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Home My WebLink AboutBLDE-23-004129 Commonwealth of Official Use Only �. EE Massachusetts Permit No. BLDE-23-004129 r "C 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:1/26/2023 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) 1376 BRIDGE ST UNIT 1 Owner or Tenant RESORTS MOTELS INC Telephone No. Owner's Address 41 CHASE AVE, DENNIS PORT, MA 02639-2609 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: Relocate F.A.C.P.from 1st floor to basement. 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/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 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: JOEL E ZIMMERMAN Licensee: Joel E Zimmerman Signature LIC.NO.: 1495 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 165 LITTLE BROOK DR, NEWINGTON CT 061115336 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 CIL A _ Commonwealth.o/1t/addaclutaeffa Official Use Only i. •23-4(zci `= fl Permit No. _��t_y cc77 sii: ccyy��v . )eparfineni o f}ire-Serviced • --jJ, BOARD OF FIRE PREVENTION REGULATIONS• Occupancy and Fee Checked __ -,. ,n•'` ev. 1/07] leave blank} APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / 0 7, '?(J c?3 -)City or Town of: ,-L,,,(.. VI \e v-f+rGL4 1 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) /3 7 G 31 1 S 1 -}- z, Owner or Tenant i 'G(f\ \ e;''ON' .) I Iy Cu'f-c,toi iAb f•e-k Telephone No. 508—3 b 6 (557 Owner's Address /3.76 3 r tal, S-k- Is this permit in conjunction with a building permit? Yes U No (Check Appropriate Box) Purpose of Building i3c/ci 76 S rt(OenfrV tjtc. Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd ri No.of Meters New Service Amps / Volts Overhead 7 Undgrd ❑ No.of Meters — Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: MOtv.rL l S.F',nc,4 jXjn�I earn 15} t- x v 4 o . tsemev1 k-° J Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceit:Susp.(Paddle)Fans T f K Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. _PBattery 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 Total No.of Ranges No.of Air Cond. Tons No. of Alerting Devices No.of Waste Disposers Heat Pump NumberTons_ W 'No.o e t- ontained , Totals: K1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Clnnleipalonnecctiotio In,Other Cn No.of Dryers Heating Appliances KW Securityy tems * No.of Water No.of No.'of No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HPTelecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by(he Inspector of Wires. Estimated Value of Ele trical Work: , Li ,,.- S (When required by municipal policy.) Work to Start: 11,91133 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,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 71 BOND 0 OTHER ❑ (Specify:) L 4 C, I certify,under the pains and penalties ofperjuty,that the information on this application is true and complete. FIRM NAME: 4LAr?i`1 deli.J ,.n1C-1,r-,J D L 4 G- LIC.NO.: 2.2245-,A � � n. Licensee: 6? ,4t �f-ZFi-1�''S Signature ? j3 � �- g �/�. .r'y LIC.NO.: Ud— (ifapplicabie enter xenrpt"in the license-lumber line.) / Bus.Tel.No.: `8C^,6' .16' V 15 Address: (, cI S 4hvoc), &A. Kt.. ky HI if//C.-T-DC.O n Alt.Tel.No.: 666-944-6,ci *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: 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. 1 am the(check one)❑owner ❑owner's a ent. igna re, ^Telephone No. 1,S c+p