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Home My WebLink AboutBLDE-23-005469 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005469 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:4/3/2023 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) 715 ROUTE 6A Owner or Tenant APANDIDA LLC Telephone No. Owner's Address C/O ROYAL II RESTAURANT&GRILLE,715 ROUTE 6A,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 ( ck Appropriate / Purpose of Building Utility Authorization No. J 2 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: Installation of generator 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 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Unit, 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 Device$ 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Siens 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. get, Z93 3 2� CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) TJ b I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Scott D Matthews Licensee: Scott D Matthews Signature LIC.NO.: 18021 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:28 Suffolk St,Pembroke MA 023593806 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 iqi. ((((23 ( (wAirm, i tuairt,-arko t- o ci' ,t.( r ) // Official Use Only Cornrnonwealth o f MaMachudett.4 , ' *_ cc Permit No. C—i�3 _ (( ra / 2)epartment o/.ire .Seruiceo gt Occupancy and Fee Checked p=Vii— 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORKAll work to be performed in accordance with the Massachusetts Electrical Code NEC), 27 CMR 12.00 - (PLEASE PRINT IN INK OR TYPE ALL 1NFOR111AT1OA) Date: 3 2 3 2 6.23 City or Town of: VaqV--41/NOLFNA ?O 1c To the Inspector f Wires: By this application the undersigngives notice of his or her intention to perform the electrical work described below. Location (Street &Number) 1, I5 I'VlA ( n -ST_ c2 a • Owner or Tenant plA U t.. V 0 �-W 1'V t]5 Telephone No. `57.Yrk —1 1 (0 ^ Z 1 5- Owner's Address 1 )5- WI, 19 1 ''1 T T . 11-- C Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building - Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No. of Meters New Service Amps / Volts Overhead I I Undgrd D No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: G.)l i in 6:1 ► ri LL,4A-TI 0 in 1— 0 1Z ,..La }Go►-f-t 04 -1-6v., -, _, f So 1 tin G Completion of the following table may be waived by the Inspector of Wires. No. of Total No. of Recessed Luminaires No. of Ceil:Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above In- No. of Emergency Lighting No. of Luminaires Swimming Pool grad. 0grnd. ❑ Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INo. of Zones p No. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Air Cond. Total No. of Alerting Devices No. of Ranges Tons Heat Pump Number Tons KW No. of Self-Contained No. of Waste Disposers Totals: Detection/Alerting Devices Municipal Other No. of Dishwashers Space/Area Heating KW Local ❑ Connection n Heating Appliances KW Security Systems:* No. of Dryers No. of Devices or Equivalent No. of Water No. of No. of Data Wiring:Heaters Signs Ballasts No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $1,200 (When required by municipal policy.) Work to Start: 1 22 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE CO GE: Unless ived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liabili surance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cov age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE , BOND n OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Matthews Electric LIC. NO.:A18021 • Licensee: Scott Matthews Signature �,�`��, LIC. NO.. E39939 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 781-293-3271 Address: 18 Columbia Rd Suite 202 Pembroke,MA 02359 781-293-3271 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 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 ❑ owner's agent. Owner/Agent p 781-293-3271 PERMIT FEE: $ 5-6 �- • Signature Telephone No.