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Home My WebLink AboutBLDE-23-000169 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000169 . 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:7/12/2022 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) 658 ROUTE 28 Owner or Tenant Jerry Manning Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps Volts Overhead RI Undgrd 0 No.of Meters New Service 400 Amps Volts Overhead I l Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire building for restaurant Completion of the,following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 50 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 40 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 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 ❑ 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: Rex A Burger Licensee: Rex A Burger Signature LIC.NO.: 17037 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:2045 MAIN ST, MARSTONS MLS MA 026481864 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: $430.00 4 q O. .'-al g, a1( C PI) lh'IvtabOVQ)51212-13 c q 1 z L (1?-lanW (z, . i P-ova/ k t TZ aN 9/` Commonwealth.oil Maddachudettd Official Use Only 2 �� 3C �=•B�4 cc�� n Permit No. »';�nzi spartment o )"ire Serviced �`�'f' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked V f Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK zAll 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: 6 t (%.,I ( ( a Da City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives noti o his or her intention to perform the electrical work described below. v Location(Street&Number) 6 5 9 T K . a e (,,)Q - C/rWiO N(,A O) 61,3 4. Owner or Tenant J e.t r ( /IA A t1 tt t n I Telephone No. Owner's Address 0� Is this permit in conjunction with a building permit? Yes C No ❑ (Check Appropriate Box) 0.) Purpose of Building -(-me_ C 1 na tM 5 L o i/1 Utility Authorization No. Existing Service a(>0 Amps f?p/ (loVolts Overhead Undgrd❑ No.of Meters `n New Service yip 0 Amps v /.2y u Volts Overhead I dal 0- Undgrd ❑ No.of Meters 1 D Number of Feeders and Ampacity ~�r Location and Nature of Proposed Electrical Work: �gM v 4h /.� v. 2�-,ltr av f 4 I��SurGn� ,4 vi Completion of the followin&table nuy ry be waived by the Ins ector of Wires. t,: No.of Recessed Luminaires 5-U No.of Ceil:Susp.(Paddle)Fans No.of Total n! Transformers KVA 'Z;t No.of Luminaire Outlets No.of Hot Tubs Generators KVA r.t' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets C( 6 No.of Oil Burners FIRE ALARMS INo.of Zones .f No.of Switches .2. p No.of Gas Burners /1Vo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: .. " Detection/Alertin Devices No.of Dishwashers Space/Area HeatingKW Municipall Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of 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: 6 of 0 Oe) (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,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under t air d penalties of perjury,that the information on this application is true and complete. FIRM NAME: _ ur a` -- (p L t t: t/1 LIC.NO.:A (7 0 37 Licensee: Rg> . ( L'ry,y Signature LIC.NO.: (I./applicable,enter"exempt"in the license number,� line.) Bus.Tel.Nos"o 33 2 61 4 n(S Address:,�t /vtes to /h Ma rit-vh f /lit r t 1 S M r 04 G y 0 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work 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 Signature Telephone No. PERMIT FEE:$