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Home My WebLink AboutBLDE-22-004900 `j�`�1 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004900 ,_- 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:3/7/2022 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) 226 ROUTE 28 Owner or Tenant SIA DEVANG LLC Telephone No. Owner's Address 226 ROUTE 28,WEST YARMOUTH, MA 02673 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: Install fire alarm system 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 gnd. 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 ❑ 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 Sims No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: ROBERT W TAYLOR Licensee: Robert W Taylor Signature LIC.NO.: 1363 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 PINEWOOD RD,AMESBURY MA 019131973 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:$115.00 1;_..)°Q( C'e( qi1/2 09ift.) ► vim ► - ', )ItL2 RECEIVED E ' MAR 4,4 2022 .:1, yy� BUILDING D E`rA 2 t.,_,, �rnmonwaa< of///aeeac Ile Official Use Only _ F y ' :rY;::a,'� /°R Permit No. 2 "449CO ;�.�- • ni 01. ire�ervicee �' '' 'y` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI 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 k i4 ( Z 2a_ 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 ) at(o f„(.14 zs Owner or Tenant " , �—�, Owner's Address "”` �� Telephone No. Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty C Location and Nature of Proposed Electrical Work: ti. 1'l �W rc t-jl.4,'ice- vl 4(c,(? , � a,K,, Completion of the followinvable m be waived by the Invector of Wires. t!! No.of Recessed Luminaires No.of Ceil.-Susp. No.ofd she �•! p (Paddle)Fans Total �3 No.of Luminaire Outlets Transformers KVA r�\ No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Anode ❑ In- No.of Emergency Lighting >l r'nd• ❑ Battery Units ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo,of Zones No.of Switches No.of Gas Burners No.of Detection and t No.of Ranges Initiating Devices No.of Air Cond. tom Tons --1 No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: [ '- 1 - .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal other No.of Dryers Connection ❑ sY Heating Appliances KW Security Systems:* No.of Water , No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the A ins and penalties of perjury,that,e information on this application is true and complete. FIRM NAME: j,ecl,(t•�"-- bi LIC.NO.: 13(3 Licensee: . a ' . --Lne Signature (If applicable.enter"exempt"in the likens u ber li e.) LIC.NO.: Address: to P&Aee crld 44{311'e3(U(' 0#313-61.5 r3. ,But.Tel No.: Alt. No.: *Per M.G.L.c. 147,s.57-61,security work requires Deparhn f Public Safety"S"License: Lie TeL 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 a ent. Owner/Agent Signaturetura Telephone No. (PERMIT FEE:$ I l 5