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Home My WebLink AboutBLDE-23-000087 Commonwealth of Official Use Only L. , Massachusetts Permit No. BLDE-23-000087 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:7/7/2022 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) 514 STATION AVE Owner or Tenant CAPE COD 5 CENTS SAVINGS BANK Telephone No. Owner's Address ATTN: JOAN LEARY ACCOUNTING DEPT, PO BOX 10, ORLEANS, MA 02653-0010 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 of Meters,, New Service Amps Volts Overhead 0 Undgrd ❑ Number of Feeders and Ampacity < 714.2 Location and Nature of Proposed Electrical Work: Install fire alarm system Completion of the following table may be w ued by the Inspectotf 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 5 No.of Switches No.of Gas Burners No.of Detection and 20 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 10 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 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: (Wh'en 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:) 13 i- f 3( 03(2, I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOSEPH TEIXEIRA Licensee: JOSEPH TEIXEIRA Signature LIC.NO.: 7168 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 13 EMERALD WY, FORESTDALE MA 02644 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: $115.00 111 c46 6 f i? I '2- V 6f 3 RECEIVED „ J U L 0 6 2022?� Qa yyj�dda�hu4a Official ,2437 J` ,„ �// Kd al Use Only :19fiu.,At cc'77 n�7 "�' L D I N G DEPART tinf o�,}ira Jarviced Permit No. ' c. af( y— -�; Occupancy and Fee Checked —EVENTION REGULATIONS [Rev. 1/07] eJ (leave blank) � APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .7- All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 3`v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARector of Wires: MOUTH this application the undersigned notice intention to perform the elTo the ects cal work described below. C Location(Street&Number) j I 5 At, 1 C� Av ,� Owner or Tenant 4p , 1.N;. Telephone No. I Owner's Address Is this permit in conjunction with a building permit? Yes er No (r 0 (Check Appropriate Box) f Purpose of Building t`'`'fib v( i t? Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd E No.of Meters New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: J4 Completion of the following table may be waived by the Inspector of Wires. U, No.of Recessed Luminaires No.of p n,! No.of Ceil.-Susp.(Paddle)Fans Total Transformers KVA C.1 No.of Luminaire Outlets No.of Hot Tubs r'.r Generators KVA t'' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting �rnd. grnd. Battery Units �` No.of Receptacle Outlets No.of OH Burners FIRE ALARMS !No.of Zones 5 No.of Switches No.of Gas Burners -No.of Detection and a iInitiating Devices0 No.of Ranges No.of Air Cond. Total Tons ,No.of Alerting Devices / No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection Municipal �Oher No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts 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: 9 1 00cD (When required by municipal policy.) Work to Stan:' 1 jo i Q' Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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: lu e_U, (.t., Licensee: ^ LIC.NO.: & (; iCt Tf V iji q Signature /)` / -�` LIC.NO.: l.� (If applicable,enter'exempt"in the license number line.) c s, Address: 2 C7Ms18 ,s6t.3 "O f ` DreS V41t Bus.TeL No.•�' i. ~�, 0762. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$