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Home My WebLink AboutBlde-18-005439 Commonwealth of Official Use Only �` fE Massachusetts Permit No. BLDE-18-005439 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:3/30/2018 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 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 Location and Nature of Proposed Electrical Work: Connect constructinalitteltiawwietvice. 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 ^`.i.of Ranges No.of Air Cond. ,TTotal No.of Alerting Devices 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 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 ofperjury,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 ......iature Telephone No. PERMIT FEE:$100.00 R f _ * F Conunonwsalth o/Maseacluseella Official Use Only pg,. .( c� Permit No. �� 2)epartment o/.}ire Serviced /1 t i ;; Occupancy and Fee Checked x...- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) � APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK VAll work to be performed in accordance with the Massachusetts Electrical Code(.MEC ,527 C R 12.00 • (PLEASE PRINT IN INK OR TY E ALL INFORMATION) Date: 3 .2.� R" City or Town of: Q.1 IVI D� 1 To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Sg 1 0(4.--te plc Owner or Tenant D LLI T/t,rS // Telephone No.7'-99-400a Owner's Address � /i-&J pule) s-i. v�ln1 0-Ml . ifAA 002 VS-7 • Is this permit in conjunction with a building rmit? Yes ❑ No E (Check Appropriate Box) Purpose of Building ( Iiiiktr 'I�� Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters of New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ANA Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: iv;f t t^ o-f ��•l.le r Completion of the followingtable may be waived by the Inspector of Wires. Total Q. No.of Recessed Luminaires No.of Ceit.-Susp.(Paddle)Fans No. f Trano KVAsformers KVA '..) No.of Luminaire Outlets No.of Hot Tubs Generators KVA n f Above In- No.of Emergency Ugh-fang` No.of Luminaires Swimming Pool trod. ❑ grnd. ❑ Battery Units `µ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones v No.of Switches No.of Gas Burners moo.of Detection and �" �'otal Initiating Devices l' No.of Ranges No.of Air Cond. Tons No.of Alerting Devices of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ........_________No.( Totals: Detection/Alerting Devices e ,- -� -�- No.Sf Dishwashers Space/Area Heating KW Local❑ Connection al ❑ Other CA�-, Security Systems:* $o. f Dryers Heating Appliances KW ty y No.of Devices or Equivalent �"' ;N. f Water No.of No.of '\ t Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent t 4 , ' No. IydromaasageER: Bathtubs No.of Motors Total HP Telecommunications WWhing:ent f' 4 f No.of Devices or Equival �.` O1K� s: Attach additional detail if desired,or as required by the Inspector of Wires. ' Ct. "'""_`_ -Estiitlated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) �QW 11 j d- D N� l I certify,under the pains and alties of perjury,that the Information on this appliccatia is true a d complete. FIRM NAME: itil icle El ■ ! ' ► air eI 'p.=/I / a.:417/97 Licensee: Signatur ` ! a.: (If applicable,enter"exe pt"in the lice e int li ) ✓•s.Te.No..`Tl7t�-17/—7c27 Address: 37a- p YAA_Dail: I-I nnl s /144 0016,0 1 Alt.Tel.No.: -0g-spy- 91/� *Per M.G.L.c. 147, 57-61,security work requires Dep ent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ f 0000