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Home My WebLink AboutBLDE-23-003997 : ►-- Commonwealth of Official Use Only -.4 ► Massachusetts Permit No. BLDE-23-003997 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:1/21/2023 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) 60 ANSEL HALLET RD Owner or Tenant FEDEX SHIPPING CENTER Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bog) 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: R&R receptacles in cabinets&install new receptacle. (FEDEX SHIPPING v CENTER) 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 4 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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: Licensee: Charles Picard Signature LIC.NO.: 23310 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 414 Raymond Road,Plymouth MA 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 RECEIVED AN 2 0 2023 imikh oft Kusacksodie Official Use Only q q Permit No. `✓ C� ' `DING DEPARTMENT Serviced i — t a . '•=--"— ' PREVENTION REGULATIONS Occupancy and Fee Checked J [Rev. l/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 INFORMATION) Date: / - AO - . City or Town of: Y..r,r„co J�,N 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) (9 a 14-+t,Lt t 1-[.. (2 it TL.i. JOwner or Tenant 2 a, SAY k r i Telephone No. goo—W(e 3-33 3 i • Owner's Address0 C Is this permit In conjunction with a bu ilding permit? Yes 0 No ❑ (Check Appropriate Box) ^' Purpose of Building WI Utility Authorization No. ..s.i Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service o` Amps / Volts Overhead❑ Undgrd❑ No.of Meters 4 Number of Feeders and Ampadty Location and Nature of Dr- Proposed Electrical Work: .1--e .ii,rari .,2 4.3 , -` .z.v .rtitS}a.( &' Y�v� : :MA-1, f_ 1�� ;n 4askwt � Q ,r, ne,�+ c,a , a.. R�-o'-p�.-cl��e..�4r.�rce,. Ve Completion of the folkwingtabk may be waived by the Inspector of Wires. No.of CI No.of Recessed Luminaires No.of CeiL-Snap.(Paddle)Fans Transformers TKVA i in No.of Lumaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Poo Above ❑ In- No.of l mergency Lighting grad. ant ❑ Battery Units `1 No.of Receptacle Outlets q No.of Oil Burners FIRE ALARMS [No.of Zones No.of Switches No.of Gas Burners 'No.of Detective and • Initiating Devices I Xi No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste I1Kspmers Heat Pump'Number KW otals:1 _�Number Tons 1 No.of Self-Contained Detection/Ale . , Devices No.of Dishwashers Space/Area Heating KW Local❑ Mnn w Conneetion 0 Othir No.of Dryers Heating Appliances KW SecurityN stems.* No.of WaterHeatem , No.of No.of Dam v'°f�or Equivalent Signs Ballasts Telecor of Devkes or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Wiring: ing: OTHER: No.of Devi or Equivalent t)op Attach additional detail y'desir�e4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: t (When required by municipal policy.) Work to Start: I—a,0—ern Inspections to be requested in accordance with MEC Rule 10,and upon INSURANCE COVERAGE: Unless waived by the owner,nocompletion. the licensee provides proof of liability permit for the performance of electrical work may issue unless the lac i insurance including"completed operation"coverage or its substantial equivalent. The fined certifies that such cov,age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I eertifr,under the pains and penalties of perjury,that the FIRM NAME: t Moo • f°won on thisapplication is true and complete C Licensee: .L C... NO.: llfapplicable,enter-exempt"to the license munnber line.) Signature LIC.NO.: e1.3 1 O'1C' Address: . 1Nw.a►kh V\f Bess.Tel.No. i . 42 *Per M.G.L.c. 147,s.57-61,security workAlt:Tel.No.: L �- 3e(S OWNER'S INSURANCE WRIVER: I Department of Public Safety"S"License: Lic.No. am aware that the Licensee does not have the liability insurance coverage norinall required by law. By my signature below,I hereby waive this y Owner/Agent requirement. I am the(check one ■ owner Signature Ill owner's .tent. Telephone No. PERMIT FEE:$