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Home My WebLink AboutBLDE-21-002257 \ Commonwealth of Official Use Only fior �.- Massachusetts Permit No. BLDE-21-002257 BOARD OF FIRE PREVENTION REGULATIONS Occupancyand Fee Checked cked [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) City or Town of: YARMOUTH Date:To the Inspec2020 toBy this application the undersigned gives notice of his or her intention to perform the electrical work described below.r of Wires: Location(Street&Number) 131 ANSEL HALLET RD Owner or Tenant ROSEREAL CORPORATION Telephone Owner's Address %NEWBANY CORP ATTN:TAX DEPT, PO BOX 28606,ATLANTA,GA 30358-06 60 Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Existing Service Utility Authorization No. New ee Amps _ Volts Overhead ❑ Undgrd 0 �jt7, , Amps Voltseters Number of Feeders and Ampacity Overhead 0 Undgrd z �' s 46f Location and Nature of Proposed Electrical Work: Power&lighting for extension of conveyor sy :., ` y Completion of the following table m� .'' b.. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of th Spector of Wires. Transformers Total No.of Luminaire Outlets No.of Hot Tubs A Generators KVA No.of Luminaires SwimmingPool Above In- rnd. ❑ rnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets No. Batte Units of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiatin Devices No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: - No.of Dishwashers Detection/Alertin. Devices Space/Area Heating KW Local 0 Municipal No.of Dryers Connection ❑ Other: Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or E•uivalent Heaters Si ns No.of Data Wiring: Ballasts No.of Devices or E s uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E s uivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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 ',Pea :) I certify,under the pains and penalties operjury,that the informationR ❑on this application true andR '" ,r ! FIRM NAME: THOMAS H RENAUD pp ®� `�� `� complete. i� Licensee: Thomas H Renaud (If applicable,enter'exempt"in the license number line) Signature LIC.NO.: 17459 Address:18 PROVIDENCE RD, SUTTON MA 015903813 M.Tel.No.: 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 Owner/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE:$500.00 'Th0,77 A--c_ 3A1/2,-/ ICE-, Commonwealth of Massachusetts OfficialciUse Only Permit No. ( —2ZS9 .t �_ Department of Fire Services „=__I= ,7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. °' �� 1/07] (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 10/23/20 Job # 21818 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersign Location(Street&Number): 131 Ansel Ballet Road Owner or Tenant: UPS Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Yes ❑ No 17i (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Install power wiring and lighting for extension of Conveyor system. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No. of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers HeatPump Number Tons KW No.of Self-Contained Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No. of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work $- 100,000.00 (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 the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Renaud Electric&Communications Inc. LIC.NO.: A-17459 Licensee: Thomas Renaud Signature LIC.NO.: E-24023 (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: 508-865-1300 Address: 18 Providence Road PO Box 36 Sutton Ma.01590 Alt.Tel.No.: 508-865-3513 Per M.G.L.c 147,s 57-61,security work requires Department of Public Safety"S" License Lic SS-0026Q7 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 ❑ owner's agent. Owner/Agent Telephone No. PERMIT FEE: $ 500.00 Signature