The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004003 • - Commonwealth of Official Use Only tt`;' 1 Massachusetts Permit No. BLDE-23-004003 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) 976 ROUTE 28 Owner or Tenant YARMOUTH COMPASS LLC Telephone No. Owner's Address % CVS PHARMACY INC ACCTING DEPT(#735), 1 CVS DR,WOONSOCKET, RI 02895 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 ❑ 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: Relocate CT metering to safer location. 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 ❑ 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 Siens 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: Daniel B Kobus Licensee: Daniel B Kobus Signature LIC.NO.: 20782 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 361, BELLINGHAM MA 020190361 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: $100.00 t (7 ( Al IA) 1 (9: ) 1,1 4 23 2-CI\r---11 C-C4P-Outn1 P.lv. (/�7A3 (6126-00.9Luc GD' Keaav AA) REC_E1V D 20 2ip3 al�i o�///assaehusefla Official Use Only 3: 15t H uUeL �7 Permit No. 4 "`�CW3 ®��t: 5• _..__._.T � ofo DireServites r s i Occupancy and Fee Checked `?`�.�.o '�y BOB QEREPREVENTION REGULATIONS [Rev. 1/07] (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: City or Town of: UWit iTh `16V 11- (Jul r\ 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)cf 1 `F 1 G1 C) U-\-\ �� A Owner or Tenant t tart C..r t'`MZC Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service _ Amps / Volts Overhead Undgrd_ No.of Meters New Service Amps / Volts Overheadu Undgrd_ No.of Meters Number cf Feeders and Ampacity Location and Nature of Proposed Electrical Work:\osA etl` 0,�d,c.vcy-0vrj Condo t k- acco t`'itCAC11C +'c 1 oc a4-5 un o Po►el mour`Itkl 1yaf Sit)'f Cfr.C'T Mc Vc v, (.v V it, - loCCt{-l .,� \ c c t)''D Or - k"tr7cllr\;\-- LU:l1 YC IC((il ' -to ;0TC.r l a c c k-i.z,v Completion of die following table may be waives'by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No. Total No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.oi"Emergency Lighting No.of Luminaires Swimming Pool grnd I 1grad. j I Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o Detectionn and Inn Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 1 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained _ P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Loco Municipal I Other P Connection No.of Dryers Heating Appliances KW Security S`vstems:* y No.of Devices or Equivalent No.of Water K,`, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications No fDevices or Wiring: Y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:4 2_0O 'c' (When required by municipal policy.) Work to Start: i . 'J 2 0'L 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no pennit 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 BOND OTHER ;Specify:) 1 certifj',under the pains and pens ties of p ',that the information on this application is true and complete FIRM NAME:Northeast Electrical ServicesLIC.NO.:3722-EL-A1 Licensee: DanN Kobus Signature-7A \ S' hjWLAeNO.:20782A (If applicable,enter "exempt"in the license number line.) ss Bus.Tel.No.: 6-7 7 Address: Alt.Tel.No.: *Per M.G.L.c. l4i,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 liabili ranee c—^cage normally i_ 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: $