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Home My WebLink AboutBLDE-22-007378 Commonwealth of Official Use Only 011111i' Massachusetts Permit No. BLDE-22-007378 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:6/23/2022 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) 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 ❑ 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: Repairs as needed. 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 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: JOSHUA B DEJOIE Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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: $80.00 v 1 Comm+onweat$L 7 Maeeaclusseite Official Use'7318 Only �7 J P ^f PermitNo. �2- (3 t 8j oOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) c APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK d All work to be performed in accordance with the Massachusetts Electrical Code(M 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6.,- o . City or Town of: YARMOUTH To the Inspector of Wires: o By this application the undersigned gives b ' e o�ifhis or her intention to perform the electrical work described below. -- Location(Street&Number) ' ole l e. ?) diD 8 \3 i s k-ro Owner or Tenant lb M N i c,V'S i r e 11 p Telephone No. 5D$ tj-7 it a 3 S_O `p Owner's Address el 0 6 .,c,,.,E4 a.$ 1--1 Is this permit in conjunction \ .vwith a b permit? Yes 0 No al. (Check Appropriate Box) o> Purpose of Building R.eSTG. cal' Utility Authorization No. d Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters 17 „.....aNew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty fLocation and Nature of Proposed Electrical Work: eP G . 06 k\d�S tj (}h U�=L 1 cee�:c m, a\acs \ssve / Cenw.)e, 1 coil.? coc Completion of the followimeable mv be waived by the Inspector of Wires. Total lb No.of Recessed Luminaires No. Fans of Cell.-Snap.(Paddle) Toanf KVA ("/ Transformers KVA 1n No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming p� Above ❑ In- ❑ No.of Emergency Lighting grad. fund Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of CuBurners o.of Detection and 4 Initiating Devices 11,1 No.of Ranges No.o Air Cond. Tel No.of Alerting Devices 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❑ Connectionipal ❑ Otber Connecfbn No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW *No.of No.of Data W ters Signs Ballasts No.o Dices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNoDvices r Equivalent� OTHER: Attach additional detail If desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Li 6 O (When required by municipal policy.) Work to Start to.-?...5'a'- 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties�rof perjury,that the Information on this application is true and complete. FIRM NAME: -3-651\Q0.- LJ�e-'341. E`er .Ciao LIC.NO.: Licensee: -J oSh Oa D€ 3-o:e.. Signature (:9LIC.NO.: 5-31{gD-t3 (If applicable,enter"exempt"inthe license number line.) Bus.Tel.No.: Address: Alt.Tel.No.: 714 994, b 40 *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)0 owner 0 owner's agent Owner/Agent Signature Telephone No. 1 PERMIT FEE:$