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Home My WebLink AboutBLDE-23-004533 Commonwealth of Official Use Only 1A1 Massachusetts Permit No. BLDE-23-004533 �—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:2/14/2023 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) 44 &48 ROUTE 28 Owner or Tenant 44&48 Route 28,LLC. 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 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install alarm system 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 ❑ I. ❑ No.of Emergency Lighting grind. gr nd. 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. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained _Totals: Dctection/Alertine 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 ,Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eouivalent 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: JAMIE S POPILLO Licensee: Jamie S Popillo Signature LIC.NO.: 7017 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 Amanda's Trail,South Dennis MA 02660 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 v l�-`cat 2124/23 �/�> . - A Comnwraaaalth o/�'Ilamaehuoetfe Official Use Only 9_B •t c� c7 Permit No. i• 1; 2aparimsnl o�,.tipe Servics6 .. _ 1 i-:.* Occupancy and Fee Checked '. ' . BOARD OF FIRE PREVENTION 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 t ��INFORMATION) Date: I- I - d�) V City or Town of: \ nQL)f To the Inspector of Wires: By this application the undersign ives n rice of hi or her intention to perform the electrical work described below.1 1 Location (Street&Nu ber) ) , Owner or Tenant Li e, I,L, � Telephone No. `-� Owner's Address U RI, 7 2 I,CJ,1 �L1 i i i N\ � b L �� Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building C 6rn (L1 Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters V New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 'a L'1c t m z`, Completion of the followin&table may be waived by the Inspector of Wires. vt No.of Total WNo.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA �1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA 'l:' No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units '.J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Detection and '` Initiating Devices t 1,t No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number 'Tons KW No.of Self-Contained p° Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of DryersHeating Appliances Kam, Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Ballasts CYO No.of Devices or Equivalent LCl Telecommunications:Wl W': -n No. Hydromassage Bathtubs No.of Motors Total HP I No.of Devices or Equivalent .fl OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f Electrical Work: (When required by municipal policy.) N Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 cskTh undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1Z BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties o erjtry,that the information on this application is true and complete. r-4- FIRM NAME v a L0, ,nl Licensee: m I e. � ()Dilly Signature AMI k-UC) LIC.NO.: (If applicable, a t#tjt rue`''(' line,.{ j , Bus.Tel.No.: Address: () I L'X !, + i`1 n I ) t ,M !�J Cii Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work quires 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)❑owner []owner's agent. �' Owner/Agent Signature Telephone No. PERMIT FEE: $ 11 5 - brr _ _