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,____>
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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: $
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