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Home My WebLink AboutBLDE-23-002910 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002910 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:11/28/2022 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) 1070&1074 ROUTE 28 Owner or Tenant DAVENPORT DEWITT TR Telephone No. Owner's Address 20 NORTH MAIN ST, SOUTH YARMOUTH, MA 02664 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 AES radio transmitter(1068 Route 28) 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 In- I: 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. Total No.of Alerting Devices Tons 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: BRIAN REZENDES Licensee: BRIAN REZENDES Signature LIC.NO.: 22213 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 GOELETTE DR, PLYMOUTH MA 023601228 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: $115.00 L.\ Cmunonweatth of tf/amachadtas Official Use Only _ [i Permit No. ' c�(0 i leiIR^n . Ueparfaewt of Yfn Jmwicee • -:_�' BOARD OF FIRE PREVENTION REGULATIONS [Roo. Occupancy7] and Fee Checked . ., iR ] (leave blank) . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be poefmrned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /1 fl6/Pa City or Town of: Ya r6/1CU In To the Inspector of Wires: By this application the undersigned gives notice`gf his or her intention to perform the electrical work described below. Location(Street&Number) DI l2 --a g Owner or Tenant �I`_ �,}t.{ j( IZ+ � Telephone No.SPA-314f-3o79( Owner's Address r�D fY(44)Mtn N 8 e " . s r\tt *,srht5.*�� /4414 ei a.c*`r Is this permit in conjunction with a building permit? Yea ❑ No 1. (Check Appropriate Box) Purpose of Building (_,0(wvIP.CC'.g\ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 v5 Krl/ 7 4.1ye___ a .-UFO Completion of the followieg table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-:Susp.(Paddle)Fans No.o T Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.at Emergency Lighting g 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained _ Totals: — - Detectioo/Alertingrevices No.of Dishwashers Space/Area Heating KW Local 0 Muniectiocipaln ❑Other Conn No.of Dryers Heating Appliances KW Security Systems:. No.of Devices or Equivalent 'No.of Water 'I(V, - No,of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 3 el ommuuvices or Equivalent t�, qq No.of Devices or Equivalent OTHER: JD2`.ZIiY►meriba l@'aCa•I' i(]t?UJ'er 1,nc>e Attach additionaall detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1 a 5,00 • (When required by municipal policy.) Work to Start: t 3 & Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE V GE: 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¢J BOND 0 OTHER❑ (Specify:) I certify;under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ALA2i j /46i F-nIL-LFrJ 0 L[G LIC.NO.:222j3-A Licensee: jjf(,I,.l fc.cJDES Signature '�' ,,/G- LIC.NO.:Ud7-336. al-applicable.pier"u rp'to a tty�7se llne.J Bus.Tel.No.:8 bo-6l e-' fi b Address: bJ 0 V.A. VAC r I.{I Ii Li 06061 Alt.Tel,Ni.:86n-9121-6c-cf •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 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. pPr- "' gna y` _Telephone No. _ P,LNIY1IJ kEK:$ 1 t tj_Qo i 5o --39y o -t'"-.L/