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Home My WebLink AboutBLDE-22-005156 Commonwealth of Official Use Only Iii: Permit No. BLDE-22-005156 . 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:3/16/2022 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) 845 ROUTE 28 Owner or Tenant JANFRA RLTY LLC Telephone No. Owner's Address 87 TONELA LN, BARNSTABLE, MA 02630 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: Wiring for two coolers.(FOOD PANTRY#14) 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Ballasts Data Wiring: Heaters Siens 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: John B Raimo Licensee: John B Raimo Signature LIC.NO.: 18352 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 NEARMEADOWS RD,WEST YARMOUTH MA 026735009 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 my 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 ‘tCl i— 3(1 ? (� aa riiii2)-2., R,c_ckcLy (o . , IRECE1V,ED ` MAR 16 202�a sank a�rr/aadac�ittdettd of tial Use only ,:. i., cc77 f 1 ` L D I N G u t rA ftT n , nt di ire Serviced Permit No. (� .: } - s- - I - 'EVENTION REGULATIONS �D`T and Fee Checked [Rev.1/07] (leave blank) <J° ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( ,5 7 CMR 12.00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: A /(p ' City or Town of: YARMOUTH To the Insp ctor o Wires: cloply this application the undersigned gives notic a f hig or her intention to Janion(Street&Number) ,. perform the electrical work described below. f Owner or Tenant NioLcP LJ-'\ vc $c,,,y Telephone No. Owner's Address Is this permit in conJun with a din �^ g permit? Yes 0 No r"� (Check Appropriate Box) ro purpose of Building oc.ct t4:-�. �"� 1S/ Utility Authorization No. ✓ slating Service Amps / ❑ Undgrd��Service Volts Overhead ❑ No.of Meters Amps / Volts Overhead❑ Undgrd❑ No.of Meters /Li. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: tk a k e C( J' ki "° U rte.;(4 C� 4 (S .. °c cs1_ s O(C as F t ;. RC( (rut`�ac (i Completion of the jdpowing table m be waived the I for o Wires. ..• Na of Recessed Luminaires No.of Cdl.-Soap.(Paddle)Fans o.o 0 Na of Luminaire OutletsTransformers KA Na of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting '�' No.of Receptacle Outlets �'"d' Battery Units '� No.ofOil Burners FIRE ALARMS f No.of Zones No.of Switches No.of Gas Burners Na of Detection and 1l.+ Na of RangesTotal Initiating Devices No.of Air Cond. Tons No.of Alerting Devices Heat Pump I Number Mans KW No.of Self-Contained No.of Waste Disposers Tom' L w--�-{______.. Detection/Alertintc Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Na of Dryers Connection ❑ ' ry Heating Appliances • - y a o r `o.o KW • No.of Device or ' ,gluiest Heaters KW o.o Data Wiring: S, ,s Ballasts No.of Devices or . ,nivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommu e s , � g OTHER: Na of Devices or uiva7ent r Attach additional detail iif desired,or asrequiredthe Estimated Val f I 'cal Work: by Inspector of Wires. Work to Start: 6 d a--- (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless waived by the owner,no the.licensee providespermit for the performance of electrical work may issue unless 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 ceivi y,under the plAs andee naldes o FIRM NAME: \ � a j nary' �the information on this application is true and complete cwt �cA(( LitenQ Signature (Ifapplicable.entefsempt"in the license number e.) i— ' 41111 LIC.NO.: / S Address: k �) �`� t @us.TeL No.: *Per M.G.L.c. 14 •a..57-61,security work requires Q��mak.TeL No.: Deparhnent 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 Sreggired by law. By my signature below,I hereby waive this requirement. I am the(check one I owner ■ owner's a:ent. ignaturree eat Telephone No. PERMIT FEE:$