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Home My WebLink AboutBLDE-19-001211 . Official Use Only E 0. a 446 Commonwealth of Massachusetts Permit No. BLDE-19-001211 � 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:8/28/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice 01 his or her intention to perform` the electrical work described below. N Location(Street&Number) 515 STATION AVE '1'1 D are3 Per et 5orgeb Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address DAVENPORT REALTY TRUST,20 NORTH MAIN ST, SOUTH YARMOUTH,MA 02664 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: Relocate and replace damaged F.A.C.P. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 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 ❑ In- o No.of Emergency Lighting gird. gird. Battery 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 Number_ Tons 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: Heaters ,Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs li 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 cereify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: BRIAN REZENDES Licensee: BRIAN REZENDES Signature LIC.NO.: 22213 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 GOELETTE DR,PLYMOUTH MA 023601228 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:$115.00 ct( 1-, 8 � • f • uCommoneoeaSS ofcf1lassachu_sets Official Use Only Ay . of,.lire�ervices lI Permit No. � f 12eparinteni K Occu hecked i e BOARD OF FIRE PREVENTION REGULATIONS p�cy and Fe 1/07] peaty blank)v. ack)nk) • 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 TYPEALLINFORlvfATTON9 Date: 1 7/�g. . • City or Town of: /:19n Y %/ n'�^'•�r�/.jj To the pector Wzres: By this application the undersigned gives notice of his other intention to perform the electrical work described below, Location(Street&Number),57 / //'. 1�. Owner or Tenant if/721) G125111;9 ZD Owner's Address ___r_...< 12.-2 '..e- IsSre , `�-L..,D Telephone No. • ___r_...< 12.-2 '..e- Is Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) • Purpose of Building (9,7777724".:15/7:9g,�/ Utility Authorization No. Existing Service_ Amps I Volts Overhead ❑ • Undgrd ❑ No.of Meters _ New Service _ Amps I Volts Overhead ❑ Undgrd ❑ No.of Meters • Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -. A.--1.1 rr:, jr elLaitP1.7 .0.1/)777 As ,{."tin:- omoletion of tbsefollowuts table may be waived by the Inspector of Wires. of Recessed Luminaires . /N'o. of Ceil.-Susp.(Paddle)Fans N0.of Total _ 0 t- - Transformers KVA I w .of Luminaire Outlets No.of Hot Tubs r^ W I Generators KVA i 1 > z I p.of Luminaires Above in- IVo.of mereeacy i a nnng t^ N Swimming Pool end. 0 y J grnd.' BatteryUnits 1 .• a , of Receptacle Outlets No. of Oil Burners �F I W1.... ALARMS �Na.of Zones I .of Sw aches !No.of Gas Burner's No.of Detection an J W ¢ !a (�.ofRana>s lbtal iaitutinEDevices i INo.of Air Cond. Tons No.of Alerting Devices (� ^ A a.of Waste Disposers Inert Primp I Number Tons KV No.of Self Contatned Totals; '�"�--— Detection/A-tertine Devices No.of Dishwashers ISpacetArea Heating KW Local 0 Municipal Dryers g„ No.of Connection Oma I ting Appliances KW Security Systems:" No.of'.Vater KW No. ofNo.of Devices or Eouivalent Heaters No.of Data Wiring; SignsBallasts No.of Devices or Equivalent /No.Hydromassage Bathtubs (No. of Motors Total HP ITelecommunicat ons Wiring: No.of Devices or Equivalenti : O L ULA: 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: Inspections to be requested in accordance will 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,end has exhibited proof of same to the permit issuing office. CF1CK ONE: INSURANCE ❑ BOND 0 OTHER 0 (Specify-) I certify,=der the pains and penalties ofperjury,that the L fornwson on this application is true and complete. FIRM NAME: 4 ,d,py ,J_iJ F�JC.4J D L 4e- r Licensee: Sol.i,,l fl Zred DES Signature - LIC:NO.: C d 7 � (Ifapplicable,enter "exempt"in the license number line) e Y S�' Address: Bus.Tel.No.:�S�o'3,v��['x -te, *Per MG?.c. 147,s. 57-61,security work requiresAlt Tel.No.: y Deparment of Public Safety"S"License; Lic.No. WAXE 'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally L/1✓ required by law. By my signs re below,I hereby waive this requirement I am the(check one)0 owner ❑owner's age. Owner/Ager �-s�� Signature y? Telephone No. . . PER_UT FEE: $ 7/f ' ra. I 47'070k---/4,07