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Home My WebLink AboutE-19-2393 i rN 0Commonwealth of OffcialUseOnly Permit No. BLDE-19-002393 E", Masct BOARD OF FIRE PREVEsaNTIONhusetREsGULATIONS 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:10/22/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn 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 ❑ Undgrd ❑ 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: CCTV System.(SMOKE SHOP,541 ROUTE 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- 1:1No.of Emergency Lighting grnd. rind. 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 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 LTC.NO.: 12359 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 FOSTER RD, E SANDWICH MA 025371040 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 Signature Telephone No, PERMIT FEE:$330.00 c� 10(z (iQ, 7 - l 'A YW4h V �'r [� //�� /� ��yy��77 Off t Use Only l.ommonworta o/rr/addachadeltd ---7_97' � y •3 tcyA Permit No. Saari .1JrParlmen[ol�tin Serviced T �rtarh Occupancy and Fee Checked Vs;t BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) U APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 t (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I 0 1 (m1 (8 City or Town of: 1 r~r ne\-cry-i-t. To the Inspector of I fres: (� By this application the undersigge r 411snotice of his or her.-itn-t-ention to perform the electrical work described below. �('' Location(Street&Num1M/ 11(( I• d,�, - \ ` C_ - L_ a . e Owner or Tenant r 6 t Lw�1 _ ..,, , .� �pione No. Owner's Address O Q oK 'I L$ 1 /WdAJ K D [ • ' I 4 Is this permit in conjunction with�a building permit Yes 0 No (Check Appropriate Box) J Purpose of Building rt4,r Utility Authorization No. Si Existing Series_ Amps / Volts Overhead ElUndgrd❑ No.of Meters el ei New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters 3 Number of Feeders and Ampactty I— Location and Nature of Proposed Electrical Work: 6pyVCI.{•.j Cttl✓Lty9 V) Completion of the followinztable may be waived by the Inspector of Wires. Nof Total Ui No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans S. Transformers KVA =.t No.of Luminaire Outlets No.of Hot Tubs Generators 1CVA No.of Luminaires Swimmin Pool Above ❑ I°" ❑ No•of Emergency Lighting t. g t;rnd. t;rnd. Battery Units `. No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners-7.- No.of Detection and C.. Initiating Devices Tota Ill No.of Ranges No.of Air Cond. Tons! No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons I kW _ No.of Self-Contained P Totals: �`. - I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW I Local 0 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Na.of Heaters KWBallasts Data Wiring: Signs No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP rel communiNo.of Devic sons or Equivalent OTHER: IV Attach additional detail if desired,or as required by the Inspector of Wires. E3timated Value of ectri I Work: x A) (When required by municipal policy.) 0 ---k z rk to Start Q / /if Inspections to be requested in accordance with MEC Rule 10,and upon completion. W m i'l CHANCE CO 'E GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless [..... > •a th' licensee provides proof of liability insurance including"completed operation"coverage or its subst mtiafequivalent. The a u ersigned certifies that such coverage is in force,and has exhibited proof of same to the perm t issuing office. �pIC ECK ONE: INSURANCE 0 BOND 0 OTHER [0 (Specify:) s-/iceuSt. 7-00 // �°` 'I Vim?—'�^�I fy,under the pains and pen allies of perjury,that the information on this applicatIon is true and complete. �' c.� I_��!NAME: 1i 9 tes ?'a-,,rE cc„ LIC.NO.: 12-3G1 `s 111 O �Ijbensee: (••,3e b „ Petco. Signature ea.� / LIC.NO.: m Mjapplicable,entereempr in th glens number line) / ' Oise, Bus.Tel.Not/ 2-2.- � �. ilddress: er}1•t✓ g4 e . c4 rC�t II Alt.Tel.No.: 3e' ,2Yt9 *Per M.G.L.c. 147,s.57-61,security work requires Departmedt of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No. 3