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HomeMy WebLinkAboutBLDE-23-002595 Commonwealth of Official Use Only fL. Massachusetts Permit No. BLDE-23-002595 BOARD OF FIRE PREVENTION REGULATIONS Occupancy p Y 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:11/10/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his orlier intention to perform the electrical work described below. Location(Street&Number) 44 &48 ROUTE 28 Owner or Tenant WAL LLC Telephone No. Owner's Address C/O JOHN HUTCHINS,PO BOX 159,MARSTONS MILLS,MA 02648 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: Septic pump&alarm, 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 0 ln- CINo.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 No.of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained 1 p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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.H dromassa a Bathtubs No.of Motors 1 Total UP Telecommunications Wiring: y g 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: ROBERT GREER LIC.NO.: 22539 Licensee: ROBERT GREER Signature Bus.Tel.N (If applicable,enter"exempt"in the license number line.) Alt Tel.No.: Address:140 Peach Tree Rd,Marstons Mills MA 026481841 *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:1 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 I PERMIT FEE:S80.00 Signature Telephone No. 7, iff,et,(;- ( 1((C f .2, z. -/C,____> (-- (51711O Qum. e ttA-t_frem .4 Commonwealth of - Official Use Only Massachusetts Permit No. BLDE-23-002595 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked VRev.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:11/10/2022 City or Town of: YARM UTH To the Inspector ofWires: By this application the undersigned es ce o us or her intention to electricalwork described below. Location(Street&Number) ROUTE 28 UNIT A Owner or Tenant HYNES JOHN J JR TR Telep..ne No. Owner's Address M4 REAL ESTATE LLC,433 WEST MAIN ST,HYANNIS,MA 02601 Is this permit in conjunction with a building permit? Yes 0 No • (Check Appropriate Box) Purpose of Building Utility Autho ation No. Existing Service Amps Volts Overhead 0 dgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: eptic pump&alarm, Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Su ..(Paddle)F ns No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool A'' e ❑ In- ❑ No.of Emergency Lighting n. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burne. FIRE ALARMS No.of Zones No.of Switches No.of GasBners No.of Detection and Initiatine Devices No.of Ranges No.of Air ond. To tal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers H Sting AppliancesKW ' urity Systems:* S No.: Devices or Eouivalent No.of Water KW r'lo.of No.of Ballasts Data ing: nesters fSigns No.of De ' s or Eouivalent No.Hydromassage Bathtubs / No.of Motors 1 Total HP Telecommum lions Wiring: No.of Devices o uivalent OTHER: if Attach additional detail if desired,or as req d 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: ROBERT GREER Licensee: ROBERT GREER Signature LIC.NO.: 22539 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:140 Peach Tree Rd,Marstons Mills MA 026481841 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:$80.00 < 1LLFh,7 1 RECEIVED �,,,k ea el Moaeact'iudaffe Official Use Only ,, NOV 0 9 202� 1 _ C ' _It;.w: F cx �c7� C� Permit No. Z3--Z��7 A " !�ni o`,}irt Serviced t.~. .!I .�,i ILD C� U�F'ARTMENl ARD_QF FIRF_PREVENTION REGULATIONS Occupancy and Fee Checked �''' �_ — [Rev. 1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) / b 2 City or Town of: YA R M O U T H Date: rl1 q 2 '`To the Inspector of Wires: V By this application the undersigned Ives notice of his or her intention to er3rm the electrical work described below. �� Location (Street& Number) -) ' r 't}') , -I C 1 it '} Owner or Tenant /11 ' / C'o(1 S Telephone No. 11 Owner's Address C'J b'v tom-- c;.,/ S i t1 ," pa C c t c-1- ,,)is h M k() l7 3 7 Is this permit in conjunction with a b dln$,permit? Yes f23 No ❑ (Check Appropriate Box) --1--- Purpose of Building �;-,, °/,� / / 1 C C Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No. of Meters Q New Service Amps / Volts Overhead ❑ Undgrd g ❑ No. of Meters Number of Feeders and Ampacity S,,1 Location and Nature of Proposed Electrical Work: U _ S yr `) Completion of the followin&table may be waived b,the Inspector o Wires. tik No. of Recessed Luminaires No. of No.of Cell.-Soap. (Paddle) Fans ota Transformers KVA /.7-1 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 v. No. of Switches No.of Gas Burners 'No. of Detection and 1 t.r No. of Ranges Total Initiating Devices No.of Air Cond. Tons No. of Alerting Devices eatPump .-_.0 _,___r one o.o e onta ne No. of Waste Disposers Totals: `" Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local 0 un c pa No. of Dryers Connection ❑ Other t'Y Heating Appliances KW ecu ty ystems: o. o a er No. of Devices or E uivalent Heaters KW o. o o• o Data Wirin Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommu a one r g OTHER: No. of Devices or E uivalent Estimated Value ofElectrical Work: Attach additional detail if desired, or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) Inspection to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VE GE: Unless waived by the owner, no permit for the performance of electrical work the licensee provides proof of liability insurance including "completed operation"coverage or its substantialmay issue unless e undersigned certifies that such coverage is in force, and has exhibited proof of same to the ermit i quivalent. The CHECK ONE: INSURANCE BOND 0 OTHERP ssuing office. I certify, under the Q>!ryS 4ryd 0 (Specify:) FIRM NAME: • P�0 `Ides ofperjury, that the Information on this application is true and complete. Licensee: �`o�, l [ (> > �/ LIC. NO.: �`� 3G l� (If applicable, ever "exempt' to the lice Signature I. LIC. NO.: /p' n�rg►yum�rline.) �(v`'lS 7 I- ( l �_' Address:*Per M.G.L. c. 1 y�, s. 5 7 61 ' v • S �/S, &C� X Bus. Tel. No. Cif j h' S(i security work requires Department of Public Safety "S" License: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityins Lin. No. required by law. By my signature below, I hereby waive this requirement. I am the (check one • owner , insurance coverage normally Owner/Agent � Signature � owner's a:ent. Telephone No. PERMIT FEE: $ R