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Home My WebLink AboutBLDE-22-000485 �,1,0 Commonwealth of Official Use Only E, Massachusetts Permit No. BLDE-22-000485 k 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:7/27/2021 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) 845 ROUTE 28 Owner or Tenant JANFRA RLTY LLC Telephone No. Owner's Address 87 TONELA LN, BARNSTABLE, MA 02630 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 ,r Location and Nature of Proposed Electrical Work: Permit for work done without inspection - - 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 No.of Luminaires 1 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Space/Area HeatingKW Local ❑ Municipal 0 Other: No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P p y' 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: Daniel T Milso LIC.NO.: 36093 Licensee: Daniel T Milso Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 139 ATKINSON DR, BRIDGEWATER MA 023243503 *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. I PER I MIT FEE: $260.00 ` rfli& A-A9 r elti £ 4S qr ACAr✓I /211 /u OIL /lliciA2 . L-• / CI r Z I C /i/ Official Use Only ` ommonwaa o� addaC aes�fe ,(d > �+ `-" t ccyy�� Permit No. Z'—.0`C re3 C N `Y I ,` F 2spartmsnt of�ira serviced .-1( < Occupancy and Fee Checked LLi 3 ,, ,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) W' ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK E % All work to be performed in accordance with the Massachusetts Electrical Code(M C),52 91MR 12.00 Q= i m PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 ' / jar) I City or Town of: YARMOUTH To the Insp ctor f Wires: By this application the undersigned gives notice of his or h intention to perform the electrical work described below. Location(Street&Number) SIC ROL /Q.2 Owner or Tenant .Till rk,p RL a,C Telephone No. Owner's Address f'7 7i)fut L 14 I4J1,1 484gIJcie tL v Is this permit in conjunction with a building permit? Yes ❑ No KO (Check Appropriate Box) Purpose of Building /jL ii..i e,c5 Utility Authorization No. Existing Service Amps 0 /)'IO Volts Overhead❑ Undgrd gl No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: vl vy' Completion of the followingitable may be waived by the In vector of Wires. tlr No.of Recessed Luminaires No.of Ceil:Snsp.(Paddle)Fans No.of Total eq Transformers KVA 'Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA f�` Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units , ;;;` No.of Receptacle Outlets JO No.of Oil Burners FIRE ALARMS No.of Zones Na.of Switches 2 No.of Gas Burners +No.of Detection and Initiating Devices 1 r No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump-Number Tons KW "No.of Self-Contained Totals: Detection/Alerting Devices ^v, No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Outer I) 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: LZ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o El trical Work: 3 2C 2 7 (When required by municipal policy.) Work to Start: O j ,2 1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless J the licensee providesproof of liabilityinsurance including"completed o operation"coverage or its substantial equivalent. The J � P g q undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE !'t BOND ❑ OTHER 0 (Specify:) I certify,under the pains and'enables of perjury,that the information on this application is true and complete. FIRM N E: LIC.NO.: Licensee:( id Signature/ .��5E LIC.NO.: .?G 0 9i (If applica le,enter"exempt"�in Oe,i license numbier line.) II Bus.Tel.No.: Address: 13' /9/A.)%j�' r i' e,. e( Alt.Tel.No.: 7,9 ��1- -d/). *Per M.G.L.c. 14 ,s.57-61,security work requires Department :ail s lie 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)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No. Yarmouth Minimart I, Daniel Milso, Licensed Electrician #36093, performed the following work at Yarmouth Minimart, 845 Rt 28 Yarmouth, MA. • Removed MC cable in 6 plastic old work boxes that was installed by another electrician and I installed 12-2 Romex cable. • Installed Liquid tight on walk-in cooler, cable coming from ceiling. • Removed MC cable in plastic emergency lights and installed Romex. Daniel T. Milso