The URL can be used to link to this page

Home My WebLink AboutBLDE-19-007085 7 Commonwealth of Official Use Only Permit No. BLDE-19-007085 E. itok Massachusetts 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:6/17/2019 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) 511 STATION AVE Owner or Tenant GLOBAL MONTELLO GROUP CORP Telephone No. Owner's Address C/O ALLIANCE ENERGY LLC, 36 EAST INDUSTRIAL RD, BRANFORD,CT 06405 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: Disconnect 5 fuel dispensers. 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 ❑ 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: Earl T Massey Licensee: Earl T Massey Signature LIC.NO.: 28107 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 190 RIVER ST, HOLDEN MA 015202304 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: $80.00 dcD 0m►o.):.LQ arls(.4Act- lx Cue _. Lommonama&al Maesaelimseits 01.clal 0, m �, *r Permit No. 2)y a tmsai 0/gips.Sseuiess BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked �, `�: � 71, (leave blank) '° ° S APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK °-. All work to be performed in accorcharce with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Gi-/9-/lf 4 - "City or Town of: _S �f�J�r�vo,j� To the Inspector of Wires: By this application the undersigned gems notice of his or her intention to perform the electrical work described below. Location(Street&Number) S// 5 M f/oA A 'c.- Owner or Tenant A j/ 1"- ,,,1 Telephone No. Owner's Address _ ho/t ` 1(V Is this permit in conjunction with a building permit? Yes ❑ No lam' (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service '---- Amps / — Volts Overhead❑ Undgrd❑ No.of Meters `� New Service Amps ----7 r Volts Overhead❑ Undgrd❑ No.of Meters v Number of Feeders and Ampacity bJ Location and Nature of Proposed Electrical Work: 'c c l. -. '/- �� 7 i .. —a t /.rDin. , all,/ 46aic. APet- /7? 4.- i r4Alf edrr //>/,%A14 (t�aMe� P:rif f`.y •°,;/�ea.lr�) Completion of the following table may be waived by tl e I of Wires. titTotal No.of Recessed Luminaires No.of C.a.-Snip.(Paddle)Fans Tri Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA aAbove In- 'No.of emergency L1"ghttng - No.of Luminaires Swimming Pool grid. ❑ grid. ❑ 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 1 I.i No.of Ranges No.of Air Cond. Ton` No.of Alerting Devices No.of Waste Heat Pump Number Tons_ _KW_ 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 alciParn 0 Other No.of Dryers Heating Appliances KW SecNo.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Vrinaient No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equly nt OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. C Estimated Value of Electrical Work: / d/)go oe (When required by municipal policy.) Work to Start: �j Inspections to be requested in accordance with MEC Rule 10,and upon completion. .. INSURANCEi-/7-/ VERAGE: 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 'r undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. s CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the iafvrmation on this application is true and complete. FIRM NAME: C�,-7 �/tif,,y LIC.NO.: _�,-/Q 7 Licensee: �,��/ M��,� Signature fa 4/V 'LIC.NO.: _rig (If applicable,enter"exempt",in the license .S r line. 9 Bus.Tel.No.: OY-�/,z•2�6r ps Address: /aZ l f Ai 't//l S 7- tipat /11G. 0 i S' Alt.Tel.No.: cl *Per M.G.L.c. 147,s.57-61,security work requires Department of Public fety"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)❑owner ❑o °er's ment. Owner/Agent i, V Signaturetune Telephone No. PERMIT FEE: '