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Home My WebLink AboutBLDE-23-001951 Commonwealth of Official Use Only L Massachusetts Permit No. BLDE-23-001951 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:10/13/2022 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) 278 SOUTH SEA AVE Owner or Tenant DEBORN ENTERPRISES INC Telephone No. Owner's Address P O BOX 161, SOUTH EASTON, MA 02375 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: Upgrade electrical 125 amp breaker.(T-MOBILE) 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 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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 ❑ 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: Jason B Piselli Licensee: Jason B Piselli Signature LIC.NO.: 21933 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 105 TEMI RD, BELLINGHAM MA 020191393 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $100.00 6/6C 11-411,1/kg TM,' ..,*‘,, Commoouviraleth o f Madeacitudath Official Use Only ' " rr--�� cc77i Permit No. ��i( � 2spartrns tl ol.tne Serviced 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: 10/05/2022 City or Town of: West 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) 278 South Sea Avenue Owner or Tenant T-Mobile Telephone No. Owner's Address E 8 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) rn Purpose of Building Electrical Upgrade Utility Authorization No. yExisting Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters rNew Service Amps /; Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 8 Location and Nature of Proposed Electrical Work: .. Electrical Upgrade with Conduit/Wire/125A Breaker for T-Mobile Cabinet VI ko Completion of thefollowinZtable mqy be waived by the I tar of Wires. 14 No.of Recessed Laminoires No.of Cell.-Snap.(Paddle)Fans No.of Total Transformers KVA , QNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmia Pool Above In- No.of Emergency Lighting g grnd. ❑ grnd. ❑ Battery Units `l No.of Receptacle Outlets No.of OII Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices 1 No.of Ranges No.of Mr Cond. Tansl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons -.._KW No.of Self-Contained Totals: µ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal El Other Conaecifoa No.of Dryers Heating Appliances KW Security Systems:1 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 desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: $12,000 (When required by municipal policy.) Work to Start: 10/10/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER ❑ (Specify:) 913 I certify,under the pains and penalties of perjury,that the information on this application is true and complJ ' FIRM NAME: Helios Energy LLC LIC.NO.:8250A1 Licensee: Jason Piselli Signature LIC.NO.: Inapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: 508-303-1948 Address: 583 Berlin Rd Unit 2,Marlborough MA 01752 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 1