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Home My WebLink AboutBLDE-23-004150 4, i 1 Official Use Only r //� Commonwealth of �. , �� f �� Massachusetts Permit No. BLDE-23-004150 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:1/26/2023 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 de4zEibed below. Location(Street&Number) 464 ROUTE 28 T-)U(\.11,(--lid O N—Yv 1Z>. Owner or Tenant S&C REALTY INVESTMENT CO LLC Telephone No. Owner's Address 169 MAIN ST, STONEHAM, MA 02180 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: Miscellaneous work per attached. (DUNKIN DONUTS) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 13 No.of Ceil.-Susp.(Paddle)Fans No.of Total ,Transformers KVA - No.of Luminaire Outlets 1 No.of Hot Tubs Generators KVA ' No.of Luminaires 35 Swimming Pool Above 0 In- ❑ No.of Emergency Lighting 6 grnd. grnd. Battery Units No.of Receptacle Outlets 60 No.of Oil Burners FIRE ALARMS No.of Zones ' No.of Switches 2 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 2 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of 2 No.of Ballasts Data Wiring: 15 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 CI (Specify:) 4 17 97 Z 5 79 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Joseph L Moniz Licensee: Joseph L Moniz Signature LIC.NO.: 14635 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 FRANKLIN ST, SOMERVILLE MA 021453236 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: $180.00 qik_. 2/3/2,s v6 ebotat /i/ k D S � ' _ A.4 ECEIVE � / �r► Official Use Only o ,nuioa 01 cc 77 a�ac e 2�_ I ST) `AN 2 61013 I par�nwnt ol.}iro�arvices Permit No. = 2 e �_f 6" __ _ _. ____ . Occupancy and Fee Checked i-A" DINBO�IRD ,E 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 INFORMATION) Date: /- .. 6 -,;23 City or Town of: west L/4'i&vr.oji- 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) / A T ;, 2 Owner or Tenant DOeti I<„.) h&c',ij S Telephone No. Owner's Address / ,e? /)4iil 73.s7toilt/ ,i'.4 Is this permit in conjunction with a building permit? Yes 2 No ❑ (Check Appropriate Box) Purpose of Building $7 /2z. Utility Authorization No. Existing Service 4a) Amps / p/ ,Zo'? Volts Overhead ❑ Undgrd[ZI No.of Meters .3 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electricalart Work: kiss r Y Ann ii., F,+s n1.5 �_TAnGLS_, , '.r L_5•n7s- , rr ri4 ),7� 5 /Jpi ]4f4 ,s's icn % i4h: rci..te 0th L ' i iU&J L 7,o✓k. Si41/ A_eic) Lcn Lrr.,ti 4ti Ai 7,l- (.t)12+lea44 Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires ,3 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 cy Lighting 3�� grnd. grnd. Battery Units No.of Receptacle Outlets (uQ No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches In No.of Gas Burners No. Dete and Initiatinnggon Devices 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 Municipal ❑ Otheral❑ Connection No.of Dryers pnLt ny�`s „2 Heating Appliances KW Sec rit Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs 1 Ballasts No.of Devices or Equivalent rS No.H ydromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent 3 g No.of Devices or Equivalent OTHER: an Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work:0-3 , (When required by municipal policy.) Work to Start: 2—j,- L3 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 fij BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /Jlpi)iz FWG'77? . LIC.NO.: 4)146:?.,— Licensee: 2? cicv /1')/:vi 12 Signature g;Dai/LLi }}'fl( ii1.G9 LIC.NO.: *�,, a ji (If applicable,enter "exempt"in the license number line.) Bus. Tel.No.: 6/7-(.'21-ei -i,1 Address: 9 T 3 f?ZI.J K) JJ 557 Se)/71- 2ull.i. mo- &.tu C Alt.Tel.No.:147-5'9-t sv-1 cr *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 ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.