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HomeMy WebLinkAboutBLDE-22-004676 Commonwealth of Official Use Only fE _ gMassachusetts Permit No. BLDE-22-004676 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:2/24/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pe�the electrical workt scribed below. Location(Street&Number) 517 ROUTE 28 \`fHh�t f^-tAD Owner or Tenant Telephone No. Owner's Address 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: Removal of unused wiring(525 Rt 28) 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 Signs 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: Michael J Maguire Licensee: Michael J Maguire Signature LIC.NO.: 25035 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 148 AUDREYS LN, MARSTONS MLS MA 026481631 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: $80.00 C.4,,, 6r , 0 r i Commonwealth of Massachusetts Official Use Only 14-A1,-.= Permit No. L-------7-77----`I`/ /6,7` , -=*:= ,, Department of Fire Services .--,, Occupancy and Fee Checked R ' 7.0' I ��AN ••F FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank) -FEB 2 3 2022A ICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 irk to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 LEASE PRINT . OR TYPE ALL INFORMATION) Date: p� 3 c c 2 - BUILDINGikRT NT _�i> or �9 I. / �Y 0/4�Qzit To the Inspector of Wires: pp'cation t u e un•ersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) J S / ,2 5 1(../}--,-;,--,.,o„-,,/./ a,<,---9_ Owner or Tenant "/„A,..,/ , g 04, Telephone No.S'a$ 776 .2/r Owner's Address f O j?, x- - -/..Z ¶-" // ri,, /9�7 on_ / Is this permit in conjunction with a building permit? Yes L / No El Appropriate Box) Purpose of Building Utility Authorization No. Existing Service? Amps /oZG/ .C'o Volts Overhead❑ Undgrd[-----No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ' Location and N hire of Proposed Electrical Work: 'Pie r'IOU`r a/147,/r„ -, p?o r/6 -//},' L/S c-- C` Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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. Too sll No.of Alerting Devices No.of Waste Disposers Heat ooPt P Number Tons KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ ConneMunicction al 0 Other No.of Dryers Heating Appliances KW Security Systems: ry No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total U1 Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. 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 el BOND 0 OTHER 0 (Specify) 171- Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start;.'..,, Cr —.2--Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the airs and/ penalties of pe�ry,that the information on this application is true and complete. FIRM NAME:/ /v h a / Ji'll7 z'i/'P , LIC.NO.: _ Licensee:,,i4.e/c),a JJ� &(r e- Signature i % � e- LIC.NO.: s b (If applicable,enter"exem t"in the', cense ber line.) /j Bus.Tel No.: 5�`6 �/ Address:/��a-Gd i,..,,)5 L) /4,1/09,//l'./1/ c,�‘ e/5 Alt.Tel.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. Owner/Agent Telephone No. I PERMIT FEE: $ I Signature Elliott, Ken Subject: Honey Dew Donuts 517 RTE 28 Location: Microsoft Teams Meeting Start: Tue 6/14/2022 9:00 AM End: Tue 6/14/2022 3:00 PM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Fallon, Rosa Required Attendees: Inkley, Brad; DiBenedetto, Mark; Elliott, Ken; Huck, Kevin; Bearse, Matt; Renaud, Philip; Riker,Adam The Building Department is �•� � • to conduct a final for occupancy inspection „ �'� �' Yarmouth, Ma 0267 ` Tony Gionfriddo 774-801-8178 is the contract person. We would like for you to attend. Please notify me regarding your inspection results. Microsoft Teams meeting Join on your computer or mobile app Click here to join the meeting Learn More I Meeting options tiHA) ( l 1