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HomeMy WebLinkAboutBLDE-18-004333 Commonwealth of Official Use Only A elt Massachusetts Permit No. BLDE-18-004333 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:2/12018 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) 714 ROUTE 6A Owner or Tenant OLOUGHLIN JOSEPH V TRS Telephone No. Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST.HARWICHPORT, MA 02646-1517 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 0 No.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: Office renovations for rear building. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 51 No.of Ceil:Susp.(Paddle)Fans No.of - Total Transformers KVA No.of Luminaire Outlets 53 No.of Hot Tubs Generators KVA No.of Luminaires 2 Swimming Pool Arbnov.e ❑ Ignr-nd. ❑ Nttory megency Lighting 4 No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 13 No.of Gas Burners No.of Detection and Initiation 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/Alertine 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 1 KW 2.5 No.of No.of Data Wiring: Heaters Sins Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: 5 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 A Piquette Licensee: Robert A Piquette Signature LIC.NO.: 9581 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 13 DEVEAU LN,YARMOUTH PORT MA 026752458 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:$100.00 Is as), 626,,,,e) */f 6 g. NI4.-(N (Fo r['eaf:VSIL age to 44iA4341FP) R- pito/427 Lei • Commonwealth of Massachusetts Official Use Only ,. , i Department of Fire Services Permit No. Cfl C5 rel---93J W BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked „, [Rev. 1/07] (leave blank) O APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 Date: 02/01/18 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). 714C RTE 6A Owner or Tenant OLOUGHLIN REALTY Telephone No. 508-362-4942 Owner's Address. 2 HEROLD ST HARWISH,MA IIs this permit in conjunction with a building permit? Yes X No 0 (Check Appropriate Box) Elk El Purpose of Building COMERCIAL OFFICE Utility Authorization No Existing Service Amps Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Num er of Feeders and Ampacity 0 ,*c ion and Nature of Proposed Electrical Work: RE-LOCATE WIRING SWITCHES AND OUTLETS LIGHTS Wm w Completion of the following table may be waived by the Inspector of Wires. > No.of Total f4o. f Recessed Fixtures 51 No.of CeiL-Susp.(Paddle)Fans Transformers KVA W o' .go f Lighting Outlets 53 No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting 4 V u�\Ito dp of Lighting Fixtures 2 Swimming Pool grnd. ❑ grnd. ❑ Battery Units La vj/Vol of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones etection and 0 of Switches 13 No.of Gas Burners No.of Hat ng Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons-__, K_W No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local 0 Municipal ❑ Other PConnection No.of Dryers Heating Appliances KW SecurityNofystemss or Equivalent No.of Water No.of No.of Data Wiring: Heaters 1 KW 2.5 Signs Ballasts No.of Devices or Equivalent ons Wirin : No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicaNo.of Devices or Equivalent 5 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: 2/1/18 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 x 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: Re-Comm Electric Inc , .. t3' LIC.NO.: A9581 Licensee: Robert Piquette Signaturego "`^ at r" LIC.NO.: E17712 (Ifapplicable,enter "exempt"in the license number line.) Bus.Tel.No: 508-776-2481 Address: 13 Deveau la Yarmouth Port Mass. 02675 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61 security work requires Department of Public Safety"S"License: Lie.No. 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 Signature Telephone No. PERMIT FEE:$ 100.00