HomeMy WebLinkAboutBLDE-20-005560 Commonwealth of Official Use Only
ie ;"4 Massachusetts Permit No. BLDE-20-005560
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:4/27/2020
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) 225A WHITES PATH
Owner or Tenant WGI HOLDINGS LLC Telephone No. d,
Owner's Address 9 HEMLOCK RD,WESTON, MA 02493
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check T4s iat t,
Purpose of Building Utility Authorization No. '
Existing Service Amps Volts Overhead 0 Undgrd 0 No. vI e+)8 0
New Service Amps Volts Overhead 0 Undgrd 0 No.of er
Number of Feeders and Ampacity O
Location and Nature of Proposed Electrical Work: 225 A-Installing a fire alarm communication system to commQq•c wl
Central Station J GVN
Completion of the following table may Aeb theInsp : ; #f Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers 4KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
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/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 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: HENRY C SIDOK JR
Licensee: Henry C Sidok Signature LIC.NO.: 1143
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:73 Miller Street,Seekonk MA 02771 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. PERMIT FEE: $115.00
- Commonwealth of Official Use Only
,
ferla' Massachusetts Permit No. BLDE-20-005188
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:3/23/2020
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) 225A WHITES PATH
Owner or Tenant WGI HOLDINGS LLC Telephone
Owner's Address 9 HEMLOCK RD,WESTON, MA 02493
Is this permit in conjunction with a building permit? Yes 0 No RI (C
Purpose of Building Plumbing supply Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 No.o e s gi
New Service Amps Volts Overhead 0 Undgrd 0 No.of Me ers
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install new conduit and wires for new LED light fixtures. I new lighting °//40)ir.,
t
contactor for control of fixtures. Demo old fixtures and remove wires. i` `Pfr
Completion of the followin t may t the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transfo A
No.of Luminaire Outlets No.of Hot Tubs Generators 4 84?No.of Luminaires 137 Swimming Pool rnde ❑ I rnd CINo.of Emergency Lig O
g g Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zon 40
No.of Switches 6 No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices 7/2VT/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 0 Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KWSecurity 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: 03/23/2020 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: MATTHEW P GLYNN
Licensee: Matthew P Glynn Signature LIC.NO.: 14492
(if-applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 11 RESNIK RD,STE 1,PLYMOUTH MA 023607231 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:$1,020.00 I