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Home My WebLink AboutBLDE-20-005649 Commonwealth of Official Use Only or Massachusetts Permit No. BLDE-20-005649 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:5/4/2020 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) 1146 ROUTE 28 Owner or Tenant TOWN OF YARMOUTH Telephone No. to Owner's Address 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check 1,4441riate O Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 4,01 et New Service Amps Volts Overhead 0 Undgrd 0 No.of, , Number of Feeders and Ampacity ` Location and Nature of Proposed Electrical Work: Install cameras&microphones. Au a Completion of the following table may beivedly the Inspector. ires. 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 0 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 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: 11 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: Michael F Collins Licensee: Michael F Collins Signature LIC.NO.: 9282 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 188, GREENBUSH MA 020400188 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:$0.00 E V .:. L MAY 1 2021 1:::_` ,- VIYL Only uert4 , Ci .. lCse SAl_� � Nc .,=Ft .. i1.? P ' i Y�j.-� - r 1emutNk _ .2sparinssnt o.1..�irs Sswices Occupancy and BOARD OF FIRE PREVENTION REGULATIONS [RevOc. 1/07] (leaveFee blank)Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME .527/CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: y z9/2,(j • City or Town of: Wit/not/Ty 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) //e16 ,2- t7 T Z. S�tH y.,geery t„ Owner or Tenant T6w ..�,v G,y , Telephone No. OS-39f-223/ Owner's Address 1-9'" f J Is this permit in conjunction with a building permit? Yes 0 No [i. (Check Appropriate Box) .J Purpose of Building 7 A.A 1 t-L. Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: z„�rae-cLgn.. of 7 f'72iy1,,,r r,i4-.f .0-G�,..„ ,.,041.441- . AI d - I 4.. - r_-- .d.., i+4' Completion of the followinztable mag be waived by the Inspector of Wires. IliNo.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Trf Total Traa onsformers KVAVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- Ivo.of Emergency Ll rating No.of Luminaires Swimming Pool fid. ❑ grnd. 0 Battery Units ::.s No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initistting.Devices I 1 No.of Ranges No.of Air Cond. Ton No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number.. Tons KW No.of Self-Contained Totals: _.... Detection/Ale . Devices No.of Dishwashers Space/Area Heating KW Local❑ Connectionhin "� ❑ Other 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 orEquivalent No.Hydromassage Telecommunications h'ina: - y massage Bathtubs No.of Motors Total HP No.of Devices or Equiv ent OTHER: Attach additional derail if desired,or as required by the Inspector of Wires. Estimated Value of Elec 'cal Work: 3 GAG (When required by municipal policy.) Work to Start: 2.O Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VE GE: 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:) I certify,under the pains and penalties ofperjsrry,that the information on this application is true and complete. FIRM NAME: GC-.> f4.5 c‘,01$094,9'9, ' LIC.NO.: /2 24 LIcensee: /i'1/2►ri'C/c c-e,,,-t-t A.-3- //Signature-,, _ �K'.NO.: 4'.2.5i l4 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:res---1X6-V6YZ Address: .1 3t/ w J1'CHCf r'.ar 47- 44I(5 '23O/ Alt.Tel.No.: *Per M.G.L.c. 147,s.37-61,security work requires Department of 1 uublic Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)[0 owner ❑owner's agent. gent. Signature Telephone No. l PERMIT FEE:$ j a Pis /?c// S(3 3 - a‘? VS'igc