The URL can be used to link to this page

Home My WebLink AboutBlde-18-006683 Commonwealth of Official Use Only f'E` Massachusetts Permit No. BLDE-18-006683 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:5/24/2018 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) 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 0 Undgrd 0 No.of Meters New Service 800 Amps Volts Overhead 0 Undgrd a No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New constructio "' " 'nclude rough/final wiring, F/A, Telephone, Grounding,&Service. 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 L Tons �lVo.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 ❑ 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: 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 Signature Telephone No. PERMIT FEE:$1,615.00 T r Commonwealth GI f aeeae/,aeslle Official Use nl ,,� Itl Permit No. g - j I a 3 2)sparlmsnl 0/..c7 L Soviets i1 ., Occupancy and Fee Checked .� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK IAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: J cot/I 8 c.S City or Town of: yain -0 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. N Location(Street&Number) 88 I R.0 v.... e. c - N Owner or Tenant 6 ?O- C((Vt I l e Y LLG Telephone No. ,43 Owner's Address ii! (7"U,/Thk'4Ij n 4I4' -*bop RDSjvn Am 0.21/?9 ki Is this permit in conjunction with a h nildingpermit? Yes iRTNo E (Check Appropriate Box) � h'l Purpose of Building COm e rGia- Utility Authorization No. Qb Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service $00 Amps 610 /20$Volts Overhead❑ Undgrd Dir No.of Meters 20 tO --zi Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Zu-L(d i y A Completion of the followingtable may be waived by the fnspecfor of Wires. Total Q3 No.of Recessed Luminaires No.of Celt-Sump.(Paddle)Fans No. f KVA Transformers KVA. g,, No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. arnd. Battery Units �, um 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 I:- No.of Ranges No.of Air Cond. Total No.of AlertingDevices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerdn Devices No.of Dishwashers Space/Area Heating KW Local 0 Manieipnnection 0 Oth Co No.of Dryers Heating Appliances KW Security Systems:1 No.of Devices or Equivalent No.oTWater KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunica bluingg: Na of Device or Eqions uivalent 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: 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:) b o W 1 i h.Gi 4- Q Nt t i 1 certify,under the pains and nahies of perjury,that the information on this application is true a -' complete. FIRM NAME: St e ej>°.vl Yi Ca .f . ;. r, A. �.: f{/7/9 7 Licensee: i K T ►I I '. Signature Air; '47:��/19: ..• (If applicable,enter"exe pt"in the license num r line.) ;' Te. o.; 66e-']7/-70270 Address: .�7� ya,Jrif l 4 lined, in i.S MAc O?4 D/ . It.Tel.No.: 508- f/OD-n2.3S0 *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:$ i O bs 00