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Home My WebLink AboutBLDE-23-002145 Commonwealth of Official Use Only ,: ` Massachusetts Permit No. BLDE-23-002145 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:10/20/2022 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) 1326 ROUTE 28 Owner or Tenant BANKBOSTON Telephone No. Owner's Address C/O BANK OF AMERICA ATTN:CORP RE ASSESS, 101 N TRYON ST NC1-001-03-81, CHARLOTTE, NC 28255 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: Replacement exterior lighting fi 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 TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 26 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. Too tasl No.of Alerting Devices TNo.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatingKW Local ❑ Municipal ❑ Other: No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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. 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: Roy A Recore LIC.NO.: 12565 Licensee: Roy A Recore Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N o. Address: 14 WEST ST, DOUGLAS MA 015162122 *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 I PERMIT FEE: $80.00 I Signature Telephone No. ( L o r ) c .- Igg - f L. D r 1i OCT 2 0 l -'' Commonweal#el Maaaac�ffe ��Off7ciaalzl Use Only 1. �' c7 Permit No _.- _.- ✓-' .Z i ti�-_ i y �)sparlmont e ...tire.eiv ces S i D I iv G D Occupancy and Fee Checked BV � ,r:'1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) E 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: tLp[ �� c c 4 City or Town of: Ce,(` plLtk To the Inspector of Wires: By this application the undersigned es notice of his or her intention to perform the electrical work described below Location(Street&Number) �- 0;--) -�-2 lo 2 Owner or Tenant j ( c s + Telephone No. t C-0 Owner's Address A . ---rt--t,,-- � C (MC' Is this permit in conjunction with a building`permit? Yes No E (Check Appropriate Box) Purpose of Building Utility Authorization No. !, Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters C New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 11 �`,� Location and Nature of Proposed Electrical Work: ,(4,1git e L� t'v i&-Tt (4 jjv�..*r 0 (2k1d--) r 't ate. ., .- > _,f'eo ueve-k oA C x x'.Q L1 Cl..) cct, I eTt- 1 i c h4. )I . \f J CoiitpletIon of the f wingtabte may be waived by the Inspector of Wires, Lei No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.or 'Total TZ Transformers KVA CINo.of Luminaire Outlets No.of Hot Tubs Generators KVA vt- No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units l No.of Receptacle Outlets No.of OU Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices t'-° No.of Ranges No.of Air Cond. Toosl 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 0 Municipalonnection ❑ Other C No.of Dryers Heating Appliances KW Security Systems:* ,st mes or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP -Telecommunications Wiring: No.of Devices or Equivalent OTHER: a Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Elec`trical Work: iOC�(_y (When required by municipal policy.) Work to Start: 1/)t.Jll�� 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 ❑ BOND ❑ OTHER 0 (Specify:) I certify,under the ins and penalties of pe ry,that the information on this application is true and complete. FIRM NAME: ' e—S.f Lc, LIC.NO.: l.0 9..3 Licensee: Signature LIC.NO.: 1 (If applicable,miter" t"in the license number line.) Bus.Tel.No.(1—In i- --(" 0 Address: ( ---TrA cik.11-u v-Yr ( ( ( 0 Alt.Tel.No.:Lk O V 3>S-C . , t *Per M.G.L.c. 147,s.57-61,security wo requires 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 I Signature Telephone 1vo.__ 0 PERMIT FEE:$