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Home My WebLink AboutBLDE-23-001492 #1305 Commonwealth of Official Use Only fi. Massachusetts Permit No. BLDE-23-001492 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:9/20/2022 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) 1305 ROUTE 28 Owner or Tenant U S REIF MARINE NANTUCKET FEE LLC Telephone No. Owner's Address 134 ORANGE ST, NANTUCKET, MA 02554 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 "`4Veters / Number of Feeders and Ampacity V (� Location and Nature of Proposed Electrical Work: Upgrade lighting(ACE HARDWARE) ��! Completion of the following tdff t, js ai I ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of . 0 Transformers 0 No.of Luminaire Outlets No.of Hot Tubs Generators A No.of Luminaires 20 Swimming Pool Aboved. ❑ In- ❑ No.of Emergency Lighting grn 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: 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: A J PULLEY Licensee: A J Pulley Signature LIC.NO.: 21843 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 -- 'R€ C A E D ComnwnweaflJ o/kassachusetl4 Official Use Only r „ .�I4-g2 •J lit /_i c� Permit No. SEP'i :: Thepartment ot. ire Serviced Occupancy and Fee Checked ,. , BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING D MENT ( ___IB — ATION 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: !Jiv/2z City or Town of: rttw.a/ttl To the Inspector of Wires: By this application the undersigned g ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) /3c,S 12-r£ 28 Owner or Tenant 4,..E 1.4A_,2.,?,..uh✓LE Telephone No. Owner's Address AAA /VAS.,rucAc�r^ / / ;S/ DJG( Sr. rv/bvruce.Fr OZ s7s."1/ Is this permit in conjunction with a building permit? Yes ❑ No [" (Check Appropriate Box) Purpose of Building Ce,1,„,,i4Fr,rt, 14z74 i Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd❑ No.of Meters New Service Amps / Volts Overhead I 1 Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /, 'c rA-ic Zo+ £.. S-nQ_n a t-,us-rs d R-Frw✓E .SOS. 6 14t:yc.EsS i;,cruat's Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ri❑ In- 1-7❑ No.of Emergency Lighting No.of Luminaires ZO+ Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ofand No.of Switches No.of Gas Burners No. 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❑ MConne unicip Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications or Equivalent No.of Devices 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: 91/9/22 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 [ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuly,that the information on this application is true and complete FIRM NAME: //,*.c, n,L LIC.NO.:. Licensee: A 3 Poo c/ Signature LIC.NO.: , 2?t'2/3 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: SaY3 s-3e'3/ Address: AD,/3o,c /Vo/ Sour., bexkvis '4 OLGGC 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)0 owner 0 owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. . -0,- - '.r