The URL can be used to link to this page

Home My WebLink AboutBLDE-23-00227 Commonwealth of Official Use Only IL. ,'''1/4\ Massachusetts Permit No. BLDE-23-002027 BOARD OF FIRE PREVENTION REGULATIONS Occupancy 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:10/17/2022 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) 1329 ROUTE 28 Owner or Tenant CRAZY ROOSTER Telephone No. Owner's Address 1329 ROUTE 28, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Remove two roof top units and replace with split HVAC systems. 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 ❑ 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 Initiating Devices No.of Ranges No.of Air Cond. 2 Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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.Hydromassage Bathtubs No.of Motors 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: ROBERT J CARLSON Licensee: Robert J Carlson Signature LIC.NO.: 16945 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address:39 NAUSET RD,W YARMOUTH MA 026733752 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 1(p� [I. E EIVED Ol0'. ( OCT 13 2E)S AA,, yy� Commonwaa!!h ofcr7riaeaacAueafie Official Use Only �-j I t K �.Partmanf of Jin Services Permit No. �2-3'-7i0 / iuiruir: u ( ev --- /' Occupancy and Fee Checked \_.4' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 c4� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: A/',2 /Z-is.- City or Town of: 4r. YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intertgoll to perfonqhe electrical work described below. Location(Street&Number) // 3 A.9 /////�„r✓ c"---, S/Y ',//i✓ho�Z Owner or Tenant �o'y /.a/A//< /C/2/y Zy ,diea.f[elephone No.-52/C [TX,5/Z y Owner's Address Is this permit in conJuo tioo with a building permit? Yes ❑ No ®• (Check Appropriate Box) Purpose of Building(Xr S//1-1✓✓V/yt.t// Utility Authorization No. Existing Service f W Amps /7c 1 i# Volts Overhead® Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ,,e f Location and Nature of/ProposedElectrriccallWork: pe7/0jU, Z d4�i%®�t%r" ,..,.,,,,,,./e, //7/(r Cr T/rtr/57 G✓// K frt r/ft- T /y,n/'' .f'V/S '0 Completion of the following table m be waived by the Inspector of Wires. lid No.of Recessed Luminaires No.of CelL-Sussp.(Paddle)Fans T Transformers KVA C, No.of Luminaire Outhus No.of Hot Tubs Generators KVA mot; No.of Luminaires Swimmin Pool Above In- 'No.of Emergency Lighting g _grad. ❑ 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 I IJ No.of Ranges No.o'Air Cond. Tons No.of Alerting Devices No otWastelNapoaers Heat Pump Number Tons,..,IICW_,__ No.of Self-Contained Totals: ' l� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑Other Cyonnection No.of Dryers Heating Appliances KW Security No. f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: //d," SG'/,'TS W/ 6d,✓/,i+-5Svt f w,rcr>..,''<GI s Attach additional detail if desired,or OS required by the Inspector of Wires. Estimated Value of Electrical Work:9 /IQ/d' OPT(When required by municipal policy.) Work to Start:/6 /? _G(qInspections to be requested in accordance with MEC Rule l0,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[. BOND❑ OTHER❑ (Specify:)26,,,,,„///c4' I certify,under the pains and penalties ofper1sr/7,thou the information on this application is true and complete. FIRM NAME:c�/t/S�„/ Cr/G.- /j/ C ///� LIC.NO.://-/4.cl y Licensee:/?z,6rn r—Cf//l/f 5. Signature Z1,, ,jrr/ LIC.NO.: C,?eF ef�L (If applicable.enter"exempt"in the license number line.) !�o 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: Lic.No. OWNER'S INSURANCE WAIVER: I ant 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ <-U,v(D- /