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Home My WebLink AboutBLDE-18-001511 r ,. •a Commonwealth of Official Use Only lt f rill Massachusetts Permit No. BLDE-19-001511 49 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 PRAT IN INK OR TYPE ALL I.NFORMATIOM Date:9/13/2018 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) 28 AARONS WAY Owner or Tenant GLADSTONE LTD PARTNERSHIP Telephone No. Owner's Address 297 NORTH ST.HYANNIS, MA 02601 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for new entrance. Completion of the following table may be waived by the Inspector of Wires. 1 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total C 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. Batiefr Units No.of Receptacle Outlets No.of Oil Burners 'No.of Zones No.of Switches No.of Gas Burners No.of Detection and Inrtiatine 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 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 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 YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 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 nol 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 2ueK q ( r3f1s tat,rn e ...-- _�. '\ _ l-onunonwea&of Ma!lac�ft! fficiel Use Only 11 c7 c7 �a Permit No. Q—(f' le Ze/arfmsnt eliire Service! .• )10 ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 12,�o (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: y /a / 5- City or Town of: YARMOUTH To the 1 ector f Wir By this application the Imdersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)/1 (2S1i4ft/lcrN S' /.�4 / r e57--e 9fy?a�� (Tir Owner or Tenant �'L7.STDNL .27t 44en /eSii Telephone No. Owner's Address a 9 7 /t/o,t7 l Sr /,94,..wi g e) (o O / Is this permit in conjunction with a bu ding permit? Y"es �No El (CheckAppropriate Box) Purpose of Building j! is r- Utility Authorization No. Existing Service 1 I Amp��..// / /dokVolts OverheadI� ❑ Undgrd IJ No,of Meters New Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /t/j4g Att.) rr.--irtdCe_ ?v 6.r—Ce S -74 (/sa/te.t.o o Completion of the followin&table may be waived by the Inspector of Wirer. 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-orad. Ba❑ Nottery.of LUnitsmergency Lighting grstd. No.of Receptacle Outlets 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 ITons IKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Municipal Connection ❑ ?r 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 HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desirect 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 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 cov cis in force,and has exhibited proof ofoffice. a to the permit issuing CHECK ONE: INSURANCE ®BOND ❑ OTHER 0 (Specify:) /,rt�ry Or .„L // / 7r I cern)",under the aim and penal' s ofperjury,the the information on this applicatidn Is true and complete. FIRM NAME: ("A.)4- t://'e1� ,,'',emit S LIC.NO.: E 3799 Licensee: /E/C4"KC.J' c. _cc_ Signatures j�„�^'-� , LW.NO.:/it ( '2 a3/ (If applicable.enter"ex pt"in the li nae number line) Bus.Tel.No.- 77---77--97,7-4,25. Address. S 7X,k( Lc JSAWS/241LP 4: 020 f Alt.Tel.No.: k, J `Per M.G.L. c. 147,s. 7-61,security work requires Department of Public Safety"S"License: Lic.No. e OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not 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 01 Signature Telephone No. I PERMIT FEE: $