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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