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Home My WebLink AboutBlde-19-001291 (2) Commonwealth of Official Use Only or /I. Massachusetts Permit No. BLDE-18-006795 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:5/31/2018 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 electncal 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 1000 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New eonstruetio s 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 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 ❑ 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:$2,060.00 t a\IYYg4 Cmnixon usatth o/!Vadoac ita Official Use Only� t c cc77 Permit No. 0 e_' /?S' 3, ►` �w. .1Japartawni o f.jin Ssrvics3 .7 ', Occupancy and Fee Checked 6 6 -ce BOARD OF FIRE PREVENTION REGULATIONS (Rev. i/07j peeve blank) Z APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 U (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) `s/ Date: i/1/e 6City or Town of: y a,V nil 0 u,4-ki To the Inspector of Wires: N By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) K V R o vt-t, o2 ' Owner or Tenant 61(e j C i.Va-li G( LL—C Telephone No. k Owner's Address /11 fltih+i/i/g n l'✓e- " ,O0 a 9v 1 M4 Oc?-/9 9 Is this permit in conjunction with a building permit? Yes liP No ❑ (Check Appropriate Box) Purpose of Building GQ Ih Me.i aa.I Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 1V) New Service /000 Amps /2-0 / �8 Volts Overhead 0 Undgrd allo.of Meters 31 Number of Feeders and Ampacity Y Location and Nature of Proposed Electrical Work: Au j/4i rl o $ — A/sw CQrls*-IK G'(Dr 1 t7 ivwtkuk r014,0/f ih a I w/trin 9 1 /A- JJ VI Completion of the folowin&table may be waived by the I for of Wires. `p No.of Total tb No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units �•/ `? No.of Receptacle Outlets No.of OH 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. TotalNo.of Alerting Devices g Tons /�No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained �j' Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection o.of Dryers Heating Appliances KW Security Systems:* i .. �' No.of Devices or Equivalent Ito.of Water KW :, 4 No.of No.of Data Wiring: i � ' J Heaters Signs Ballasts No.of Devices or Equivalent i SJ. Telecommunications Wiring: U.i, lo.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent 1 z THER: P" ;_ l Attach additional detail if desired,or as required by the Inspector of Wires. -- E timated Value of Electrical Work: (When required by municipal policy.) ':,n k 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 ❑ (Specify:) 'biz)\i i V i '• 4— O'� i I certify,under the pains and monies ofperjury,that the information on t,is .pplicatii is a complete. FIRM NAME: o,s,_ '• Q, 5-I2G+if C.Q•I a r,eof ►, in , . 's : 4 17 I97 Licensee: > -WiVJ P.1 o eX S( Signature I b.: (if applicable,enter"exe pt"in the lice ye nu ,be,r line.) /..Tel.No.:.50 R-7 7 I'7a7 0 Address: 310- as WA-0 A Rc- k4 y G.hn t S Mr 0 2-o n l Alt.TeL No.:. b $-Li 00'9-30 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$2,OG 0. r