HomeMy WebLinkAboutE-19-3749 • '~ Commonwealth of Official Use Only
ErE..�lr\ Massachusetts Permit No. BLDE-19-003749
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.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
(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 pertorm 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 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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement main circuit breaker for sweat shirt store.
Completion o(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- ❑ 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
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 El (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"5"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 ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$80.00
0h/a
evmMonwea&off/rladdacL.ttd Official Use
Lim
Vi parGnsnt Permit No. Cil -7 /
�.. serviced
`(�_ ` e Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS ev• 1/071
(leave blank)
r'� APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
VAll work to be performed in accordance with the Massachusetts Detrital Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
t� City or Town of: YARMOUTH To the Inspector of Wires:
R this application the{mdersigned gives notice of his or her intention to perform the electrical work described below.
•1
M 1 1 Z L' cation (Street&Number) 4.-- T -;,.r3 R.- R-F- 2& S- Va r LSLvw<-s lb a
\r/41,LP l as o ' d er•orTenant $ A 0-U erta LA e. , Telephone No. ( __
.- v a O er's Address S --L
wCY) id s .is permit in conjunction with a buildinpermit? Yes ��/No
!IJ - o r ,g E ❑ (Check Appropriate Box)
V vy, .0 Pi.rpose of Building (-Q.'f•t�t I Utility Authorization No.
4L: in EE listing0Service Amps / Volts Overhead
Undgrd 0 No.of Meters
(y ' New Service— Amps / Volts Overhead❑ Undgrd 0 No.of Meters
Ndmber of Feeders and Ampacity
Location and Nature of Proposed Electrical Work; 6uy«-k-S(„, . � -5'
h iPP,Q.�c&r rt p k4�2 tAAJ til 4 Cu-,�l �/Ll�1✓L
Completion of the follawinKtable may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeiL-Snsp.(Paddle)Fans • No.of Total
Transformers KVA _
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
• No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting
grid. grid. 0 Battery Units
No.of Receptacle Outlets No.of Oil Ruiners FIRE ALARMS INo.of Zones
No.of Switches No.of Gas Burners No.of Detection and -
• • Initiating Devices
J No.of Ranges No.of Air Cond. Tons Total
No.Of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
t No.of Dishwashers Space/Area Heating KW' LocalQ CMounainceie
ptiaaln
?r\-'
No.of Dryers Heating Appliances Security Systems:*
No.of Water No.of No.of Devices or Equivalent
Heaters N0 °t Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: -
�t No.of Devices or Equivalent
v OTHER:
Attach additional detail fderired or as required by the Inspector of Wirer.
te10- rting DevicValue of Electrical Work
Work to Start (When required by municipal policy.)
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 0 BOND 0 OTHER 0 (Specify:)
0 I certify, under the pains and penalties ofperjury,that the information� an this application is true and complete r q
FIRM NAME: 0 e.. L. P P .e t -✓ . . Ltc..4 !' ic. q(,-\ Z•3
LIC.NO.: ,, t �g
3 Licensee: 7Se-CO `pc.e y-� Signature
• i f g !�i /��✓T Lel.NO.
I applicable,enter"exempt"in the license number line) ,: 9.,°07:-.4.
/
Address. 2 Sok' P24> E_3a„•,„r c..,t D 2-7 3 Bus.Tel.No. 22 3 '8&
J Per M.G.L.c. 147,s.57-61,securitywork requiresl Alt Tel.No.:
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
t< 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/Agent
j Signature• Telephone No. . ( PERMIT FEE: $
`'/ Commonwealth of Official Use Only
0.i Massachusetts Permit No. BLDE-19-000429
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:7/23/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice onus or her intention to pertorm the electrical`work describedbelow.
M �i
Location(Street&Number) 517 ROUTE 28 LCL lvi'*v' ILL'
Owner or Tenant J Telephone No.
Owner's Address 11: .. _ - - -..—..- --..,:- -._._
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 ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Relocate sign lights.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddie)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Arndbove. g1:1Inr-nd. ❑ No.of Emergency Lighting
_ gBattery 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 Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Siens 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: 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 y ss Telephone No. PERMIT FEE:$80.00
e' r ''// .
e.ommonar.4&h of rr/addachudrffd Official Use Only
c7� Permit No.
` im 1JrParfmrnf al lin.�rroicer
..s" c. F— Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS ev, 1/07j •
(leave blank)
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code C). 27 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALLINFORMATIONJ Date: `*. 2.0 18
City or Town of: YARMOUTH To the Insp ctor of Wires:
• . By this application the undersigned gives notice of his or her intention to/ perform the/electrical work •escribed below.
(1 l Location(Street&Number) I 21 aLtnaf 71nt,e r
VI.J electrical/work
Owner.or Tenant it, a t C Telephone No. 65 - zl yt(
k> Owner's Address 3 t- evt. 51- /f
mid Is this permit in conjunction with a building permit? Yes
❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
r, FE sting Service_ Amps / Volts Overhead
--� II 0 Undgrd❑ No.of Meters
w �� ,,-New Service _Amps / Volts Overhead 0 Und
gid 0 Ni.of Meters
r
�+ i o !sNumber of Feeders and Ampacity
N
!' ' O ' 'Location and Natnn of Proposed Electrical Work: (`--el.0 S to,il 1� dt,' S—4-0 (i ONtPr$t7.,,5
ti `tet . -
4. CU 0
_ Completion of the fa lowinttable may be waived by the Inspector of{Firer,
i t' " No.of
1�I.oi Recessed Luminaires No.of CeiL Snsp.(Paddle)Fans KVA
..__..._._._.. Transformers KVA _
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grid. orrrd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
No.of Switches No.of Cas Burners No.of Detection and
• Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
•
No.of Waste Disposers Heat Pump'Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers • Space/Area Heating KW Local Q CMunicipal
onnection ❑ Omer
a No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
�. Heaters KW No.of No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
•3 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
! (j�DO Attach additional detail(desired or as required by the Inspector of Wires.
1 Estimated Value of Eyec cal Work (When required by municipal policy.)
' Work to Start: ISO I R ons to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability i ce including"completed operation"coverage or its substantial equivalent The
undersigned certifies that such coy e is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
K.,• FIRM NAME: h Ccert...c__ C 4.,
LIC.NO,: I Z 3 S —a
3 Licensee: j 0z 0.e. Signature ` aryl...) LIC.NO.: 5(4444e-
L. at-applicable,enter
Z empt"in�� thelicense nu bei line. Bus.Tel.N 12 Z^ B'6
Address. rps Alt. 7 �rq
j `Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. �',`
tOWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
't requirOwnerd/Agent
by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agency
l Signature. Telephone No. . 1 PERMIT FEE: $ gO