HomeMy WebLinkAboutBLDE-19-000721 a
01, Commonwealth of Oficial Use Only
IEMassachusetts Permit No. BLDE-19-000721
- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.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 INFORAL4 TION) Date:8/6/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm me rail/Irk ical work desc imbed below. /
Location(Street&Number 18 REARDON CIR /l/ l/�1 r�yj lyvl?ec U 6aG�tf/
Owner or Tenant TITAN REAL ESTATE LLC Telephone No.
Owner's Address 8 SHED ROW,WEST YARMOUTH, MA 02673
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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade lighting.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans i No.of Total
,Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above 0 In- ❑ INo.of Emergency Lighting
gni! grnd. 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 i
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 hW No.of No.of Data Wiring:
Heaters • Sins 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 fdesired 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: THIELSCH ENGINEERING INC
Licensee: RALPH A CARROCCIO Signature LIC.NO.: 16657
(If applicable.enter"exempt"in the license number line) Bus.Tel.No.:
Address: 1341 ELMWOOD AVE,CRANSTON RI 02910 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:$80.00
Og t( 4r8 ,—
I
_ Commonwealth 01 r//addacLaettd 0 ial Use_Only
1110, Permit No. 72 I
inticc'yy� c�77
�i€e1Jepartment o�Jire�eruiced
Occupancy and Fee Checked
e '=E BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07J (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:7/25/2018
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) 18 Reardon Circle •
Owner or Tenant Cape Cod Insulation Telephone No. 508-775-1214
Owner's Address Same
Is this permit in conjunction with a building permit? Yes ❑ No Ell (Check Appropriate Box)
Purpose of Building Commercial Utility Authorization No.
Existing Service_ Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity •
Location and Nature of Proposed Electrical Work: Replace lighting with energy efficient fixtures- 17 fixtures,
95810 36 relamp reballast,&7 exterior LED fixtures.
Completion of the followingtable 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
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.oInitian itattingon and
ng Devices
Totallo.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Ileatin Kw Local 0
municipal 0 Other
P g Connection
No.of Dryers Heating Appliances KW Security Systems:*
'�' No.of Devices or Equivalent
No.of WaterKW No.of No.of Data Wiring:
heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total IIP
Telecommunications NofDevices
or Wiring:
No.of Devices Equivalent
OTI IER:
Attach additional detail ifdesired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $10,000.00 (When required by municipal policy.)
Work to Start:8/2018 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE RI BOND 0 OTHER 0 (Speci ' .t• kwe-then& Shepley Ins. 1/19
I certify,under the pains and penalties of perjury,that the inform' y t a r:- cation is true and complete.
FIRM NAME: Thielsch En•ineerin• LIC.NO.:
Licensee: Ralph Carroccio Signat /1. LIC.LIC.NO.: 16657A
(If applicable,enter "exempt"in the license number line.) 'us.Tel.No..401-784-3700
Address: 1:341 tlmwood Ave., Uranston, KI 02910 A :00-422-5365
*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 Licensee does not have the liability insurance coverage normally
required by law. By my signature below I aive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/Agent
Signature R E C E_ I V E D \Telephone No. PERMIT FEE: $ 80.00
AUG 0 6 2018 i 1
G DEPARTMENT