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Home My WebLink AboutBLDE-19-006970 Commonwealth of Official Use Only Permit No. BLDE-19-006970 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:6/11/2019 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) 436A STATION AVE Owner or Tenant BAD BOY PROPERTIES LLC Telephone No. Owner's Address PO BOX 459,WEST BARNSTABLE, MA 02668 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Disconnect&reconnect 3 roof top unite 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 Initiating Devices No.of Ranges No.of Air Cond. 3 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 0 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: 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: Jeremy M Deaguiar Licensee: Jeremy M Deaguiar Signature LIC.NO.: 13659 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 AIKEN ST,FL 3,PAWTUCKET RI 028611615 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: $260.00 r Commonwealth of/f/ai.4achtt6 • / alai Onl === • -mil''( ___ -/ cc`�� c� n get=- 2epartmrn.t o f.firs- Permit No. srvics9 �/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked O(LQD4) (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),S 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6 (4 l City or Town of: YARMOUTH To the Inspe or o Wires: ., B Y this application the 1,ridersignedgigives.notice of his o her intenti n to perform the electrical work described below. Location(Street&Number) 33LDD_ c._ v � . Owner or Tenant `,r i�' I-r U�eleplaone No. 'aj?; Owner's Address —1 q p� UC' (5oCC- c.I_ Li Is�this permit in conju ction with a uildin permit? Yes _//y S ❑ No ❑ (Check Appropriate Box) Purpose of Building )1A._1,(1 1 JX I Utility Authorization No. b Existing Service Amps / Volts Overhead ❑ Undgrd../.i .., ❑ No.of Meters - New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters r- Nltmber of Feeders and Ampacity Locatio and Nature of Proposed Electrical Work: a`�l YQ CCU ' CA- ç)cc - S � � rr,ect Completion of 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 Swimmia pool Above In- ❑ No.of t.mergency Lighting g grad. ❑ grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS jNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No. of Air Cond. Tons No.of Alerting Devices , No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ er No.of Dryers Heating Appliances KW Security Systems:* No.of Water No, of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent I 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 le trical Work �OO (When required by municipal policy.) Work to Start: Cp (o i� Inspections to be requested in accordance with MEC Rule l0,and upon completion. INSURANCE CO E GE: 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 3ND ❑ OTHER. I cerizfy, under the pains and pe ties ojper u 0 (Specify:) l ry, the 'nformation on this application is true and complete. FIRM NAME: _ 1�� C' Licensee: LIC.NO.: �5 Of applicable,enter "ere t nu� r Nr Signature LIC.NO.: the lic line.) Address - a Bus.Tel.No.: - Pc�- J Per M.G.L. c. 147, s.57-61,secrequires , Public Alt.Tel.No.c. : OWNER'S INSURANCE WAIVER:workm aware that the Department Licensee oes nor have the liability insurance coverage n— orma� required by law. By my signature below,I hereby waive this requirement I am the(check oneownery Owner/Agent 0 0 owner's a eat Signature Telephone No. PERMIT FEE: $ al