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HomeMy WebLinkAboutBLDE-22-005039 Y ..0.10Commonwealth of Official Use Only
- Massachusetts,, Permit No. BLDE-22-005039
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BOAR 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:3/11/2022
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) 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: Install 2 CAT 5E cables
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. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: )peteetion/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal p 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: 2
Heaters Siens No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
N9.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. 4' 9` '721"' 39 iS' ems,
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) �(// �� •�-`7� �7
I certify,under the pains and penalties of perjury,that the information on this application is true and c4 'e .— 3'p(— / 832.
FIRM NAME: Bradley W Botteron
Licensee: Bradley W Botteron Signature LIC.NO.: 949
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:550 TERRACE TRL E, LAKE QUIVIRA KS 662178507 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
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Occupancy and Fee Checked
' BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07J (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: 03/09/2022
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)1060 Route 28 South Yarmouth, MA 02664
Owner or Tenant MCDONALD'S REAL ESTATE COMPANY Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑x (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installing 2 low voltage cat5e data cables
e.
Completion of thefollowingtable nw be waived by the lnpector of Wires.
Total
lT.b No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans
No.or
Transformers KVA
Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA
�- No.of Luminaires SwimmingPool Above ❑ In- ❑ o.of Emergency Lighting
and. grnd. Battery Unita
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. Detention and
Z InInitlating Devices
111 No.of Ranges No.of Air Cond. Too=i No.of Alerting Devices
rs Heat Pump Number__Tons.,.�KW No.of Self-Contained
No.of Waste
> Totals: Detection/AlertingDevices
No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water , No.of No.of Data Wiring: 2
Heaters Signs Ballasts No.of Devices orEquivalent
No.Hydromassage Bathtubs No.of Motors Total HP Teleco of Devi esons
No.of Devices or Equiv ent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 400 (When required by municipal policy.)
Work to Start:03/14/2022 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 0 OTHER 0 (Specify:)
I cerdlfy,under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME: Wachter Inc. LIC.NO.:
Licensee: Bradley Botteron Signatu .NO.: 949 MR
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 913-541-2500
Address: 16001 W 99th St Lenexa KS 66219 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)❑owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$