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Home My WebLink AboutBLDE-23-005005 "ri-'Y i Common /ealth of Official Use Only tc ' Massachusetts - Permit No. BLDE-23-005005 :...0` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:3/13/2023 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) 961 ROUTE 28 Owner or Tenant DORSHAN GARAHI Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps Volts Overhead ❑ 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: Wire&install 13 lights in each of 42 rooms. 4_ Completion of the fo o 'v : •blIw Jle e .by for of Wires. No.of Recessed Luminaires 546 No.of Ceil:Susp.(Paddle)Fans ,% 2 otal Tran ' :> � AK A No.of Luminaire Outlets No.of Hot Tubs Generators,.... `9 ) A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency/lighting grnd. grnd. Batten,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. 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 ❑ 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 11P 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:) 6-06 r�7� [ So Z Q I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Roy A Recore Licensee: Roy A Recore Signature LIC.NO.: 12565 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 WEST ST, DOUGLAS MA 015162122 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. I PERMIT FEE: $660.00 J gkrzeq--- LtizAtz: C .---. V-gc,tr b(15 21) rg-- c�c-g a �-- 4 2c1 13400 s . 2 WiAii.b104* C,ommonwsa& o f Mael3achadati6 Official Use Only '� �=" cc�� c�7] Permit No. �--- 1 -�'all 71)sparinsenf o/.}irs Servresd - R 1 Occupancy and Fee Checked 1 R BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) k, 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: : \=-)- -J \ -: -- > City or Town of: . �. C 1 f Th\t t h. To the Inspector of Wires: By this application the undersigned gives Lis . . .is or her intention to perform the electrical work described below. Location (Street & Number) ( n sZ - - Owner or Tenant I- crU� C I f\ t-Cx (�Z � -<- Telephone No. b\ - c �q (� Owner's Address �i Is this permit in conjunction with a building permit? Yes ❑ No 0-- - (Check Appropriate Box) • Purpose of Building �- iN.f , I-- r. `�t \ 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 t f Location and Nature of Proposed Electrical Work: L (Z C -1 a' _, Cr �.r\dt 11 k. � � ( p 0co-ci-ot 1 kG-1 t i 0--'-, V n Completion of the followin&tcible may be waived by the inspector of Wires. otal U) No. of Recessed Luminaires No. of Ceil.-Susp.(Paddle) Fans Tf T �r .Trr Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA v' No. of Luminaires Swimming Pool Above ❑ In- El No. of Emergency Lighting grnd. grad. Battery Units J No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and Z� No. of Switches No.of Gas Burners Initiating Devices Ir 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: 'Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ , Connection No. of Dryers Heating Appliances KW Security Systems:* Devices: No. or Equivalent No. of Water , No. of No. of Data Wiring: IC Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP 'Telecommunications rin : No.of Devices or Equivalent 'OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: '` LdC0 0 (When required by municipal policy.) Work to Start: F5\'5 l�_? 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER ❑ (Specify:) — 1-4 (U /S6 6 exr /e l I certify, vender the ins and penalties of pe�Wry, that the Information on this application is trueand complete. FIRM NAME: \t to c1- e-c,. t aESS 0(,1 i- tal-` E LIC. NO.: i `�` � Licensee: c L �� Signature C "exempt" . v` inn lure LIC. NO.: \ ��p� � 1 (If applicable, enter in the licensenumber line.) Bus. Tel. No.; Address: VL-f ( .0- ,cic) St M ' \J `(-�C 't D( t (x' 'Z.-Lk��° ( .)I Alt. Tel. No.: 9 1-PO ' *Per M.G.L. c. 147, s. 57-61, security work requirei 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 Signature Telephone No. I PERMIT FEE: $ I