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Home My WebLink AboutBLDE-22-001698 or r Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001698 _fit►\ '' 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:9/24/2021 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) 99 ROUTE 28 Owner or Tenant FED HOTEL PROPERTIES LLC Telephone No. Owner's Address 940 FALL RIVER AVE, SEEKONK, MA 02771 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: Install camera system * . 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. To Total No.of Alerting Devices 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 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. CHECK ONE:INSURANCE ❑ BOND 0 OTHER ❑ (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 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 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: $115.00 Oit, S l 3 6/V V t‘e . _ ...._,. SZSk eaaveloiiieeoll 0/Maddiaalwaitis Official Use Only - of Pemlit No. (5-17.--(6)9. 6--, 2eparimeni elle S4irtlitCAS Occupancy and Fee Checked - - - ' - BOARD OF FIRE PREVENTION REGULATIONS v. 1/07) (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CfrfR 12.00 (PLEASE PRINT 1.4 t. OR TYPE ALL INFORAIATIO18) Date: 9 4 gm/ city o Town ,f; Yarmouth To the Inspector of fres: By this application i e ,.easigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 99 Route 28 Owner or Tenant Hampton Inn & Suites Tekphone No.401-438-5631 Owner's Address 99 Route 28 Is this permit in conjunction with a building permit? Yes D No Ej (Check Appropriate Box) Purpose of Building Commercial Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd Ej No.of Meters New Service Amps / Volts Overhead 0 Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Camera 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 ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ,--, In- 1--1 NO.of Emergency lighting No.of Luminaires Swimming Pool arb d. L-I gm d• 1-1 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS Na.of Zones No.of Detection and No.of Switches No.of Gas Burners hkitilithig Devices Total No.of Ranges No.of Air cond. Tons Na.of Alerting Devices 'Heat Pump Number, ,,Tons KW_ Na.of Self-Contemed No.of Waste Disposers Totals: —petection/AlertinkDevices No.of Dishwashers Space/Area Heating KW Local 0 la= 13 (Mier No.of Dryers Heating Appliances KW Security System's:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts , No.of Devices or Equivalent ' lecommunicatiens Wirbir. No.Hydromassage Bathtubs No.of Motors Total IIP TeNo.of Devices or Equivalent OTHER: Attach additional detail Vdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 8800.00 (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 NJ BOND 0 OTHER 0 (Specie':) Steadfast Insurance Exp 7/13/2022 I cent',under the paitts and penalties of peduty,that the information an this applicant)" n is true and complete. FIRM NAME: Home &Commercial Security, Inc Lie.No.:1143C/134 4 0 Licensee: Henry C. Sidok Jr. sirloin . a..a, LIC.NO.: (If applkable,enter"exemer in the license number line.) 0-:4414 — - I'M s.TeL No.;800-337-9469 Address: 44 Filanding Road. Rehoboth MA 0 ;e Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security wort requires a- . ' eat o tr.lit Safety"S"License: Lir.No. SS CO 000134 OWNER'S INSURANCE WAIVER: I am aware that the icensee 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 agentOwner/Agent * i Signature Telephone No. ',PERMIT FEE:$ /1 5—