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Home My WebLink AboutE-20-030 Commonwealth of Official Use Only Permit No. BLDE-20-000030 Massachusetts 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:7/2/2019 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) 465 STATION AVE Owner or Tenant MONTROSE YARMOUTH STATION LLC Telephone No. Owner's Address 159 CAMBRIDGE ST,ALLSTON, MA 02134 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 ; •.,Nature of Proposed Electrical Work: Relocate exit sign&conduits after glass and frame has been replaced. 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- ❑ 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 Initiative 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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: ALAN R O'REILLY Licensee: Alan R O'Reilly Signature LIC.NO.: 51570 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 12 LENTELL ST, SANDWICH MA 025632116 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 (PC 740 lroosmorxvsa _J �� - _.' o�///carfi Official Use Only -n�_ -= arlrnerrf o Permit No. r-(�--CJ�Q Occupancy and Fee Checked 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),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM4TIOA9 Date: Vl / 9City or Town of: YARN leIOUTH To the I ect Wires: h By this application the pndersigned gives notice of his orer intention to perform the electrical work described below. Location (Street&Number) It 51 S+Q�DNI �S ri l' *,/�',dLJ t Owner or Tenant 0OV\4(05f \Ivor 00-0•% 5 A-A-;pn LLG Telephone No. Owner's Address 151 C r.kbriA '. cC ,e4A- 1n c.\S-kh + ,M_VA 0S Is this permit in conjunction with a buildinaernut? Yes... ---. No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead D Undgrd❑ No.of Meters New Service Amps / Volts Overhead E Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: - �) S `t-rrw� S . 2e k� L. 1�e,S (a� f C. ra r r�10 en f e p)a[,d . Completion of thePUawing table may be ived the I I by nspector of Wrrer. No.of Recessed Luminaires No.of Cet1-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Pool swimming Aboverrnd. 0 atria. 0 B In- Nattery o.of 1 Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones - No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Muaicipat L0�❑Connection Other 0 No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of „.........L. Heaters Signs Ballasts No.of Devices or Equivalent 1 No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires Estimated Value of E ctri 1 Work (When required by municipal policy.) J Work to Start: arJ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAt E: 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 p it is ing office. �' — . Carol 9 'J CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) 1 r~� 12f I' C I cerrrfy, under the pains p ` o` u that the information on this application is true and coFrsplete. FIRM NAME: ,,,,,1 / f( �!fury, / r�tGcfl-►r-;4✓J LIC.NO.: Licensee: Signature LIC.NO.: (If aPPlicabl eAnter "er t"i the li rise mbe fine. I . Address: I d 1 �ll �S-,r,-,- N �r�ic� tvl4- (� 3 Bus.Tel.No.: J .Per M.G.L.c. 147,s.57-61,securitywork requiresAlt.Tel.No.:� �(L'�, . �a Department off Public Safety` "License: Lic.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 ❑owner i Owner/Agent El owner's a eat I Signature Telephone No. PERMIT FEE: $