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Home My WebLink AboutBLDE-22-006711 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006711 It" 4) ' v 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:5/20/2022 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) 277 SOUTH SHORE DR Owner or Tenant THE 277 SOUTH SHORE DR LLC Telephone No. Owner's Address PO BOX 370, SOUTH YARMOUTH, MA 02664 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 , ; q . Number of Feeders and Ampacity .. Location and Nature of Proposed Electrical Work: Replace 36 fixtures on front of building. (SURF&SAND) 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 36 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting 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 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 olio Estimated Value of Electrical Work: (Whenq p 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: William L Wolaszek LIC.NO.: 28768 Licensee: William L Wolaszek Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. Address:96 CAPTAIN LOTHROP RD, S YARMOUTH MA 026642818 *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 'PERMIT FEE: $100.00 I Signature Telephone No. Commonwealth.of//Jaddacktdalte Official Use Only J �+. t cc�� c� Permit No. 2 �� ` � F ..Us/varf`nunf o� }iro Serviced :1(- Occupancy and Fee Checked �a BOARD OF FIRE PREVENTION REGULATIONS [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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of hi or her i ention to perform the electrical work described below. / n Location(Street&Number) 37 7 3 G.J o+t' 0 { ,.,..t` So s F .e.Se,�,d .0` Owner or Tenant Sc..i-. Y G Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) i Purpose of Building Utility Authorization No. 4 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: '7e f 1c 3 k, 0 01 . h_ L. ).-,;S `1 �. �[Cv� 7 0 C-- d� )clil� q ) I cS:� 1N'vv,2` -, Completion of the followingtable map be waived by the Inspector of Wires. U.; No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total ot Transformers KVA '-:.t No.of Luminaire Outlets No.of Hot Tubs Generators KVA r~':1 Above In- No.of Emergency Lighting ,t. No.of Luminaires Swimming Pool_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 t t No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump I�mber Tons KW No.of Self-Contained P Totals: Detection/Alerting evices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other, P Connection No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.ofK Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP 'telecommunications Wiring: No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Ele trical Work: ,5-0t) (When required by municipal policy.) Work to Start: 5 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO 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 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 pair and penalties of p rjury,that the information on this application is true and complete. FIRM NAME: �' t 1, S h•‘ } O[c,S 7-E>L LIC.NO.:, ? 7 4i ' P Licensee: Li; )1;CV,1 ,.‘S C!4 S F-4 t Signature ( LIC.NO.: Of applicable, rater"exempt"' the lirgense number lit . Bus.Tel.No.: S t)a '6 t) e c+ S_i Address: ' ,� C b f IL- (�4'MCc' Alt.Tel.No.: *Per M.G.L.c. 147,s.5 61,security worktrequires Department of Public 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.