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HomeMy WebLinkAboutE-19-3514 ✓ a. Commonwealth of OffieialUse Only Massachusetts Permit No. BLDE-19-003514 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 OR TYPE ALL INFORMATION) Date:12/10/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to Naomi the electrical work described below. Location(Street&Number) 259 WILLOW ST • Owner or Tenant GOLDSMITH JAMES C TRS Telephone No. ,. Owner's Address 830 NORTH ATLANTIC AVE #B905,COCOA BEACH, FL 32931 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Upgrade lighting Completion of the following table may be waived by the Inspector o 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 100 Swimming Pool Above ❑ In- o 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 Na.of Detection and Initiatine 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 Sim 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 iifdesired,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: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:$80.00 -- 4 bi r l.onamonwaa[IA o`//%aeaackeeelld OA el Use Only P=`_ y,.E>W= i �l Permit No. 9— 7� i c._--..- ws 1 hereintenl o/c�in..•)ewicae - I- ." BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev."traio 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 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/15/2018 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) 259 Willow St. Owner or Tenant Cape Cod Insulation Telephone No. 508-775-1214 Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No © (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 with energy efficient fixtures- 100 fixtures, 96746 28 relamp reballast, and 3 exterior LED fixtures. Completion of the following,table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.Tranofsformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In- ❑ 'No,of Emergency Lighting g grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. nDetenon and Initiating Devices Totallo.of Ranges No.of Air Cond. Tons/ 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 HeatingKW Local 0 Municipal 0 Other PCyonnection No.of Dryers Heating Appliances KW Security f Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Eications quivalent No.Hydromassage Bathtubs No.of Motors Total HP 1 elecNo of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $16,000.00 (When required by municipal policy.) Work to Start: 11/2018 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 . weather& Shepley Ins. 1/19 I certify,under the pains and penalties ofperjury,that the information o ,pl' anon is true and complete. FIRM NAME: Thlelsch Engineering / ,i LW.NO.: Licensee: Ralph Carroccio Signature j , / LIC.NO.: 16657A (If applicable,enter"exempt'in the license number line.) t us. - • • '61-784-3700 Address: 1341 tlmW000 Ave., uranston, NI U181 Alt.TeL No.:800422-5365 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"5"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 PERMIT FEE: $ 80.00 Signature Telephone No.