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Home My WebLink AboutBlde-19-006722 Commonwealth of Official Use Only Permit No. BLDE-19-006722 E 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:5/29/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of Ms or her intention to pertorm the electrical work described below. Location(Street&Number) 881 ROUTE 28 Owner or Tenant GREEN CAVALIER LLC Telephone No. Owner's Address 111 HUNTINGTON AVE#600, BOSTON, MA 02199 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 ❑ 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: J.J +. ' "iiiiii. 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. Total No.of Alerting Devices Tons wf Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ Detection/Alertine 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD, HYANNIS MA 026012043 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 �iture Telephone No. PERMIT FEE: $115.00 f 1 V -r Commonwealth o/1!/aeeachuestio Official Use Only ' ,- s'� c� Permit No. �— 7� ��` ` f ,apartment of...i`irs Serviced -. 1/4„.. t k- * Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) .: APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK V All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TY E ALL INFORMATION) Date: j/p..9)9 lCity or Town of: AYH 0 Gt.-41) To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. �N Location(Street&Number) 4 / RD(t f ,?? ` Owner or Tenant bP1 J--LG Telephone No. kgi. Owner's Address /a2-6'y AA6Lon 9 Ala/ ,in 414 Is this permit in conjunction with a building permit? Yes V No C (Check Appropriate Box) ® Purpose of Building Utility Authorization No. Existing Service‘13 Amps / Volts Overhead El Undgrd❑ No.of Meters cV i.. New Service Amps / Volts Overhead❑ Undgrd El No.of Meters v" Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Fire 4JaV Sgckne, ui1 c/ , 00 nnm,hi-F Bu.i,d-ti'lg *r Wasge Wa.4e( Tvea f-iIie n f Fi cr/i pi ") Completion of the followinv�table may be waived by the-In ctor of Wires. No.of Tal t No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA r.:A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmingpool Above ❑ In- ❑ No.of Emergency Lighting A. 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 t ` No.of Ran es No.of Air Cond. Total No.of Alerting Devices g Tons lf-Contained No.of Waste Disposers HeaTottals:ump Number Tons Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection No.of DryersHeating Appliances KW Security Systems:* No.of bevices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel communicNo.of Devie so or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 coy rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER CI (Specify:) �I frvi/h4 '- 0 '4J I certify,under the pains and enalties of erf ury,that the information on this applications is true and complete.FIRM NAME: loci ril l L.j/ ., d i/ lr-,.. � LI NO.: i-Nei-7 Licensee: Th 1.(,Y P. bulge T)' Signat ,'�o it / /� I A O.: Of applicable,enter"exempt"in the li ense numl� ine.) A 1 / c us. el. o...SQR -77/-7a.7t'7 Address: c�?�- 'aril4 0 iti NA. J ya,`ln t S /vt ft 02 0 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: 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:$ /4t j, 00 Signature Telephone No. f