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HomeMy WebLinkAboutBLDE-22-002211 Commonwealth of Official Use Only '44ri: it (h'1 Massachusetts Permit No. BLDE-22-002211 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] I 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•10/19/2021 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) 340 HIGGINS CROWELL RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 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: Replace lighting, lighting controls, HVAC, SUB PANEL, &75 KVA Xfmr. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 182 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 403 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 1 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 i is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ 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: R. Derek Desharnais Licensee: R. Derek Desharnais Signature LIC.NO.: 21633 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 Front St,Weymouth MA 021881629 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: $0.00 - 4- P(57R 13 traded gbiNfel., iii OACEsthvr dt 2I Z(22..IcZ 1475C(Ll,4 ?'7 h --76( - 4 3y Sl 3'P1,r.gvart vtze/-2 I Commonwealth of Massachusetts Official Use Only ►•- — / Permit No. TitiV Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: 10/14/2021 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)340 Higgins Crowell Rd,West Yarmouth,MA 02673 Owner or Tenant Yarmouth Police Station Telephone No. Owner's Address 340 Higgins Crowell Rd,West Yarmouth,MA 02673 Is this permit in conjunction with a building permit? Yes EX No ❑ (Check Appropriate Box) Purpose of Building Police Station Utility Authorization No. Existing Service Amps _ / Volts Overhead n Undgrd n No. of Meters New Service Amps / Volts Overhead U Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace all lighting and lighting control , Demo old lights and HVAC system, install new feeders to HVAC units. Install a sub panel and 75 KVA transformer. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 182 No.of Ceil.-Susp. Trrano K-V (Paddle)Fans Tf l sformers K-VA No.of Luminaire Outlets No.of Hot Tubs Generators K-VA No.of Luminaires 403 SwimmingAbove I I In- ❑ No.of Emergency Lighting Pool 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 1 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g 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 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: $325,000.00 (When required by municipal Policy.) Work to Start: ASAP 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 ® BOND ❑ OTHER ❑ (Specify:) 33 A- I certify,under the pains and penalties of perjury,that the information lication is true and complete. FIRM NAME: Brite-Lite Electrical Co.,Inc. C.NO.: Licensee: Derek Deshamais Signature • LIC.NO.: 485 Al (If applicable,enter"exempt"in the license number line.) ( Bus.Tel. .: 781-340-9102 Address: 11 Front Street,Weymouth,MA 02188 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.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 PERMIT FEE: $500.00 Signature Telephone No. �- • 4