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Home My WebLink AboutBLDE-22-005339 Commonwealth of Official Use Only I. TAN Occupancy Permit No. BLDE-22-005339 0 BOARD OF FIRE PREVENTION REGULATIONS P Y 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:3/24/2022 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 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: Security system installation for office area. Completion of the following table 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 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 Initiatine Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices al Munici No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other: HeatingAppliances KW Security Systems:* 8 No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: 1 No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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: Robert K Boucher LIC.NO.: 1317 Licensee: Robert K Boucher Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:218 SETUCKET RD,YARMOUTH PORT MA 026752258 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE: $115.00 I Z_uca 0 9 t2i(vz.,,te' dam- r7(W k2 � Commonwealth of Massachusetts Official Use Only p Permit No. 1' 33 C -vim_ ; Department of Fire Services , =� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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: 3/22/22 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) 928 Route 28 Building I (new office space) Owner or Tenant Bass River Realty Telephone No. Owner's Address PO Box 183,S Yarmouth,MA Is this permit in conjunction with a building permit? Yes X No (Check Appropriate ppropriate Box) Purpose of Building Utility Authorization No. CI •- '• • .ervice Amps / Volts Overhead n Undgrd 1-1No.of Meters 7-15TLU ewcy ice Amps / Volts Overhead❑ Undgrd ❑ No.of Meters o _lumeeri•f Feeders and Ampacity Ctoca of and Nature of Proposed Electrical Work: New security alarm LCI " C�2 h„ i i Q t z { Completion of the following table may be waived by the Inspector of Wires. ( �No' 1 ecessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total �s Transformers KVA _ ifj.uminaire 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 I FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners II No.of Detection and � Initiating Devices No.of Ranges No.of Air Cond. Total Tons j No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons i KW INo.of Self-Contained Totals: 'Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW l Local❑ Municipal Connection El Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent 8 No.of Water No.of Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent 1 OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1000 (When required by municipal policy.) Work to Start: 3/21/22 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 X BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Seaside Alarms inc. y� LIC.NO.: 1317C Licensee: Robert K. Boucher Signature f (If applicable, enter "exempt"in the license number line.) / LIC.NO.: Address: 1265 Route 28,South Yarmouth,MA 02664 s. Tel.No.: 508-394-0599 Alt. Tel.*Security System Contractor License required for this work;if applicable,enter the license number here:No.: S-0046 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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ��