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HomeMy WebLinkAboutBLDE-19-003157 V1k? Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-19-003157 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.l/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 (PLEA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/21/2018 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) 484 STATION AVE Owner or Tenant LINEAR RETAIL YARMOUTH#1 LLC Telephone No. Owner's Address 5 BURLINGTON WOODS DR, BURLINGTON, MA 01803 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: Wiring for new teller. Completion of the following table maybe 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. grnd. Battery Units No.of Receptacle Outlets 6 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 ❑ 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: 4 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Shawn R Leahy Licensee: Shawn R Leahy Signature LIC.NO.: 16609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:457 LAUREL ST, HALIFAX MA 023381616 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: $100.00 8t-1 +/,e e- Il yyj L s Print Form'" JCommonwea�ih o/MamachasetG Official Use Only � i MS Permit No. £(7 - 3 ( 5-1 '•.tr:�)Q apartment e`-Yire Services iNOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 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 INFORMATIOIV) Date: City or Town of: cat/F cyad/-1tV t/i To the Inspector of Wires: By this application the undersign d gives noti a pf hjs or her intention perform the electrical work described below. Location(Street&N�lumber) x( 74 Si-A.. /!j rt. {-f i / Owner en t Cli'Z. -C°IS &w LA) S�ap{- S �p Telephone No. Owner's Ad s Is this permit in conjunction with a building permit? / Yes ft, No Q (Check Appropriate Box) Purpose of Building llt it /, 'K r it 14 ei D e-/ Utility Authorization No. Existing Service /(/it Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service /tai-- Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Gid cad e. ,gr &r may',t it. 4 t 4 / Ru✓ -te,l(et H rl(wa//� , i ,..,e_ t.rrs Completion"the followln&,able may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeO.Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above o In- No.of Lmergency Lighting grnd. grnd. 0 Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Devices No.of Ranges No.of Air Cond. TotaTons No.of Alerting Devices No.of Waste Disposers 'Heat Pump Number Tons KW No.of Self-Contained Totals: ""'' Detect ion/Alerdng_Devices No.of Dishwashers Space/Area Heating KW Local Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Data Wiring: Heaters Signs Ballasts No.of Dvices or Equivalent V No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Kirin : No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of 1 cal Work: 00 0. 3 (When required by municipal policy.) Work to Start: 1/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURAN RAGE: 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 sante to the permit issuing office. CHECK ONE: INSURANCE a BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application it true and complete. FIRM NAME: Sullivan& McLaughlin Company LIC.NO.:16609A Licensee: Shawn Leahy Signature ys r yt LIC.Nil.:16609A (If applicable,enter"exempt"in the license number line) Bus.Tel.No..6174740500 Address: 74 Lawley St Boston Ma 02122 Alt.Tel.No.:6179384004 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SS002265 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 Signature Telephone No. I PERMIT FEE:$ CARPET PMN IN ac ala ERm, neuro and make safe power and data. -- 1 DEMOUTION 4LwxG RV95 TH[man o Lfn DOOR EOCR A 42' CO CLASS ITO BE RENOWC -. DEMOLITION NOTESCeSTINC/ _ �ww• xMUSIC,, ,w ®+ameesaesareem ! off. 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TO a,O aria �_ Ltont MP o rFoal DCN Ihn1 LW Burro PAINTINGOD 0 •141)RE-NSIALL BY 5 s u�,•u,w®m,.Na w Y"mcn.wr'a II SEE owG 1,]CR - ,.mvw II ``LI IICC��11 e�' 1.00w xwm w x • Gil 1%1 ! I x� 4 Oi FlCE GASA%BKEAK ® /I��• _ __ ROOM 1n1 cwsnm / U b • ,l lL °°09� �u CITIZENS BANK POWER LEGEND 0 �� aREw`„RC°:' IN-STOREBRANCH YULE W. MATERIALSTCN BS warn YARMOUTH •.Cr T sr waa•inimOna•le xxm ..� • ••••.••••.•••• .' " I _ IICitiiz nsBank• • game,a S• x.nuYa,.nonn . wuanrtvanx.[E Tx• Relocated power.r,tl data ,'m,Cnm4 x W L(CTx1YCG ORY TO RE arom. aRxma0O x PLACE DEMOLITION/ La.new DCN screen. (CW �T 1170 Wslt GHT DEPOSE:RV " Cat DONS PL.,E CONSTRUCTION w uuwuu WuxxaL HEAD AT Err.u REDO.) FLOOR PLAN ,mo,�"i REQULZ)� x-STERE raw CREDENZA etas Z ...sem °CONSTRI.CTION PLAN 522 DuetsLos„,AwnA01.01 ....lo,Res 115m0D..t RIAIL