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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