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Home My WebLink AboutBLDE-22-003043 • ` or ', Commonwealth of Official Use Only I�� '� Massachusetts Permit No. BLDE-22-003043 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) City or Town of: YARMOUTH Date:the Inspector/24/2021 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. of Wires.' Location(Street&Number) 28 AARONS WAY Owner or Tenant Supply New England Owner's Address Telephone No. 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 ❑ New Service Undgrd 0 o. f�1 Amps Volts Overhead 0 Undgrd ❑ o of Number of Feeders and Ampacity4.OPeo) .,`�7Location and Nature of Proposed Electrical Work: Installation of camera system.Completion of the following table m No.of Recessed Luminaires _ Y • piiPi c r of Wires. No.of Ceil.-Susp.(Paddle)Fans No.of i zr No.of Luminaire OutletsTransformers ` 7 4E4 Aim Hot Tubs Generators / �7 No.of No.of Luminaires Swimming Pool grnd e ❑ grnd. ❑ No.of Emergency L ght 23 No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices Na.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number J Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local 0 Municipal 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of Heaters No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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, f perjury, J under the pains and penalties o erry,u 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.) Address:73 Miller Street, Seekonk MA 02771 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 I .Ommomwea s ef Maeoachwath Official Use Only =' `2, of elr+sorvce4 pit NO. 2Z— -5 —_ OccBOARD OF FIRE PREVENTION REGULATIONSuP> 'and Pee 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,CMI212.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11/19/2021 City or Town of: Yarmouth To the Inspector of Wirer By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 28 Aaron's Way Warehouse Owner or Tenant Supply New England TelephoIIe No508-222-5555 owneesAddress 28 Aaron's Way Is this permit in conjunction with a building permit? Yes � 0 No 1^.[ (Check Appropriate Box) Purpose of Building Commercial Utility Authorization No. Existing Service Amps I Volts Overhead,Q Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampacity No.of Meters Location and Nature of Prop }Electrical Work: Installation of Camera System Completion of the follawfnggtable may be waived by the Inspector of Wires. Na.of Recessed LuminairesNo,.of Cal.-Soap.(Paddle)Fa No of T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Srvimnting Pool Above ❑ In- Q'No.oflmergency LightingNo.ofgrad. grad BatteryUrnits Receptacle Outlets No.of Oil Burners FIRE ALARMS JNa.of Zones No.of Switches No.of Gas Burners No.of D coon and Initiating Devices No.of Ranges No.of Air Cond. tal Tons No.of Alerting Devices No.;of Waste Disposers beat Pump f Number Tons K'GV Totals; ._.. No.of Self-Contained .m..w. _.._. ._._._. Detection/Ale Devices No.of Dishwashers Space/Area Heating KW Local 0 Mauicigal No.otD ors Other Connection ' Heating Appliances KW `Security S s:* Na.of Water , No.of No,of Dices or Equivalent Beaten No.oi` Data whin:: Signs. Ballasts No.of evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail rfdesire4 or as required by the inspector of Wires Estimated Value of Electrical Work: 16,800. Work to Start: (When required by municipal policy,) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit the licensee provides proof of liability insurance including"completed operation"for the performancecoverage of electrical work may unless p coverage or its substantial etluivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the CHECK.ONE: INSURAI'+ICE � BOND 0 OTkIEIL permit issuing office. I c�13',underthe pains and penalties o ' '� Steadfast Insurance and c m 7f 13l2Q22 FIRM NAME: ll �,that the information on this application is true and ct�� Home &Commercial Security, Inc t Lic.No.:1143C� i Licensee: Henry C. Sidok Jr. 4 (ifaplicable,enter exam "in Signatu I. Tel NO.: "exempt the license number line.) ill s.Tel.No.:$00-237-9.6 Address: - _ , , r. z s_ Rehoboth MA 0 *per M G.I..C.147,s.57-61,security work requires S-no- ac afety as" Tel.a�U,: OWNER'S INSURANCE WAIVER: I am aware that the icenseece does not have the liabilityLin.No. SS CO required by law. By my signature below,I hereby waive this requirement. I am the insurance coverage normally Owner/Agent (check one owner •owner's ._{<� Signature Telephone No. .PEIfAfIT FEE:$ 115.00