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Home My WebLink AboutBLDE-21-000200 Commonwealth of Official Use Only ' c - Massachusetts Permit No. BLDE-21-000200 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:7/14/2020 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) 1146 ROUTE 28 Owner or Tenant TOWN OF YARMOUTH Telephone No. 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 ApprA Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 i*1.'i New Service Amps Volts Overhead 0 Undgrd 0 , . ;' e k�� Number of Feeders and Ampacity Q Z Location and Nature of Proposed Electrical Work: Install new service disconnect&CT cabinet. VO Completion of the following table may be waiv t e81? Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers :i No.of Luminaire Outlets No.of Hot Tubs Generators A 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 ❑ 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: 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: MAVERICK CONSTRACTION CORPORATION Licensee: John R Garrett Signature LIC.NO.: 13497 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:668 MAIN ST,UNIT 290,WILMINGTON MA 018873395 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. I PERMIT FEE: $0.00 C.onunonweanh o1///a�achu�et � dial Use .z. '—= c� c7 Permit No / l C�'Jl C�JCJ �W �� —at 2spartmmnt oil.}ire�ervicao w = !i_ a 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:June 9, 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)1146 MA-28 Owner or Tenant Town Of Yarmouth Telephone No. 508-398-2231 Owner's Address same Is this permit in conjunction with a building permit? Yes ❑ No ■❑ (Check Appropriate Box) Purpose of Building Town Offices Utility Authorization No.TBD Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service 600 Amps 120 /208 Volts Overhead❑ Undgrd Q No.of Meters 1 Number of Feeders and Ampacity 2x(4x350MCM) 600amp Location and Nature of Proposed Electrical Work: Install new service Disconnect& CT Cabinet Completion of the followingtable may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of CeiL-Sus .(Paddle)Fans No.rof TVA P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA tJ AboveIn- No.of Emergency Lighting �► No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ rBattery Units 4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones \\ No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.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❑ Connection il ❑ Od'ter No.of D ers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent N No.Hydromassage a Bathtubs No.of Motors Total HP Telecommunications Whin y g No.of Devices or Equivalent vkOTHER: Attach additional detail if desirect or as required by the Inspector of Wires. Estimated Value of Electrical Work: 20,000.00 (When required by municipal policy.) 110 Work to Start:6-27-20 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 Iv 'X undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. C, CHECK ONE: INSURANCE El BOND ❑ OTHER ❑ (Specify:) Q I certify,under the pains and penalties of perjury,that the information on this application is true and complete. . FIRM NAME: Maverick Construction LIC.NO.:13497A h Licensee: John Garrett Signature • At.4,41 / LIC.NO.:26680E (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:978-821-8182 Address: One Westinghouse Plaza,Bldg D,Boston,Ma.02136 Alt.Tel.No.: .` *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. v OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally Qrequired by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑owner ❑owner's agent. 41.1 Owner/Agent I PERMIT FEE: $150.00 Signature Telephone No.