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Home My WebLink AboutBLDE-23-19457 9/7/23,2:55 PM about:blank Commonwealth of Massachusetts og • ya � * , Town of Yarmouth s 0� ELECTRICAL PERMIT Job Address: 476 ROUTE 6A Unit: Owner Name: NICK AND JAY ENTERPRISES INC Owner's Address: 381 CAMP ST Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19457 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: Description of Proposed Electrical Installation: Disconnect all wiring that is feeding the fuel dispenser damage by drunk driver. No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: Estimated Value of Electrical Work: $ 0 Work to Start: September 5, 2023 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: ARTHUR P DOHERTY License Number: 17197 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: West Yarmouth, MA, 026732561 West Yarmouth MA 026732561 Fee Paid: $80.00 Email: kelsey-@baysideelec.com Business Telephone: 508-771-7270 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. INSURANCE: ajt/2,6;4 JO 66)/tAl .77404041,0 Thy-abluk (6-76A)K 1/1 about:blank Commonwealth of Massachusetts Official Use Only 5-3 — tR�-5 ►,..,_,.,,_ A� t Department of Fire Services Permit No. 7 r- rl-zs, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �''�'�' [Rev.9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/sc�.2-3 City or Town of: '/a f iv[D 14411 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 47„Z rW�k 4 t/CL r ,lam1 Pori- Owner or Tenant 6tV On r LT, Telephone No.508-3(o�_L1�C� Owner's Address '-/72. /2Dk,ie (o� yafett porT A t/5 &47,S I Is this permit in conjunctio with a building,permit? Yes I No cy (Check Appropriate Box) Purpose of Building *Atmt°rGI a( Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g n No.of Meters C.l New Service Amps / Volts Overhead❑ Undgi•d El No.of Meters Number of Feeders and Ampacity 'Q Location and Nature of Proposed Electrical Work: '>($(:inner d &i I /l i_rafe � c4.IrYYJ thA e,h0dugr,S �u Tl�J l� Complet on 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 _Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of f mergency Lighting ® grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones N No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 4) 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or E uivalent No.of Water No.of No.of 4 Heaters KW Data Wiring: Signs Ballasts 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: 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 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,andjias exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ID 'OTHER ❑ (Specify:) ✓6 W//014 d- 0 'Wei I certify,under the pains and enalal'ties ofperjury,that the information on this application is true andd complete. FIRM NAME: \Sl 6/et-jyicli( (111.f0 7l Q7 Licensee: =SignaNO.: I ,�':4, • ^°° NO.: r (If applicable,enter"exem t"in the licens umb ine.) Address: 5-7 kidd �P_G� )))/ ke t`,�f-nizi-L,-Y1 At 19- O 2-&73 Al . •Tel.No. J Del 77/-7a7D t.Tel. *Security System Contractor License required for this k ork;if applicable,enter the license number here:No.: OWNER'S INSURANCE WAIVER: I am awak that the Licensee does dot have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$10 00