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HomeMy WebLinkAboutBLDE-22-002437 aF ( \ Commonwealth of 0Official Use Only �� Permit No. BLDE-22-002437 �`� i,� ,�� � Massachusetts B ARD 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:10/28/2021 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) 1060 ROUTE 28 Owner or Tenant MCDONALDS CORP Telephone No. Owner's Address MCBEE ENTERPRISES, 50 OLIVER STREET STE W1B, NORTH EASTON, MA 02356 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: Drive through signs&menu boards(McDONALDS RESTAURANT) 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 lnitiatine 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 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 Ballasts Data Wiring: Heaters Stens 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: Matthew J Cabucio Licensee: Matthew J Cabucio Signature LIC.NO.: 18116 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:244 KEENE RD,ACUSHNET MA 027431343 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. PERMI '''Win A 12 t . 0A0147' 'l(1/ / leg- 0 eC °-I r 'v- Kg ,.kEDEIVED OCT 2 8 202b, Coins oruve th oil Madoachwatie Official Use Only T' ..._: ,., 2'Z 2`437 --- -- �K��. c/ Permit No, BUILDING D E'� T apartmanl 0/ L.a Serviced a ,, ; y Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: /Q z8-Z) 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) /0 Z g- R 7- Z 8 Owner or Tenant A/C np/7 tis Telephone No. Owner's Address /0 2J- /CT 2- (, Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Re 5 Iz i re.i--4— Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /re_ A/ ,b/7VQ 4 St ..7 Compl on of the followinktable may be waived by the Inspector of Wires. ¢,!,, No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total c, Transformers KVA /-7,,, No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. and. L-1 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 't' No.of Ranges No.of Mr Cond. TotalnNo.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: ,Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local o Municip ❑ other. Connection No.of Dryers Heating Appliances KW Security No. f Devices or Equivalent No.of Water No.of No.of - Heaten ' Data Wiring: Sign Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Need / - 77-e A c A /rt 5ipL i — fi n&L ��0 .0 r5 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of^Electric Work: 7i (When required by municipal policy.) Work to Start: D Z 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E 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: . {-- ; .. A__ ,‘ Ft. _ l o ' LLL LIC.NO.: /4(8))6 Licensee: nthitheJ bLI Ge u Signature4,'Z 4�js LIC.NO.:Al &11 4, (If applicable,enter"exempt"in the lice number line) Bus.Tel.No.: 77g Jib-3O2.4. ' Address: o2 ' kee�e= .d AGfr,S/,ye.L AO. O7%' 3 Alt.Tel.No.: *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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $