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Home My WebLink AboutE-19-3747 a. . Commonwealth of Official Use Only `^�E'' !1i" Massachusetts Permit No. BLDE-19-003747 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 INFORMATION) Date:12/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described below. Location(Street&Number) 517 ROUTE 28 Owner or Tenant CEA YARMOUTH LLC Telephone No. Owner's Address 1105 MASSACHUSETTS AVE#2F,CAMBRIDGE, MA 02138 Is this permit in conjunction with a building permit? Yes ❑ 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: Demolition of old Christmas Tree Shop 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 I Transformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KVA 1 No.of Luminaires Swimming Pool Above 0 In- 13No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 1 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 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:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Robert W Pierce Licensee: Robert W Pierce Signature LIC.NO.: 12359 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 FOSTER RD, E SANDWICH MA 025371040 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:$80.00 ‘$...\I . �/77 y�,� / l,oryrym,,morwisa ofe�7t//aeaaelue�tte Official Use Only rr-(�� _'err_ 2frartrnsnt o f..tire&raced Permit No. �Q L-37147 ` -=r i [ OcnQancy and Fee Checked = BOARD OF FIRE PREVENTION REGULATIONS ev, 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: C a ....t 5 f� City or Town of: YARMOUTH To the Inspector of Wires: wim p . illy th's application the pndersigned gives notice of his or her intention to perform the electrical work described below. 4144. 1 r flop dition (Street 8:Number) S 9- r3�- g+ 2$ Va P / S r f o ) _ ¢ ` J L11�` c fler'orTenant �� // 1 . t Yom` `c. t' /jet, l G . Telephone No. V V er's Address Se N �� L- 111 u 3 tms permit in conjunction with a building permit? Yes No .puriiose of Building (Check Appropriate Box) (✓ Imo' I f 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: i u r,5-1-1/A,s\s \Lbr A 5 W t..)-0.- G�� _ _/ ! _p Completion of the following table may be waived by the Inspector of Wirer. . �J'�t� No.of Recessed Luminaires No.of Cert-Snap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above Ili- No.oTt�.mergency Lighting arnd. Elornd. 0 Bafter)'Units No.of Receptacle Outlets . No.of OR Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and _ Initialing Devices J No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices U No.of Waste Disposers Heat Pump I Number lions I KW No.ofSelf-Contained Totals: I Detection/Alerting Devices t No.of Dishwashers Municipal �- Space/Area Heating KW' Local❑Connection ❑ �� No.of Dryers Heating Appliances Key Security Systems:* - No.of Water Na of Devices or Equivalent No.of No.of - Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent Oj OTHER: 2 i 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 Inspections to be requested in accordance with MEC Rule 10,and upon completion. J INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless Joffithe licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The ce. undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing tl CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I cernfy, under the pains and penalties•of perjury,that the information an this application iv true and complete �-q FIRM NAME: �i3 o (' N.e._ C t to_ I.GL.r`L 1L 4t.�l LIC.NO.: 123 5 ( -6' 3 Licensee: )3 f e. 7 ?Ea te-t_L Signature 71`/f r).r.4 LIC.NO.: (if applicable,enter"exempt"in the license number line) Address. 2 &4e✓ Pet- et Sewel t..i t ct O Q3 3 Bus.Tel.No.�t� gg J 'Per M.G.L. c. 147,s.57-61,securitywork requires / Alt.Tel.No.: Department of Public Safety"5"License: Lie.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage ormaliy— required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 ownei s agent. r OSignatuwner/Agent re• Telephone No. f PERMIT FEE: $ Ert9�