HomeMy WebLinkAboutBLDE-23-000948 �,. Commonwealth of Official Use Only
L1 Massachusetts Permit No. BLDE-23-000948
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:8/23/2022
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) 28 AARONS WAY
Owner or Tenant GLADSTONE LTD PARTNERSHIP Telephone No.
Owner's Address 297 NORTH ST, HYANNIS, MA 02601
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 fire alarm communicator(Supply N.E. ,28 Aarons Way)
,
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
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 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: 1
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 ofperjury,that the information on this application is true and complete.
FIRM NAME: HENRY C SIDOK JR
Licensee: Henry C Sidok Signature LIC.NO.: 1143
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:73 Miller Street, Seekonk MA 02771 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
Commonwealth 42/rilaloaclusoeth Oflicizti Use Only
Permit No....tr-__23 --ID Ciq-B ,
Apartment 4 5:re Saroice3
Occupancy and Fee Checked
' 7 ..1-•-,-"Zr
BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07) (leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Al.!work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORA,L4TION) Date: August 10, 2022
City or own of: Yarmouth To the Inspector of Wires:
By this application t dersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street& Number) 28 Aaron's Way Warehouse
Owner or Tenant Supply New England Telephone No508-775-5818
Owner's Address Supply New England123 East St Attleboro, MA 02703
Is this permit in conjunction with a building permit? Yes I j No X (Check Appropriate Box)
Purpose of Building Commercial Utility Authorization No.
Existing Service Amps / Volts Overhead E Undgrd El No.of Meters
—
New Service Amps / Volts Overhead ri Undgrd El No.of Meters Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace Fire Alarm Communciatior
Completion of the followinvable may be waived by the Inspector of Wires.
Na.of Total
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans
Transformers KVA
No.of Lumina ire Outlets No.of Hot Tubs Generators KVA
Above r--, In- r--.1 "No.of En2ergency Lighting
No.of Luminaires Swimming Pool grnd. L-I grad. L-J Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS !No.of Zones
No.of Detection and
"czi No.of Switches No.of Gas Burners
Initiating Devices
V
Tons Total
No.of Ranges No.of Air Cond. No.of Alerting Devices
--F
Heat Pump I.Numher, Tons ,.,1Kyv..,.,.. No.of Self-Concained
L.— No.of Waste Disposers
Totals:1 I Detection/Ale Devices
If No.of Dishwashers Space/Area Heating KW Local 0 Connection
[3 Other
vN No.of Dryers Heating Appliances K'W urity ysteins:*
No.of Devices or E.uivalent
‘.) 'o.o -"ater
o.o o.o Data Wiring;
-...c- Heaters KW
Sins Ballasts No.of Devices or E I uivalent
•ons
inng.
,...i! cyrNo. elecommunicati
sHydromassage Bathtubs No.of Motors Total HP
No.of Devicesor E uivalent
• -2.„..
Ati h additional detail if desirech or as required b the Ins ctor of W. s
E ac . y pe tre.
Estimated Value of Electrical Work: 500 00 (When required by municipal policy.)
p1-) Work to Stan: Inspections to be requested in accordance with m:EC Rule 10,and upon completion.
h... 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 2 BOND El 0THER IEI (SPecifY:) Steadfast Insurance Exp 7/13/202;
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Home & Commercial Securit , Inc Lic.NO.:1143C/134 Licensee:
LIC.NO.:
alapplicable,enter 'exempt"in the license number line)
s.Tel No.:IgariaLL-2!_463___
Address: Rehoboth MA 0
*per M.G.L.c. 147,s.57-61,security work requires Dcp en:
I.Tel o lic Safety"S"License: Lic.No. SS CO 000134
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 Or owner 0 owner's ::ent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $