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Home My WebLink AboutBLDE-22-005466 a'_ jP Commonwealth of Official Use Only 4 Massachusetts Permit No. BLDE-22-005466 1«� 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:3/29/2022 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) 1305 ROUTE 28 Owner or Tenant U S REIF MARINE NANTUCKET FEE LLC Telephone No. Owner's Address 134 ORANGE ST, NANTUCKET, MA 02554 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: Relocate panel&add circuits. 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- o 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. Tootal 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 Signs 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: Timothy J Mcdonald Licensee: Timothy J Mcdonald Signature LIC.NO.: 10788 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:62 Nobby Ln,West Yarmouth MA 026733523 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 I Signature Telephone No. PE' Q0 isiedte- 3(3 Ibiveg - , ..-,-.',1,.:,-7k a u6:14 óni4 416(27, -r�i1\406-E if/z0 f vc ( /6Cat. DUO . i ta4 k RECE ; VED $0.00 [MAR 2 5 2022 Contnonuwaak a/ amctigir ) NG DEPARl1MENT OfficialUse OnIy r_* ' = Iln =: rermit No. J/2--- 4 6 +'— y eparlmenl of ire Seruicei '------- 14---------e Occupancy and Fee Checked c BOARD OF FIRE PREVENTION REGULATIONS R IN-. .$ 1 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical CodejMTgC),527 MR 12.00 (PLEASE PRINT IN INK OR TY E ALL INFO ATION) Date: �� 75— Z- City or Town of: `/1► ,1410)T To the Inspector o Wires: 1. By this application the undersign d tive!..noticeAf his or h intention to perform the electrical work described below. Location(Street&NumCber) „ O. , 7-20 11- • ✓f - a 4' ' S.: 4 4 v Owner or Tenant 6 f/t/ ,fL%�/.'_ a elephone No. MOW , 1 I ' 1 ` f�i�ar NilOwner's Address / t f i „�, I Is this permit in eonjun ion with Aa bbu mg mit? Yes M Non (Check Appropriate Box) �l Purpose of Building �i ( G/ Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd E No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W b I fi ' i,L i '00 4 I4 A o'r`uQTS 7-4d6)C yr SP i ,-7 a , g . Completion of the followingtable mar be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans No.or Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ O.of Emergency Lighting grnd. grnd. Battery Units tNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alertin Devices Tons g 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❑ Municipal Connection f--, (Mier No.of Dryers Heating Appliances KWSecurity Systems:* No.of Devices or Equivalent No.of Water 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: OU Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: � 7-0 (When required by municipal policy.) Work to Start: 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:) I certify,under Il_y_pains and penaltie of; •rju ,that the information on this application is true and complete. FIRM NAME: ii Ise�I �/ A A ' / LIC.NO.: IO79rl Licensee: Signature i_WPi LIC.NO.: I (Ifapplica er r ,nppt" ce se .erlin Bus.Tel.No.: 55?&5 i/f 0 Address: J Parr/- � � (✓ 1'V§-E--in Al" O7 n3 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 0 owner's agent.