. .Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Numbed. Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loco l0 Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attact additional detail if desired or as required by the Inspector of Wires. Estimated Value of Ele cal Work: 1(d0r7 (When required by municipal policy.) Work to Start: d- f 19 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ ( pecify:) I certify,under the pains and penalties ofperjury,that the info ation'on this application is true and complete. FIRM NAME: r5ob pier to Ell a c-i-rictcc. !i LIC.NO.: 123 5-9—e Licensee: Eaab p ;e..,-C2, Signaturer 'L 4/07e.• No. .: 5e.'3g8 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.r)222-38$8 Address: 12. Fosfer get. E, 5A-rudtac�(„ , A "0 2:5-31 Alt.Tel.No.(�8)8BS-2Ytq *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licer see Bods not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone NI . PERMIT FEE:$ .: 1#0.---1