HomeMy WebLinkAboutBLDE-23-000947 Commonwealth of official Use Only
Massachusetts Permit No. SLOE 23 000947
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) 40 AARONS WAY
Owner or Tenant BAY POINT LLC Telephone No.
Owner's Address C/O GLADSTONE LTD PARTNERSHIP, 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 communicator(Supply N.E.,40 Aaron's 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
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/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 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 Siens 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 of perjury,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
6 A 26mirialuvealtk of Maddaclucled3 Official Use Only
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2eparinteni ol.q.re Service:1 Permit No.-;:-12:2-/ kirlti__, 7
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Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS ev. 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 INFORAL4TION) Date: August 10, 2022
City 0 Town- f: Yarmouth To the Inspector of Wires:
By this application ersigned gives notice ofhis or her intention to perform the electrical work described below.
Location(Street&Number) LW Aaron's Way Showroom
Owner or Tenant Supply New England Telephone No508-775-5818
Owner's Address S Upplv New England123 East St Attleboro, MA 02703
Is this permit in conjunction with a building permit? Yes fl No X (Check Appropriate Box)
Purpose of Building Corn mercial Utility Authorization No.
Existing Service Amps / Volts Overhead 17 Undgrd El No.of Meters _____
New Service Amps / Volts Overhead n Undgrd 0 No.of 1VIeters _
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replace Fire Alarm Communciatior
Completion of the following table may be waived by the In.ipector of Wires.
No.of iota
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above r-1 In- No.ofEmergency Lighting
No.of Luminaires Swimming Pool grad. Lj grad. ri
.---, Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS IN°.of Zones
'No.of Detection and
No.of Switches No.of Gas Burners
Initiating Devices
No.of Ranges No.of Air Cond. Tote
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump 1 Number Tons l KW No.of Self-Contained Totals: r i Detection/Alertng Devices
.....E- -- No.of Dishwashers Space/Area Heating ICW Local 0 Connection 0 Other
•
L..
urity ystems:*
Heating Appliances KW ,
No.of Devices or Equivalent
No.of Dryers
No.of Water
Heaters KW No.of No.of
Ballasts Data Wiring:
Signs
No.of Devices or E uivalent
eleecimmuc niations inng:
Hydromassage Bathtubs No.of Motors Total HP
No.of Devices or E nivalent
Qj OTHER:
Attach additional detail if desirech or as required by the Inspector of Wires,
••••-• Estimated Value of Electrical Work: 500.00 (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule JO,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
...
(-\k\ 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 0 OTHER 0 (Specify:) Steadfast Insurance Exp 7/13/204
I certify,under the pains and penalties of perjury,that the information on this application is true and contplete.
FIRM NAME: Home & Commercial Securit , Inc LIC.NO.:1143C/134
Licensee:jjen_nit:_21______________< Jr. Signatu
LIC.NO.:
Of applicable, enter 'exempt"in the license number line)
s.Tel No.: -1g2D1,.,IU.9Ag__
Address: 44 BRehoboth MA 0
Alt.Tel.No.:_________
*Per M.G.L.c. 147,s. 57-6],security work requires Dep ent o lic Safety"S”License: Lic.No. SS CO OWNER'S 000134—
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 Ili owner 0 owner's ::mt.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
......._________