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HomeMy WebLinkAboutBLDE-22-006499 Commonwealth of Official Use Only 4.41 Permit No. BLDE-22-006499 Massachusetts 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:5/11/2022 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) 119 ROUTE 28 Owner or Tenant Parth Patel (Putters Putt&Scoop) Telephone No. Owner's Address 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: Replace devices per attached. 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 Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Seeurity 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 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Walter F Rodin Licensee: Walter F Rodin Signature LIC.NO.: 6231 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:325 STEVENS ST, HYANNIS MA 026015127 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: $80.00 EYED MAY 112022 ' L�. �. , 7 Official Use Only BUILDING ' M E N T l.anu►wawscti llladdachuda11d _ e _ c•� c� . —� Q(Cr By 24parfinaai o f...tin.Jarvicsd Pernttt N4 / v ""�' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked(Rev. lro7] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C�(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR E ALL INFO MATION) Date: L4� {0 f Lb 22_ City or Town of: �iNlQ°tin To the Inspe(ldr of Wires: By this application the undersigned ve once f his or her in tion o orm the ele ' work bed belo . Location(Street& umber) fil Owner or Tenant h Telephone Na. 0 3 Owner's Address Is this permit in conjunct on vvith a building permit? Yes 0 No0 (Check Appropriate Box) Purpose of Building t' t i A' Gf t t Utility Authorization No. Existing Service Amps / Volts Overhead❑4 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty ?off eked Loco o an Nature o Proposed Wo ., SV e S. (10, r©r a c'®r ire Pr, t ,i Completion of the fotlowing table may be waived the Ingteetar of Wires. Total tip No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Al Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Nt. No.of Luminaires g in P_, Above In- No.or Emergency Lighting grnd. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones `Z No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Ti 1 Li No.of Ranges No.of Air Cond. ns No.of Alerting Devices No.of Waste Heat Pump Number Tons o. ontau i Disposers Totals:_ _._._......__.......,Tons____ hDeteetion/Alertinzpevtees No.of Dishwashers Space/Area Heating KW Local❑Mu 0 Otter Connecbroa SecuritySystems* No.of Dryers Heating Appliances KWNof Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Suns Bad No.of Devices or ivalent No.Hydromassage Bathtubs iNo.of Motors Total HP T common Telecommunications : No.of Devices or Eq eat 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 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 g 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. I CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I I certify,ander palms allies 'jury,that the information on this application is true and complete. I FIRM N r LIC.NO.: rr Licensee. Q F , 0 t'A Si re LIC.NO.:14 i 1 (fappikai eeft�re�c"exempt':i the mto +one.) Bus.TeL No.•Tij:�'�" 2p"Qa Address: LJ . Q�� L �iy 15 � OZbb Alt..TeLNo.:t1iJ_rs►fl,. '-/g f *per M.G.L.c.147,S.57-61,security work requires S : .neat of blic fety"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)❑owner Q owner's a ent. Owner/Agent Signature Telephone No._ PERMIT FEE.$ �' Elliott, Ken Subject: Certificate of Inspection Location: 119 RTE 28 Putters Paradise Start: Wed 4/6/2022 12:00 AM End: Thu 4/7/2022 12:00 AM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Organizer: Fallon, Rosa Required Attendees: Inkley, Brad; Elliott, Ken; DiBenedetto, Mark; Murphy, Bruce; Bearse, Matt; Huck, Kevin The Buildin: Department is scheduled to conduct a final for occupancy inspection o 4 . Purvish Patel 217-8129-8037 is the contract person. We would like or you to attend. Please notify me regarding your inspection results. (V 2.) aia260 ajpeAt6 ce---ttiA5 62t3Kr-.7) v/6(7,-. jvi