HomeMy WebLinkAboutBLDE-23-001544 or Commonwealth of Official Use Only
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. % Massachusetts Permit No. BLDE-23-001 544
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:9/23/2022
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) 225E WHITES PATH
Owner or Tenant FEDEX(RENOVATIONS) Telephone No.
Owner's Address C/O TURTLE ROCK LLC, 231 WILLOW ST,YARMOUTH PORT, MA 02675
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: Renovations of existing warehouse.(NOT TO EXCEED 7400 SQUARE FEET)
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
Initiatine Devices
No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices
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 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: Matthew P Dennen
Licensee: Matthew P Dennen Signature LIC.NO.: 21609
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: PO BOX 88, BUZZARDS BAY MA 025320088 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: $1,730.00
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1-44
iI 1- - _hu,hrtm•ni o`Jiro__cervices
Occupancy and Fee Checked
BOARD 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 Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:Se(Nt (ol 202 Z
City or Town of: Y r mouAL, To the Inspector of Wires:
0 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 2 Z 5 trJ),-k-gg ca4.1, Yarrnn,41,.,
Owner or Tenant Greg gapziKior, Telephone No.
U u Owner's Address z3 i (,J,l1ow SAreet )L.,.,r„,ri,4lnr4.0 f4n O26,73
Is this permit in conjunction with a building permit? Yes No E (Check Appropriate Box)
Purpose of Building wrnw.✓r�,c,( (Feci&X) Utility Authorization No.
L Existing Service Amps / Volta Overhead❑ Undgrd❑ No,of Meters
New Service Amps /
Overhead❑ Undgrd El No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:Volts
t,n6ve,..};cn c!rL fix,Si,rx,' Whur¢_LtouSe.-
V) Completion ofthefollowing table may be waived by the Inspector of Wires.
otal I
t.b No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of TVA
Transformers KVA
Cl.VI
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
1
No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting
k grnd. ❑ grnd. ❑ Battery Units
J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
d
No.of Switches No.of Gas Burners No.ofti
Detenon v
Initiatingg Devices
I No.of Ranges No.of Air Cond. Tomn ss No.of f Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: ._.__.._....._.__........._.-- Detection/AlertingDevices
No.of Dishwashers Space/Area Heating KW Local❑Munnnecticcipao n El Other
Co
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
KW
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hvdromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent 1
11 Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: ZL,U,000°c'(When required by municipal policy.)
Work to Start:C]-(,-2 02 Z Inspections 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 cov��' s in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE E BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of pedury,that the information on this application is true and complete.
FIRM NAME: /-j&r-f-e-orr'AQ Cs7Sua/, —,., -.)nc e. C oip / 6 K 2 LIC.NO.:.02(.1 ,C ,((,Z.S
Licensee:'`)1fi,A}4i„i OznnaYt / Signature LIC.NO.:2.16pg A
of fgrplicable,enter"exempt"in the license number line.) Bus.Tel.No.301-.1%-6I64
Address: SS. Pork si(i3- ,vim (Pa CSSo.F 1-tC, ---- _-Alf.Tet-No.:
*Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety License: Lic.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)[]owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$