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Home My WebLink AboutBLDE-23-001375 Commonwealth of Official Use Only ti0 litil Permit No. BLDE-23-001375 Massachusetts s BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:9/15/2022 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) 1175 ROUTE 28 Owner or Tenant CAPE COD COLLABORATIVE Telephone No. Owner's Address 1175 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 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: Provide&install complete addressable fire 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 ❑ 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. To No.of Alerting Devices 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 0 (Specify:) I certify,under the pains and penalties of perjuiy,that the information on this application is true and complete. FIRM NAME: SYSTEMS CONTRACTING Licensee: Robert Barnes Signature LIC.NO.: 22651 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 Scobee Circle, 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: $330.00 ç ?PLC6 (1r(OvArtiejtj Q/20/)- - cyve,4 cE1 (pm �) (Qbeivv 00 ,r-i-1.44.c. lit R�3 . RECEIVED I_ P.1.4 2022 4- :. y�� Official Use Only / Penult No. EZ3 13 75 1,-DEPARTMENT re 1 s.. 1' — Occupancy and Fee Checked \- ' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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: Ot/1.--1 I a1.0 a. .. City or Town of: "1CA(r,.,n v�fl_ 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) I['75 M A -a B Owner or Tenant C Q, 6.18. (• s\\aVyorz-1,-'..ie Telephone No.'Ocj,711 4 700J Owner's Address j 1'75 f le Pe - 8 Is this permit in conjunction with a building permit? Yes M No ❑ (Check Appropriate Box) Purpose of Building SG\-.oo\ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Propoae(l Electrical Work: f..,..,sclC Girtkn\\ C'prrr�\e! /AAAr..s.cn& u rC A lart., SyS.rts. 7 Completion of the following table may be waived by the inspector of Wires. tal No.of Recessed Luminaires No.of Ceil.-SusP. No.of(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above 0 In- 0 No.01 Emergency Lighting Enid. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detectionand initiating Devices No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Dis osers Heat Pump Number Tons IKW No.of Self-Contained V Totals: -- Detection/AlertingDevices No.of Dishwashers S ace/Area Heating KW Local 0 Municipal 0 Other, P g Connection No.of DryersHeating 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring y g No.of Devices or Equivalent OTHER: r Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Woek:V O.Opa (When required by municipal policy.) Work to Start: 91 14 1doa . 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 154„.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: '� j9re^S ( -)crap-1-tn3 LIC.NO.:Lig3c /r\ Licensee:2O c,. ?:;CPrr..rs Signaturg C.( c.e LIC.NO.:a (�I A (if applicable,enter" empt"in the license number line.) Bus.Tel.No: Address:'7 C obre C t r e 1 e V\. Neil) AIL Tel.No.: %7HL'fO3 S'" •Pei M(j.1-.c..147_s.57-61_ Fmr t,work mgiirec 1)r rnrtmPnt of?0,Ii Sddel"T'I,jtynge. l.ir_.1}4. I ant aware that the Licensee does not have the liability insurance coverage normally OWNER'S INSURANCE WAIVER: I hereby waive this Licenrequisee does I are the(check one ■owner II owner's event. required by law.By my signature below, Own tune nt Telephone No.__________--- Signature �L1 501 170) Wzirlif 4W jt�L o"L d J 11/ 512 1 z2 �C22 �zZZ, err / 'S/ ehcBS a