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HomeMy WebLinkAboutBLDE-19-005588 t ti Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-005588 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:4/8/2019 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) 25 POWERS LN Owner or Tenant DOHERTY INVESTMENT CORP Telephone No. Owner's Address 47 WAREHOUSE RD, HYANNIS, MA 02601 Is this permit in conjunction with a building permit? Yes ❑ 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: Install alarm 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- ❑ 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 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 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 Siens 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: Jamie S Popillo Licensee: Jamie S Popillo Signature LIC.NO.: 7017 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 Amanda's Trail, South Dennis MA 02660 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: $45.00 ?cli)4&- ''CIQ 1(et !c- e J Id( (a-- Commonwealth of Massac fis y��rfficial Use Only --'�'- c`�a,_., Permit No. /ThC(--S`s 68 2 parfineni o f. Services = ►=_ , BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked --� (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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his o her intention to perfo the electrical work described below. • Location(Street&Number) `" POLbe S I_ct AZ GO, 'UtM o A-k, Owner or Tenant -3 e r(/ C(1,1)14 6 ©y\ Telephone No. ' wner's Address ,Tj C e a ' 1 ) .( GuV).p apivit ® H� s this permit in conju coon with a b ilding permit? Yes ❑ No Lii � vq � se ofuildin ,�,, . ❑ (Check Appropriate Box) W I o � urpose Building INKt,Q +1(9't Utility Authorization No. e%+ a I zisting Service Amps / Volts Overhead E try ❑ Undgrd❑ No.of Meters L4l r O New Service Amps / Volts Overhead❑ Und d ' gr ❑ No.of Meters Number of Feeders and Ampacity us t ' i ; Location and Nature of Proposed Electrical Work: Alarm (5 'js li 7 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 SwimmingPool Above In- 'No.of Emergency Lighung• - ernd ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones 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 I Number Tons i KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating•KW Loral❑Connection Municipal ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No. of No.of Devices or Equivalent No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 c undersigned certifies that such coverage is in force,and has exhibited proof of same to a permit issuing office. CHECK ONE: INSURANCE it), BOND El OTHER ❑ (Specify:)AT frt � *2,.` I certify, under the airs and Fri of erjury,that the information on this application is true and complete. FIRM NAME: G c co.rin d11 LIC.NO.: Q C Licensee: milt 77—= Signature LIC.NO.:1, (If applicable,Fter : empt' t e license number line.) l J. Address: �pyt �) €tM' S - Bus.Tel.No.:J "Per M.G.L. 147,s.57-61,security wor requires Department of Public SafetyAlt.Tel.No.: "S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�— S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent Owner/Agent I Signature Telephone No. I PERMIT FEE: $ 1