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HomeMy WebLinkAboutBLDE-19-000008 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-000008 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 MINK OR TYPE ALL INFORMATION) Date:7/2/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice 01 his or her intention to pertorm the electrical work described below. Location(Street&Number) 21 FRUEAN AVE UNIT G Owner or Tenant MACRAE MARTIN R TRS Telephone No. Owner's Address COOKE KENNETH,21 M FRUEAN AVE,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 ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade lighting.(McCRAE PROVISIONS) • Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ce1L-Susp.(Paddle)Fans NoTraofformers KVA� No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above CIIn- ❑ 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 Number Tons KW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW SecuHty 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 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 7f 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 MCC ted 82&128 t ..� dd \ Commonwealth.o////aachudettd Official Use Only p—moo .t cyPermit No. t =,ae'1 t Thepartment artment oI Sire Serviced l P— Occupancy and Fee Checked °* s.7r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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:6/19/2018 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)21 Fruean Way, Units M&N Owner or Tenant Cooke-MaCrae Inc.dba McCrae Provisions Telephone No. 508-760-0657 Owner's Address Same IIS�Il Is this permit in conjunction with a building permit? Yes ❑ No Irl (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-26 relamp reballast 60731 4 fixtures,and 5 exterior fixtures. Completion of the following table may be waived by the Inspector of Wires. tal No.of Recessed Luminaires No.of Ceil:SusP•(Paddle Trn[)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting 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. Initiatingon Detection and Devices No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of Dryers heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of WaterK`,y No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.II dromassa a Bathtubs No.of Motors Total IIP Telecommunications Wiring: Y 1 No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $6,000.00 (When required by municipal policy.) Work to Start:6/2018 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 I] BOND 0 OTHER 0 (Specify.I '- weather & Shepley Ins. 1/19 I certify,under the pains and penalties of perjury,that the informati v / I�aay on is true and complete. FIRM NAME: Thielsch Ensineerinq �' LIC.NO.: Licensee: Ralph Carroccio Signature aril LIC.NO.: 16657A ir (If applicable,enter"exempt"in the license number line) Tra 1 .go,A`�1-784-3700 Address: 1341 tlmwood Ave., Uranston, NI U2910 Alt.Tel.No.:800-422-5365 *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 hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE: $ 80.00 Signature Telephone No.