The URL can be used to link to this page

Home My WebLink AboutBLDE-22--005056 Commonwealth of Official Use Only E. Massachusetts Permit No. BLDE-22-005056 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Otev.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:3/11/2022 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) 514 STATION AVE Owner or Tenant CAPE COD 5 CENTS SAVINGS BANK Telephone No. Owner's Address ATTN:JOAN LEARY ACCOUNTING DEPT,PO BOX 10,ORLEANS,MA 02653-0010 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr 'ate Box) Purpose of Building Utility Authorization No. //\\ Existing Service Amps Volts Overhead 0 Undgrd 0 .ofplEl$? New Service Amps Volts Overhead ❑ Undgrd 0 tll''..''��YY J' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Data cabling. C Completion of the following table may be i d lrfs. of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ,tal Transformers 4 A • No.of Luminaire Outlets No.of Hot Tubs Generators 0/4 cil A No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighti g 2� 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 No.of Waste Disposers Heat Pump Number Tons KW _No.of Self-Contained Totals: Detection/Alertine 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: 48 Heaters Sinus No.of Devices or Euuivalent No.Hydromassage Bathtubs No.of Motors Total IIP 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 informaton on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 • • • • • • • • ls, • • • • • • • • • • • • • , j _ _ Comonweal l o/riYaMach.u.letti Official Use Only P`_7`' L c� �7 Permit No. ZZ €O ji _mil_ Apartment o`*)ire Seruicel o-' Occupancy and Fee Checked ® Z` ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) �—!,1, I W N ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK I N All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 '� (" EASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/ 01 / 2022 CI , cc O City or Town of: Yarmouth To the Inspector of Wires: othis application the undersigned gives notice of his or her intention to perform the electrical work described below. g, ation(Street&Number) 514 Station Avenue, South Yarmouth Ct "IT ner or Tenant The Cape Cod Five Cent Savings Bank Telephone No. Owner's Address 1500 lyannough Rd. Hyannis, MA 02601 Is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building COMMERCIAL Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LOW VOLTAGE DATA WIRING Completion of the followin: table may be waived by the Inspector ai 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 I FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.on Initiating on Dete and 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 Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Sstems: * No.of Water No.of No. of l Data Wiring Heaters KW Signs Ballasts ' No.of Devices or Equivalent 48 No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: $14,320.- (When required by municipal policy.) Work to Start: 3/ 7 / 2022 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 IX] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: KELLY COMMUNICATIONS LIC.NO.: N/A Licensee: N/A Signature LIC.NO.: N/A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-277-5115 Address: 1 WAYSIDE CIRCLE, FRAMINGHAM, MA 01701 Alt.Tel.No.:508-277-5115 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. N/A 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 PERMIT FEE: $ Signature Telephone No. 508-277-5115