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Home My WebLink AboutBLDE-23-005670 #1 kL7 Commonwealth of official Use Only fL�� Ili Massachusetts Permit No. BLDE 23-005670 ' 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:4/11/2023 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) 135 MID-TECH DR UNIT 1 Owner or Tenant SCHULZE BUILDING COMPANY LLC Telephone No. j Owner's Address P 0 BOX 288, CENTERVILLE, MA 02632 7 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) + Purpose of Building Utility Authorization No. 12451014 )v Existing Service 400 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: Repairs to the service. 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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: (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: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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: $80.00 Commonwealth o/Ma .sachu • • Official Use Only it = _ cc'� n Permit No. a-z.3-C7t'� -• -_.-.1. 2 ��77cparlmcnt al.. trc Jcrviced �• ' Occupancy and Fee Checked ',; �,e BOARD OF FIRE PREVENTION REGULATIONS Rev. I/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 INFORAL4 TION) Date: J City or Town on YARMOUTH p�i�� es: By this application the undersigned gives notice of his or her intention to perform the nelectrical l o or of ti described below. Location(Street&Number) /3 c /77;J / Dr 1 u.e. l W Owner or Tenant �-b I4 h � /' Telephone No. •,.._1. N Owner's Address 7'j N .2 Is this permit in conjunction with a building permit? Yes No ®';N'--� (Check Appropriate Box) uj '-� il 1 Purpose of Building Co on mot: r �S Utility Authorization No. /a, ys-/o/�i ci �� z Existing Service 96 J Amps /)D /,)'10Volts Overhead Undgrdt � ®� No.of Meters / o New Service Amps / Volts Overhead❑ Undgrd ❑ No, of Meters cc a,m Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: z, I..„, C Cu, 4' T,.r in , 4n,,) r.4-01 Le__ 4,, cow� Si, / ,GCompletion 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 Lurninaire Outlets No. of Hot Tubs 'Generators KVA 'No.of Luminaires Swimming Pool Above ❑ in- ❑ No.of Emergency Lighting • rnd. .rud. f 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 - InitiatinQ Devices otallo.of Ranges No. of Air Cond. Tons1 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 ❑ � No.of Dryers Heating Appliances KWSecurity Systems:* No,of Water No.of Devices or Equivalent No. of No. of Heaters KW Data Wiring: Signs Ballasts b 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: (When required by municipal policy.) to 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 cover ,e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties o ) 3 f perjury, that the information on this application is true and complete. FIRM NAME: i �� { }e E It-e_CJ 0 (.., L L L �/ j`L \ Licensee: LIC.NO.: � ?act I ,"5"• \S;a if, 4 Signature_ fa.,Q b, ) LIC.NO.: a p (Jf applicable,enter "exempt"in the license number line.) -� g_S /} Address: 1 /� nr s� Bus.Tel.No.: t Per M.G.L. c 147 s.57 6],security work requires Department of Publicafety ewe: Alt.L ic.el.lNoo.: ,SD a -3o;(_ _. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally- S required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner o 7 Owner/Agent ❑owner's aPPnf tj Signature Telephone No. . PERMIT FEE: $