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Home My WebLink AboutE-18-2565 a Commonwealth of Off;cialUse Only it Massachusetts Permit No. BLDE-18-002565 ��'� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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 MINK OR TYPE ALL INFORMATION) Date:10/31/2017 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) 1279 ROUTE 28 Owner or Tenant POLAR EXPRESS LLC Telephone No. Owner's Address C/O THOMAS DECHARLES, 10 HARVEST HOLLOW DR,HARWICHPORT,MA 02646 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 ❑ 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: Upgrade lighting 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 Transformerrss� 4 KVA No.of Luminaire Outlets No.of Hot Tubs GeneratoKVA No.of Luminaires Swimming Pool gat 0 In- CINo.of Em nc • . grnd. grnd. Battery Uni. 43 No.of Receptacle Outlets No.of Oil Burners FIRE ALARM o(p Z No.of Switches No.of Gas Burners No.of Detection an O� O Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices //�� No.of Waste Disposers Heat Pump Number , To sa°1 KW No.of Self-Contained <�`e Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ : KW Connection Security Systems:*No.of Dryers Heating Appliances KW Y No.of Devices or Eouivalentifr No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eouivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No,of Devices or Eouivalent 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: THIELSCH ENGINEERING INC Licensee: RALPH A CARROCCIO Signature LIC.NO.: 16657 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1341 ELMWOOD AVE,CRANSTON RI 02910 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:Iain 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 Commonwealth o/Il/addaclu aeth Official Use Only �� 'toc � � t Permit No. e� C lin �i .Z �7 3 C.a nh 6 JJeParfinenf oiJira Jervicsd -3t + Occupancy and Fee Checked ? ir BOARD OF FIRE PREVENTION REGULATIONS [Rev. 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 INFORMATION) Date: 10/10/2017 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) 1279 Rte. 28, S. Yarmouth Owner or Tenant Polar Express LLC dba Lil Caboose Telephone No. 508-523-1035 Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ NoX❑ (Check Appropriate Box) Purpose of Building Commercial 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: Replace lighting-9 fixtures and 6 relamp reballast. 91068 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus . Paddle Fans No.of Total P ( ) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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. Tj°o�gl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _ KW .___ No.of Self-Contained P Totals: .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 MCounicipannectionl 0 Other No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydromassage No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1,600.00 (When required by municipal policy.) Work to Start: 10/2017 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 ® BOND 0 OTHER 0 (specify:) S arkweather& Shepley Ins. 1/18 I certify,under the pains and penalties of perjury,that the informati oj ap• ication is true and complete. FIRM NAME: Thielsch Engineering LIC.NO.: Licensee: Ralph Carroccio Signatur, / LIC.NO.:16657A (Ifapplicable,enter "exempt"in the license number line) Bus.Tel.No.•401.784-3700 Address: 1341 tlmwood Ave., Cranston, Kl 01910 el.No.:800-422-5365 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic. ••. 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 Telephone No. PERMIT FEE: $ 80.00 Signature