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Home My WebLink AboutBLDE-22-004805 r Commonwealth of Official Use Only /E Massachusetts Permit No. BLDE-22-004805 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:3/1/2022 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) 514 STATION AVE Owner or Tenant CAPE COD 5 CENTS SAVINGS BANK Telephone No. Owner's Address ATTN:JOAN LEARY ACCOUNTING DEPT, PO BOX 10, ORLEANS, MA 02653-0010 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 ❑ 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: Remodel bank 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 30 No.of Hot Tubs Generators KVA No.of Luminaires 86 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 60 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: Detection/Alertma 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 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. �'e—p/Co t� ..J 3✓L CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) J ' I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WILLIAM J BOOKER Licensee: WILLIAM J BOOKER Signature LIC.NO.: 22110 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1399 East St, Mansfield MA 020483416 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: $200.00 Ai(- m u t C F,I a (*pat_ *i t -kM, lttadvvriarizti i er3MD tsl r T tow a i:ril q(1�� 44 (r4t.s '3)�) 4 - 1 "))Kg 8 041,Z1. /4- 0-11 e,c..e re )wed Itt l +ti Commomeeziiih. 119siasu,r'!3' 1_.... ..__ t)t'iiil 1 lac 3�itiy Pei a-' r' Z ,ii, —14 f olttntlm*ni`wales t»zrica __ �" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Feet"beekecf APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali ecru ttt bt perliartncd in arctrrxh iii.e ca ith the Ntattis;acfeatsctts 1 leetrical t'irele(Mi:( ).527(' t1( 12.lit1 (PLEASE.p /Nl"1I`l/crl OR Tll' ILL t,‘V/='COI??,t!itICINI [)ttt , February 16 2022 City or Town of: Yarmouth 7'r:11Tr lrtaftexc'tc.tr tai'tl tre.+: By this application the iiridersigned gis,s€ionce of his or her€n d.:ntitoro to 1 r1`c r mi the electrical work described below. ),oration(Street&Number) 514 Station Ave South Yarmouth Owner or Tenant Cape Cod Five `Telephone No. Owner's Address is this permit in conjunction with a building permit? l'es No Li (Check Appropriate flox) Purpose or Building Commercial Utility Authorization No. N/A Existing Service Amiss '('tilts Overhead[] tJnrlerd[:1 No.of Meters New`Service Amps A ohs 4.)s-et Li t ndt;rrl E1 No.of Meters Number of Feeders and_Ampaeit Location and Nature of Proposed Electrical Work: Bank Remodel Whole bank remodel, Teller line and o icf i ei 'ddemo,'righting, lighting controls. t irrrt/fhlfora of i/a'Ia/lrauriaallrihh,mar he)waived 131•the Ittrceetrrr of it'i s5. No.of Recessed Luminaires Nit,art'coil.-Susp.{Paddle)Farts O(t,Or lntrtl Fransformers KV l_ No.of Luminaire Outlets 30 No.of Hot Tubs t energy tors KVA No.of I usuitraires 86 Above In- No.of Emergency I,tghting, Sninrnuing Pool rrtd '. � E trod. «- Batters'Units No.of Receptacle Outlets 60 No.of Oil Burners FIRE ALARMS J u,of Zones No.ti f Switches No.of_t:as Burners ra.of etec'tion arrsli Initiating I)eviccs, No.of Ranges No.or Air t`rust. `briarTons No.of Alerting Devices No.of'Waste I)islaoscrs Rent Pump Number Ions ;:KW No.of Self-Contained `(`totals: ' . ,, ..... �Detection/Alerting Devices No.of Dishwashers ipaevfArcaa Heating KM Local❑ i'Oft iclltjo t"annertion r ()flier , No.of Dryers Ileatirrt . Ialalinnces 1 '► ecuraty 4 stems o of Devices or Equh'alent No.of Water No.of No.of IHeaters . ��.. Data Wiring: Signs Ballasts No of DesEicesor Equivalent uivalent No.I1y-tirotnassa c Bathtubs No.of Minors I"at:tl lli f elecuniutrrrrr'rartiaats l rate ;'> . _. W o,of Ifevices or Equivalent fttaa•h t dd/tionfsi 4it*tail ifilectreit or as re'qu red bn,tietrtatreelor af''Fires Estimated Value of Electrical Work: t't heaa required by municipal policy.) V ork to Start: Inspections to be requested in accordance s ill,,ME C Rule 10.and upon c:ontplciipit, INSURANCE f t)VERt1(;fit I irlcss waived by the owner.no permit k r tilt 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 ti)rc e,and has exhibited proof of same to the permit issuing office. CIIIC ONE; INSI RAN( FF 1 lit/NI) 0 t)i`1IFR 0 (Spec'if :t l certify,,under the palm and ptmaltkx of perf ut)',tltttt the information on this application is true Ural Complete. FIRM NAME: Heoker_Et>ec.tr#ciet$etrvrccs tuts; Licensee: w,#liar,ttrtok?±r Lit-.NO.:22110l Signature + tall.'NO.:' r di trppIteetl�ie..'nter c)tilt/}t' in the/1 ,(..n.it.: ave rtanarf'e"laic°.I Address: ,a.rt ss St,ra;,r, ei4#mA 0204 _ Bins. el f+iu. *' ;" 50$964353: Mt.Tel.No.: §'„'_508/1112474 Tarr i1.6 L.c. 147 s.57 61,security cantle requires Ikp iitotactat of Public Sa lelt "S' License: Lie.No. :-raa onNER S lNSt R N(:E ' , UV'ER: I€m ataaare that rite Licensee dives try')hare the liability insurance cos erage normal)required bg law. fly my sigma€tyre below,I litirclty waive this requirement. I am the(cheek one)L] aavrter Li Owner's apen , Owner/Agent Signature `Telephoto?Nu. PERMITC' '>