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Home My WebLink AboutBLDE-18-000751 o0 t• Commonwealth of Official Use Only V t Massachusetts Permit No. BLDE-18-000751 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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 TY PE ALL INFORMATION) Date:8/7/2017 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. O Location(Street&Number) 186 8212 MID-TECH DR Owner or Tenant CURRAN REALTY LLC Telep SP, Owner's Address 212 MID TECH DR UNIT 40,WEST YARMOUTH,MA 02673-2580 0 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Chec' iii e ''��y/,�j/'w/, Purpose of Building Utility Authorization No. J n(((�� Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of so (j/,J New Service Amps Volts Overhead 0 Undgrd 0 No.of Me v si Number of Feeders and Ampacity 1V Location and Nature of Proposed Electrical Work: Install eight(8)speakers. (212 Mid Tech Drive) - Q 7'/ 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 ❑ In- a No.of Emergency Lighting grnd. grnd. Batten'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. Tonal No.of Alerting Devices 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: 8 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address: 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:$115.00 ilC4 :(11l7 R— c(t 7 41 0 S:A pp ��yyyy�� Official Use Only �] 'D m», emensonwea&die aseaclussets �� ' Q [� c� =r r`aa �'7� c7 [[�� Permit No. Z '?IUP x Theparimenf o/,fire- ervices"�� BOARD OF FIRE PREVENTION REGULATIONS i l) `y and Fee Checked L _ ) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 MR 12.00 (PLEASE PRINT IN INK OR EEiIALLIN Rh N) Date: City or Town of: //l {i (�1� To the Inspector of Wires: By this application the undersign :'vis otic o hisfr h.. intention to • vorm the electrical work described below. Location(Street&Number) l u t' is I (Tuner or Tenant j1Tl,'AZi7i/,11/P INIZA Telephone No. Owner's Address2 IIII (G ' t or, Q( / it Is this permit in coition on with a buil.ing . It? Yes II No in (Check Appropriate Box) Purpose of Building `/_ Al A ! / U i thy Authorization No. Existing Service_ Amps / Volts I erhead❑ Undgrd❑ No.of Meters New Service _ Amps I Volts Overhead 0 Undgrd 0 No.of Meters NumberI of F/epeides and( Ampacity/ �/� �/ /} �/� P �� q Z L tioV nl 1 I)o r l f I caltW rk: fid Y I� Z 1(14 3'-l.(�-wl ,ri . . Completion of thefollawinglable may be waived by the/nspMor of Wires. Tal lb No.of Recessed Luminaires No.of Cell.-Strap.(Paddle)Fans Tran Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPori Above 0 in- 0 No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FiRE ALARMS No.of Zones No.of Switches No.of Gas BurnersInitiating No.of Detection and Z Devleic es I i! No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste DisposersHeat Pump Number(Tons KW No.of Self-Contained Totals: ` Detection/AlertlmDevices No.of Dishwashers Space/Area Heating KW Local 0 MuonneMlonkt'paln 0 Other C 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: may, a Attach additional derail If desired,or as required by the Inspector of Wires. Estimated Value of E tic 1 W. : I '5 n (When required by municipal policy.) Work to Start: ' spec'eons to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV RA E: nless 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 eerdfy,under the/F alas and ��rQtes®of the.�t�ne Inp r�ornr don on'this a tleadon it true and complete. FIRMNAhE: t )LAa A ,QCYlj /�� ( p,) LIC.NO.: Licensee: 1/]m.'( (Air Signature LIC.NO.: (If applicable.enter"exempt in the&-ense number line.) Bus. el.No. Address: Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 ant aware that the Licensee does not have the liability insurance coverage normally required by law. B my sign low,i hereby waive this requirement.�( 1 am the(check one)0 owner 0 owner's agent. Own tura t �� p 17A 72(0 Signature Telephone No. PERMIT FEE:S 56 ?- Sqe--- Opc l u/a A4Lt & r Lilii, - (a & y ff l Elliott, Ken From: Elizabeth Gallant <egallant@qualifiedtechnologies.com> Sent: Wednesday,August 02,2017 2:29 PM To: Elliott, Ken Subject: Permit LV-212 MID TECH Rd Attachments: img150jpg Ken, Please see our liability insurance attached for our LV(speaker install)permit for Cape Cod Savings @ 212 MID TECH RD Is there any way to get a permit#( check for additional$55.00 is going out in today's mail )Check# 1335 For install of 8 speakers Thank You Elizabeth Galant Account Manager Qualified Technologies LLC 8 Trader Circle Unit 8C Tyngsboro,MA 01879 Tel: 978-226-5706 Fax 978-419-4902 1