HomeMy WebLinkAboutBLDE-23-003757 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-23-003757
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.l/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:1/10/2023
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 described below.
Location(Street&Number) 1029 ROUTE 28
Owner or Tenant SANTANDER BANK Telephone No.
Owner's Address
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: Install 13 luminaires,4 sump pumps, 1 exhaust fan, &partial demo to make safe.
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 13 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
Initiatine 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 0 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 4 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: LIGHT IT UP, LLC
Licensee: BRIAN HIGGINS Signature LIC.NO.: 22707
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 3392273443
Address:64 Morrison Road,Wakefield MA 01880 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: $100.00-
!{ ( ) l 3123
PkWilC . , 4V ) '(/5173
61 i2- 2/0 Betel, �(�I (e,51. .,
COtiL cafe
RECEIVED //'' ryy�
._ .1._ Commonwaatth o`/'/aeaacnue.ite Official Use Only
[ JAN 1.._:.. ,t 1.cy c7 /`� Permit No.E2�J—373
-` 1J.Partmni of Jin Services
BUiLDMGui �� T Occupancy and Fee Checked
By_ -3.-_J -:OARD 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 Ma.n.-husetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /-/6- ?--j
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) 70(l /.,(),(rf t� /S fl M1*(a 6�(<
Owner or Tenant Telephone No. (fil 7—l/] Z.O(D
Owner's Address *�,,
Is this permit In conjunction with a building permit? Yes IX I No ❑ (Check Appropriate Box)
Purpose of Building aQ it\MCeC(frC_ Utility Authorization No.
Existing Service,/i V O Amps / Volta Overhead❑ Undgrd
g ❑ No.of Meters
New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: j (_(6 i LI SUS Cu op S'
I LX N-A�l1`Y feC , - ,me �e10 � ek sm-e-
ompletion of the following table may be waived by the Inssppeector of Wires.
tit No.of Recessed Luminaires No.of CeLLsnsp.(Paddle)Fans No.of Total
o/ Transformers KVA
CiNo.of Luminaire Outlets No.of Hot Tubs Generators KVA
�k' No.of Luminaires ( • Swimming Pool Above ❑ In- No.of Emergency Lighting
yrnd. g_riid. ❑ Battery Units
No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
< Initiating Devices
Tota
'VI No.of Ranges No.oo Air Cond. Tonal No.of Alerting Devices
Na of Waste Disposers Totals:
Pump Number,.Tons..,KW_ No.of Self-Contained
Totals: ''" Detection/AlertingDevices
No.of Dishwashers Space/Area Heating KW Local 0 Mumi Pal, 0 Other
No.of Dryers Heating Appliances KW Security
Systems:*
o Devices or Equivalent
No.of WaterNo.of No.of Data Wiring:
Signs Ballasts No.of Devices or Equivalent
No.Aydromaaaage Bathtubs No.of MotorsS. 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 El trical rk:SUo CI (Whenrequired by municipal policy.)
Work to Stan:I I DI>Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE 0 RAGE: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 sue v ge is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 OTHER 0 (Specify:)
1 certify,under the palls and nalfes ofr0,erjury,that the information on this application is true and complete.
FIRM NAME: LI ( / IT 4 (,(L LIC.NO.: d7� ( �.
Licensee:k ( f I.J.4 (6j(l tiS Signature c LIC.NO.: ga-} Fri
(ialdreIf lcabl, ter"ese!ypp"i oeltcea�p�m ,y 06 O Bus.TeL No.' 1 Address: f7`( )h'1J(�-11- N I�IJ ( 'ST 0nt 4 f,U/ Alt.Tel.No.:33`1"-Dal'3 N.3
Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: 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. 1 PERMIT FEE:$ /OU—I