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Home My WebLink AboutE-19-3748 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003748 �••�' 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 or 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 ❑ 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: Common area sprinkler room(Tie in F.A.C.P.) 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 ❑ [n- o 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.of Detection and Initiatin¢Devices No.of Ranges No.of Air Cond. TORI No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ' Totals: Defection/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 ❑ OTHER ❑ (Specify:) I 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 / / VI V' l�ommenaraa I sr/aatacLosiis Official Use Only ry �s.53,,N; 8 `gas 2LearGnant„la,.. Permit No. �_'`� ` / srvrcr! l BOARD OF FIRE PREVENTION REGULATIONS OBDry and Fee Checked . lro7) (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEG).527 CMR 12.00 f-'.-- SE PRINT IN INK OR TYPE ALL INFORMATION) Date: '=�� ----�z City or Town of: YARMOUTH To the Inspector of Wires: W I(� �, `Lp this application the undersigned gives notice of his or her intention to perform the electrical work described below. ;' ON i don (Street&Number) 9- �3. - R-� 2 g ll/ r ! eC) a SCN-tse-5 tv 4 1 (Lib �; rn °1Ojner'or Tenant IAA tote- I1tw .t G • Telephone No. v f'2O�°er's Address Sc..,x- I LU Iu o s�this permit in conjunction with a building permit? Yes III -No 0 (Check Appropriate Box) EPulrpose of Building t 4 1t4.l I Utility Authorization No. �Eicfsting Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters _ New Service Amps / Volts Overhead 0 Undgrd 0 Na.of Meters Number of Feeders and Ampacity Location and Na re of Proposed Electrical Work: Go tr.- . p K e A. . - 0%a� Fire a. tail t o r aur. Completion of the following.table may be waived by the Inspector of{Fires. No.of Recessed Luminaires No.of CeiL-Sasp.(Paddle)Fans No.of Tom Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No.oft mergency Laghtmg - grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets . No.of Ott Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and = I • Initiating Devices No.of Ranges No.of Air Cond. Tun I No.of Alerting Devices 0 No.of Waste Disposers Heat Pump I Number f ITons IKW No.of Self-Contained t Totals: Detection/Alerting Devices � t No.of Dishwashers Space/Area Heating KW Local 0 Municipal El Mr No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of HeatersData .oWifDe Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - „` No.of Devices or Equivalent 0 OTHER: - t Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Worki (When required by municipal policy.) Work to Start 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. "43 CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) s) l certify,under the pains and penalties ofperjury,that the Sc. Linformation an this application is true and complete q FIRM NAME: , �Pt. (Ge-frtLZ.3 tgt.\ LIC.NO.: ,5 ?- 3 Licensee: 73...t0 ?cats-Lai, Signature g -4 LIC.NO.: f applicable,enter"exempt"in 4-licensenumber lige.) t - o 5 3 Bus.Tel.No.3 gg Address: (Z n„sctt„ j Per M.G.L.c. 147,s.57-61,security work requires Department of Safety"S"License: Alt.Lic.No.•�— K 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 t Owner/AgentC^g al Signature Telephone No. I PERMIT FEE: $ tOv