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Home My WebLink AboutBLDE-22-003239 Commonwealth of Official Use Only ,14.4% Massachusetts Permit No. BLDE-22-003239 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:12/7/2021 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) 518 ROUTE 28 Owner or Tenant SANDBAR HOLDINGS LLC Telephone No. Owner's Address 518 ROUTE 28,WEST YARMOUTH, MA 02673 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: Demo building at water park. Y/(4(544 Completion of the following table may be waie 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 Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DAVID W SILVA Licensee: David W Silva Signature LIC.NO.: 20608 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:55 THISTLE DR, CENTERVILLE MA 026322036 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: $80.00 RECEIVED Official Use Onl 1 EC 0 7 2021 ° 'nwea o,,,fa6eac�uaeffe Y 1. 42 it c'� Permit No. ='L2-3239 r i i '. NG DEPARTMENT •partnunf°`,}irs-ar,vcc" Occupancy and Fee Checked _-•-- I"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 l (PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date: /,„;2/ //� City or Town of: ,y191/t700,77/ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electricalL/work described below. Ni Location(Street&Number) j/g Al,,,9,/ AX X9,f/�e 2 4' • Owner or Tenant Ci9,',E Cp6-{1f�/f//9f�f her'P,�/'l'( Telephone No.s j?�- ./666tn Owner's Address 5Rfr7A Is this permit in conjunction with a building permit? Yes.R No (Check Appropriate Box),Jid5P.El''t Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 1 l Undgrd No.of Meters New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��'-,, l //a /),mac'/,7/p,1/ krl Completion of the followingjable may be waived by the Inspector of Wires. Total Lb No.of Recessed Luminaires No.of Ceil.-Susp. Trrano KVA (Paddle)Fans Tf sformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA .47 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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.of Detection and �` Initiating Devices Tons it..i No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 ri❑ f Connection ther No.of Dryers Heating Appliances KW .Seuristems:* Sy No of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Na. 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: ,' ,peh.cn (When required by municipal policy.) Work to Start: 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 perjury,that the information on this application is true and complete. FIRM NAME:'fig 7(/7.64? icA/frP/i//t /z " Z//v LIC.NO.: 36grigl Licensee:"�,9c/,j0/ ///,q Signatur ,�7. 2, LIC.NO. ,?p6G95 R (If applicable,enter "exempt"in the license number lin / Bus.Tel.No.;�trS� O//�i Address: / l,( i:-/// tc(iv /GL ,/s2i-1J G/;'/(1A O,-xi`i.1 Alt.Tel.No.;(eR- 3:t nS' *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)❑owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $