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Home My WebLink AboutBLDE-22-006160 Commonwealth of Official Use Only 4.• Oft Massachusetts Permit No. BLDE-22-006160 1 7 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:4/26/2022 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) 793 ROUTE 28 Owner or Tenant SARKAR HOSPITALITY LLC Telephone No. Owner's Address 105 LEXINGTON ST, BURLINGTON, MA 01803 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: Check receptacle in 18 room 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 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 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: Carl Kohler Licensee: Carl Kohler Signature LIC.NO.: 7885 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 HARBOR RIDGE RD, MASHPEE MA 026493850 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $260.00 (qk (Inffc0 (02 0 7 //91 G) �. 4bdt25 4r4 KiA) '®fs06eets uRECEIVED APR 25 2022.A4 � � Commonwealth addac Official Use On ." ;.0.....:. ,* 4 c� / BUILDING u E PA '� ,� `,'� [Js/varfinsnf el s Permit No. , ' ` 6-D _ I 1 !.. ire Serviced BY — ':�►, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 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 R 12.00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) a City or Town of: v^ Date: By this application the undersigned gives notice UTH intention to perform the elTo the ectrical work dee tor o scribed below. Location(Street&Number) ` 93 Owner or Tenant uJ J&! . l 1 NI Owner's Addres „I a y �' glair Telephone No. bG p 4 -D J1-2- Is this permit in conjunction with a building �" ` / permit? Yes ❑ No �!i (Check Appropriate Box) Purpose of Building /U/y Utility Authorization No. Existing Service Amps / Volts Overhead � NQ_�,�� Ell Undgrd❑ No.of Meters Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacityof g ❑ No.of Meters U I Loc lion and Nature of Proposed Electric . ork: /{/F fAi .+ , , , U. Completion o the ollowin: table m be waived b the In 'ectoro Wires. n� No.of Recessed Luminaires No.of Cell.-Sus . p (Paddle)Fans 'o.o ota "=t No.of Luminaire Outlets Transformers KVA r No.of Hot Tubs Generators KVA .t No.of Luminaires • •ve ❑ n_ 'o.oe mergency g n Swimming Pool .rnd. No.of Receptacle Outlets nd• ❑ Butte Units g j No.of Oil Burners FIRE ALARMS No.of Zones y- No.of Switches No.of Gas Burners 'o.o etec•on an t t' No.of Ranges No.of Mr Cond. Initiatin• Devices ota Tons No.of Alerting Devices eat 'amp `um•er ors �� Totals: o e - out: ne e No.of Waste Disposers No.of Dishwashers Detetection/Alertin• Devices Space/Area Heating KW Local 0 un c p No.of Dryers Heating Appliances ecu Connection 0 Other`o.o "a er KW ty ystems: Heaters KW o.o .o.o No.of Devices or i uivalent Si ns Ballasts Data Wiring: No.of Devices or E•No.Hydromassage Bathtubs No.of Motors a ecommunf Devices or B.uivalenta Total HP •g OTHER: No.of or E B.uivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value ofelectrical Work: Work�Start: (When required by municipal policy.) SURANCE C VE Inspections • be requested in accordance with MEC Rule 10,and upon completion. GE: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE INSURANCE [BOND I rerKfy,under the ❑ OTHER 0 (Specify:) P andziena/tk ofp �ry,thatthe Informatlo on this application is true and complete FIRM NAME; �Z Licensee: LIC.NO.: (If-applicable, Hier"exe t^ Signature Address: m e li number ' IC.NO.: `` ` �- *Per M.G.L.c. 47,s.57-61,security work requires DeBus.Tel.No.' y� 89 partrnent of Public Safety"S" Alt.Tel.No.:OWNER'S INSURANCE WAIVER, [ License: Lic.No.am aware that the Licensee does not have the liability insurance coverage n�— required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent Signature ■ owner •■ owner's a:ent. Telephone No. PERMIT FEE:$ n J ,i do