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Home My WebLink AboutE-20-0752 ' Commonwealth of Official Use Only ar or ti Massachusetts Permit No. BLDE-20-000752 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:8/9/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 908&928 ROUTE 28 Owner or Tenant BASS RIVER REALTY LLC Telephone No. Owner's Address 113 PLEASANT 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Repairs to service that was brought down by storm. 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. 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 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of 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: 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: JOHN H BREWER Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST,W BARNSTABLE MA 026681324 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 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 (9 2c4 4 ini; Department of Fire Services and Fee Checked L� ''0 7S 2-- „ Occupancy BOARD OF FIRE PREVENTION REGULATIONS LKev. I/U/J (leave blank) - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 7 12.00 (PLEASE PRINT IN INK OR TYP ALL INFORMATION) Date: ( C7 City or Town of: i� cf/1`'-t.i7(1 To the Inspec or o Wires: By this application the undersigned a es noti ee of his or her intention to perform the electrical work descritsd below. Location(Street&Number): j �" ,(/ 4 /� f` �?4 ' �' 6� 6 Owner or Tenant AI A--...s (r (,/t- ,i—r 14/4K,Elephone No. Owner's Address Is this permit in conjunction with a building permit? Yes D No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing ServiceoQc TAmps /...4 .? pits Overhead Undgrd 0 No.of Meters A New Service s?ci 7' Amps /.... "—/z../ olts `Ovverheead� Undgrd El No.of Meters / Number of Feeders and Ampacity 3 3 ,/f- i'(" Location and Nature of Proposed Elect h' f (L ��fe�� /✓ 7 Completion of the following tabl&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.otEmergency Lightng No.of Luminaires Swimming Pool grad. ❑ grnd. Q Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.or Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Root Pump Namder Tons .KW No.ofSd.Coaroined No.of Waste Disposers Totals: "'-"'}'--.._..... Detection/Alerting Devices municipal No.of Dishwashers Space/Area Heating KW Local"tyy Connection II Other No.of Dryers Heating Appliances KW Security Noof SDevises or Equivalent No.of Water KW No.of No.or 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 tf desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 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 5 BOND CI OTHER 0 (Specify:) I cern)",under the pains and penalties of perjury,t tat the Informatti' r-r this appllcatlo is true and complete. FIRM NAME:John Brewer Electric vig;� ra d, !? LIC.NO.:E21949 Licensee: il;„„, / g`5e 9' Signatu r �" Bus.LIC.. Te No.: .:A14092 tlfapplicable, enter 'exempt"in the license number line.) —�.� Address: 73 MiALM C R.:vi J)i d .-. INi14-5. Q.R£f Alt.Tel.No.:508-367-0167 *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) Ever [(owner's agent. Owner/Agent PERMIT FEE: Signature df-/ Telephone No. �?- t/t/C CI i/'`Th - Qc a7