HomeMy WebLinkAboutBLDE-20-006067 or easmseaseo f ORe/meats Official Use Only
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Permit No. BLDE-20-006067
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BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
LRev.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:6/3/2020
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) 290 SUMMER ST
Owner or Tenant INTN'L FUND FOR ANIMAL WELFARE INC Telephone No.
Owner's Address 290 SUMMER ST, YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • 1 1Prukillit•
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 $7,4 ,tia It
New Service Amps Volts Overhead❑ Undgrd ❑ No ,t) , _ walk)►
_____
Number of Feeders and Ampacity ..
Location and Nature of Proposed Electrical Work: Repair or replacement of underground utilities damaged by of-
Completion of the following table may be wa' e y the Inspec L4411. • ' ires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
T..n..of.....n..o .�. 1n7A
No.of Luminaire Outlets No.of Hot Tubs Generators Zie KVA
No.of Luminaires Swimming Pool Above o In- ❑ No.of Emergency Lighting
.......1 ......a Rend-k....,1T..:4o
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
y..;s;n+;....no.,;.,e..
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
No.of Waste Disposers Heat Pump plumho.of Self-Contained
T..tnlo. F1.+on+:,..,/A1n..+;....nm,:..00
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other:
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water KW No.of No.of Ballasts Data Wiring:
17nntn..o ,C;R..o Nr.. nP nn.,;..00....V n..:.,nln..r
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
IV.. eat nn.,;..00 m.Ven..;.,nIm.f
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: Gregory G Babikian
Licensee: Gregory G Babikian Signature LIC.NO.: 18275
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address 22 WARD RD, SUDBURY MA 017761668 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
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Commonwealth o/f amachu Seto Official Use Only
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iik= t Permit No. ��
2 epartment o`girt�ervice.4 BOARD OF FIRE PREVENTION REGULATIONS Occupancyv. 1/07] and Fee Checked
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APPLICATION FOR PERMIT TO PERFORM ELECT ' • • — ORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 CAI'^ .e
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5/28/20 1 fr p
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City or Town of: Yarmouth To the Inspector f r'ire "
IJ
By this application the undersigned gives notice of his or her intention to perform the electrical o r descriedZido�?� � //
Location(Street&Number)200 Summer StreetQy Su _ f
Owner or Tenant IFAW Telep 1 -.• 1 t�� GEt- ,/
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑i (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead n Undgrd n No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Repair Underground conduits that were damaged from excavation
2-3"conduits serving Chiller/4-1"conduits serving chiller controls,storage shed power,parking lot lights.Pull in new power feeds and make repairs
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 attache/Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators attachb KVA attacI
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting attached
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
Total
No.of Ranges No.of Air Cond.attaCbTons attach No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained attached
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances attacb KW attad Security Systems:* atta
No.of Devices or Equivalent d
No.of Water No.of No.of Data Wifi
Heaters attach KW attad Signs attach Ballasts attac� No.of Devices or Equivalent attar
No.Hydromassage Bathtubs Telecommunications Wiring:
attach No.of Motors attachTotal HP attacO No.of Devices or Equivalent attad
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 10,000.00 (When required by municipal policy.)
Work to Start:5/28/20 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
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) attached
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: New Age Electrical Services LIC.NO.:A18275
Licensee: Gregory G Babikian Signature LIC.NO.:A18275
(If applicable,enter "exempt"in the license number line.) / " Bus.Tel.No.•976-637-2964
Address: 51 Knox Trail#1 Acton MA.01720 Alt.Tel.No.•617-777-6381
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public 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)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. 1 PERMIT FEE: $80.00