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Home My WebLink AboutBLDE-22-002412 Commonwealth of Official Use Only t` 1 Massachusetts Permit No. BLDE 22 002412 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:10/26/2021 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) 585 ROUTE 28 Owner or Tenant ZAMBELIS EVANGELIA K TR Telephone No. Owner's Address WHY ME REALTY TRUST, 585 ROUTE 28,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (ChecV ropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 )it�k eters New Service Amps Volts Overhead 0 Undgrd 0 Nov of._a rs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remove wiring in ceiling&rough wire as needed. (SCALLY'S RESTAURANT) 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 Heat Pump Number Tons KW No.of Waste Disposers 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 Eauivalent 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 perjury,that the information on this application is true and complete. FIRM NAME: REX A BURGER Licensee: Rex A Burger Signature LTC.NO.: 17037 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2045 MAIN ST, MARSTONS MLS MA 026481864 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: $200.00 Cornmonwaa[!h o/rr/aesachaeaftd Official Use Only . ,�'-ors' �I'� '�'t1;'s3/ ry� c-7 n Permit No.(��— e �z._.� 1J Partmanl s/ oo J,wicae s,l^c'/ Occupancy and Fee Checked �j4 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 INFORMATION) Date: /(/ a, L D a City or Town of: YAR M O UTH To the Inspector of tires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) S.15 MOr* 5{ R}' !17 8 I.,)es f >O',p.m o u"Fe--- Owner or Tenant Ays5ip KAvA4 ohS Tele honeNo.5o9 3Cy 777 ,(� Owner's Address /a � C fro W 2 1 I oe l Ls) vo r r-r'I D up, � G^]]�(5 e5 Q Vf 4t'il( Is this permit In conjun tion with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building ( p,3 C ,,ea 1414- Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd .—_ ❑ g ❑ No.of Meters New Service Amps / Volts Overhead E Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Re,t7.e nL t,y,v ta,5 t,t 1, G e I iltir /5 re.,Ltp0-oh{ , r0uck win-a 4c Needs c{ ,,, Completion oj the followetg�table may be waived by the Inspector of Nines. U No.of Recessed Luminaires No.of Ceil:Sasp.(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 grad. 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. Tons No.of Alerting Devices Heat Pump Number Tons KW _. No.of Self-Contained No.of Waste Disposers - Totals: "- - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal Connection ❑Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water of vices or Equivalent rs KW Heate No.of No.of Dataa Wiring: Signs Ballasts 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:7,5-60-ob (When required by municipal policy) Work to Start:/OA(..A)0..i 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 [fr BOND ❑ OTHER ❑ (Specify:) I certify,under the pains And penalties of perjury,that the information on this application is true and complete. FIRM NAME: Ri?/c ,es.:,` r c% LIC.NO.: A- 17 dt, 37 Licensee: p.¢y ,3 r(-e-- Signature 7, LIC.NO.: (If applicable,enter"exempt'm the/rcense number line.) • Address:abslc AAF,h " - /OA,SFo.+( .A.lIUc 't44 Oa L - Y But.Tel.No.: 331 6y1S— 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"L Alt.icense: Lie 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 Signature Telephone No. I PERMIT FEE:$