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
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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.
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