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Home My WebLink AboutBlde-19-001293 . • Commonwealth of Official Use Only V Massachusetts Permit No. BLDE-19-001293 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked J [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:8/31/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn 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 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity k .i Location and Nature of Proposed Electrical Work: Installation off * System 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- ElNo.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 \,...,/No.of Waste Disposers Heat Pump Number Tons KW ,No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: 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:$115.00 Conurwnwsatth 6/Madoesclusa.Uo Mkse,T2a.3 Bt„ -/ tt�� c7 Permit No. ../ ik 2spariment o j Jars.Sswicsa 1 i ' " Occupancy and Fee Checked Sr °' ,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 'e APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK H All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �I City or Town of: arYvtD ugh To the Inspector of Wires: By this application the undersignelgives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) 8 et RQ wf-'e n21?" CI Owner or Tenant 6-r (l PytVajr cr L(,G Telephone No. 4 Owner's Address I I i } t f j r14 in /{� 400 & n ,(1Q a.'i 9 9 Is this permit in conjunction with a building permit? Yes,$ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters (0 New Service Amps I Volts Overhead❑ Undgrd ❑ No.of Meters �# Number of Feeders and Ampacity ,,J, "k1 Location and Nature of Proposed Electrical Work: rl re- A-I arm. Sy s+ovi,- B K 1ci , Completion of the followin&table maw be waived by the lnswector of Wires. No.of Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA •°`°, No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool 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 a -' No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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❑ Municipal ❑ Connection No.of Dryers Heating Appliances KW Security Systems:* No.of bevices 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: 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:) 10W/in4 -' 0^/L i 1 certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: :I �i ' i Ce- 0 i,I t i .NO.: 417/9 7 Licensee: : �I�BiIA/ llr►a Signa'y'� i� fJFr� NO.: (If applicable,enter"exempt"in the!ice�yse in ber t ) :u el.No.;,$778'-'?71--7a70 Address: Ala_ ytt,rwt.DL .- / �/Q.h/1ls Mil- D2�PD Alt.Tel.No.: �/ *Per M.G.L.c. 147,s.57-6 1,security work requires artment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ //s. V 0 orP 1 104 v„ • . %kJ.