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Home My WebLink AboutBlde-18-00684 s . 7/ ' a Commonwealth of Official Use Only 4- Massachusetts Permit No. BLDE-18-006284 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:5/8/2018 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) 579 BUCK ISLAND RD Owner or Tenant TURINO ASSOCIATES LLC Telephone Nodto Owner's Address 2000 COMMONWEALTH AVE,AUBURNDALE, MA 02466 Is this permit in conjunction with a building permit? Yes 0 No 04 pr e Purpose of Building Utility Authorization • S" Existing Service Amps Volts Overhead 0 Undgrd 0 o o. •et 4iiirc.„79______ New Service Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity Q Location and Nature of Proposed Electrical Work: Replace CCTV cameras.(NURSING) Completion of the following table may be waived by I y y tor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal 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 Initiatine 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* 7 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Richard Johns Licensee: Richard Johns Signature LIC.NO.: 18054 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:61 WALDEMAR AVE,WINTHROP MA 021522333 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:$150.00 emcd JitS ura n• V _�- Commonwealth of Massachusetts yW.- ' A artment o lira services Permit Nodffiguse __!_= = P 1 1 cy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS {Rev.Occupan 1/07) (leave blank) 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: /)1 14 ( (2-C ( City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives notice of his or intention to perform the electrical work described below. Location(Street&Number) 5-7 ci S 1 ad • Owner or Tenant ,/Vi,L a„toet? geS\ % Telephone No. Owner's Address S er et-,-,,,,,.1: I. _ I r_powN.( 1 Is this permit in conjunction with a building permit? Yes ❑ No IS (Check Appropriate Box) Purpose of Building Z kcice_VI l GA-<L(--- Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd❑ No.of Meters "O New Service Amps / Volts Overhead 0 Undgrd g 0 No.of Meters `\ Number of Feeders and Ampacity Location\ of Proposed Electrical Work: � � '� C. yr 4 5 l tL Ny .A f�� (11?)L f� 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 - 0-..c:. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Above In- 'No.of l mer en Lighting 1. _ Swimming Pool d. ❑ grnd. ❑ Battery Unite cY g y No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones 1 -s No.of Switches No.of Gas Burners "No.of Detection and Initiating Devices _ Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump er Tons KW No.of Self-Contained Totals:I Numb_ `"�' �" Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters KW No.of Data Wiring: 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 OC VEERA E: Unless waived by the owner,no permit for the performance of electrical the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE I BOND 0 OTHER ❑ (Specify:) gp2�_w10s j 35a)— 00 (�I certify,under thepains a dd penalties ofperiury,that the information on this a placation is,frue and complete.FIRM NAME: i. 6 ol 'TI�EL cAtIC.NO.: Gj Licensee: 1/� {-1l�S Signal re (f �. (If applicable,Qente' mpt"in the license number lin� s LIC.l. NO.: 0 . Address: C 3 S{-Z ,2—\s� J( u,t,,i{ o Bus.Tel.No.:= ��C,/ j "Per M.G.L. C. 147,s.57-61,security w requires Department of Public Safety"S"License: Alt.Lic. No.. / OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner o Owner/Agent ❑ wner's a ent. Signature Telephone No. . I PERMIT FEE: $ 0