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Home My WebLink AboutBLDE-18-007127 Commonwealth of Official Use Only a. Massachusetts Pernik No. BLDE-18-007127 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. /071 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:6/18/2018 City or Town of: YARMOUTH To the Inspector of Wires. By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 1341 ROUTE 28 Owner or Tenant PANAGIOTU MATTHEW W TR Telephone No. Owner's Address ZOITSA PANAGIOTOU TRUST,25 TERRACE DR,WORCESTER,MA 01609-1415 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: Upgrade lighting.(OLYMPIA FISH HOUSE) 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- a No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 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'tempt"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 SignaturesQ �' / Telephone No. PERMIT FEE:$80.00 ®�r/ ��jjnnnn / se le Comnwr uea&o`///asiachwetta OfficiCall Useen 2t ,^7t cy� [n� Permit No. �� O •• // c �1I6 sJJepartment o f ire JeroicesOccupancy and Fee Checked e, i = 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:6/6/2018 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1341 Route 28 Owner or Tenant Olympia Fish House Restaurant, Inc. Telephone No. 508-394-2612 Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No X❑ (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- 1 exterior LED 95005 fixture and 3 fixtures. Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.ofCeil:Sus (Paddle)Fans No. KVA P• 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. n Detenand Initiatinggon Devices No.of Ranges No.of Air Cond. T°oosl 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 Heating KW Local❑ Municipal ❑ Other P g Connection No.of DryersHeating Appliances KW Security Systems:• No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Equivalent OTIIER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1,000.00 (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 t. the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Specify;) *1-ather& Shepley Ins. 1/19 I certify,under the pains and penalties of perjury,that the information o,f(•::..c..,*. is true and complete. FIRM NAME: Thielsch Engineering � LIC.NO.: it r Licensee: Ralph Carroccio Signature / LIC.NO.: 16657A (if applicable,enter "exempt"in the license number line) / ) Tel.No.•401-784-3700 Address: 1341 timw000 Ave., Cranston, KI U2910 Alt. e. . 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.