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Home My WebLink AboutBlde-19-003108 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003108 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:11/20/2018 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) 476 ROUTE 28 Owner or Tenant THE POINT LLC Telephone No. Owner's Address 476 ROUTE 28,WEST YARMOUTH, MA 02673 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Fire alarm wiring for pool&office area. 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 prnd. 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 \,./.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: BRIAN REZENDES Licensee: BRIAN REZENDES Signature LIC.NO.: 22213 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 GOELETTE DR, PLYMOUTH MA 023601228 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 �ature Telephone No. PERMIT FEE: $115.00 • Commonwealth.o///las3achaaelfs Official Use Only 11._* Gl ( JQ - 3I0� ' c7 ;i'ermit No. 41'-n v 2eparlmenl o�_tire Services +W' `� Occupancy and Fee Checked ,.,, BOARD OF FIRE PREVENTION REGULATIONS C!Rev. 1/0?j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 C I^00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: j l /l 1 d' City or Town of: YAR Inc v T` 1-1 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) LI 7 b G/v eS4r'e e Owner or Tenant C#14,0c pad► t A + p 4 C 1 Telephone Noo,,er �'.2eY 52 Owner's Address ! Ie(° f�4 i .4 Is this permit in conjunction with a building permit? Yes 'J No L! (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead L_ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead Undgrd I I No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: FI rv- 4 (,A-iif' ►,/A C Far ea(.11 4Lcbb y 4fc ,> _J 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 Ltgnting `� grnd. 2rnd. IBattery Units No.of Receptacle Outlets INo. of Oil Burners FIRE ALARMS iNo.of Zones No. of Switches No. of Gas Burners No. of Detection and ' Initiating Devices No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No.of Waste Disposers Heat Pump 'Number Tons [KW' No. of Self-Contained j Totals: 1.... ................ Detection/Alerting Devices INo.of Dishwashers 1Space/Area Heating KW Local❑ Municipal ❑ Other Connection INo.of Dryers Heating Appliances KW Securityvstems: �NO.of Water No.of bevices or Equivalent 'No. of No. of Heaters Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs jNo, of Motors Total HP (Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the inspector orWires. Estimated Value of Electrical Work: (Wren required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. LSURANCE COVERAGE: Unless waived by the owiier,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 7 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: A4,frn?,? A/' -",JC-C -,J 0 L Z. C. LIC.NO.: 222/3-, Licensee: 41 4,,..1 ls7A7z�,�0.--...:S Signature ,., Z ------ LIC.NO.: O d?j.j' (if-applicable, enter "exempt"in the license number line.) / Address: Bus.Tel.No.: o.: Tel. *Per M.G.L. c. 147, S. 57-61,security work 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 required by law. By my signature below,I hereby waive this requirement. I am the check one)Li.oaper n tim r't p,-=*,+ Signature . Telephone No. , PERMIT FEE: S /kr 50s--39y=ems eNe4-- I