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Home My WebLink AboutBLDE-22-006613 #k -t a Commonwealth of Official Use Only Permit No. BLDE-22-006613 tE. Massachusetts 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:5/17/2022 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 ❑ 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: Replacement boil, 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tn Total No.of Alerting Devices 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 Ballasts Data Wiring: Heaters ,Sivas 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjusy,that the information on this application is true and complete. FIRM NAME: Joseph W Silva Licensee: Joseph W Silva Signature LIC.NO.: 9147 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 BOURNE HAY RD, SANDWICH MA 025632761 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: $50.00 � s�l6/7,7„-- 1( _, emmonweaaL n/matt cuaeitt Official Use Only . - F� 2el a, tof S Permit No. ZZ r eacr?2 S e ' e�vice3 Occupancy and Fee Checked - {: yam,. BOARD OF FIRE PREVENTION REGULATIONS v.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: 5--jam' Z-Z-- City or Town of: A rv7� To the Inspector of Wires: By this application the undersigned es notice of his or her intention to perform the electrical work described below. Location(Street&Number) gag UN i ? 1 l Z ,? A Owner or Tenant E/d--..SS fel V 7�e G' --7l,‘Lc-- Telephone No. Owner's Address c.9-1'lE F Is this permit in conjunction with a building permit? Yes ❑ No { J' (Check Appropriate c0 Purpose of Building , 2 i '/g-_- pp priate Box) Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd 0 No.of Meters v New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 14 Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: ff_c c_e,v, �� ,egf7e_41—eIC,0 ' 4 d s `ce_x____. j _ Completion ojthe followirrktable may be waived by the Inspector of Wires. s No.of Recessed Luminaires No.of Cell S No.of Total usp.(Paddle)Fans Transformers KVA lii No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- .No.of Emergency Lighting grad. grad. LI 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 Toes Alerting Devices No.of Waste Disposers - Heat Pump Number Tons KV No.of Self-Contained Totals: Detection/Alertiug Devices No.of Dishwashers Space/Area Heating KW Local 0 M ❑ Otter No.of Dryers Heating Appliances KW -SecNrnri y ofsm or Equivalent No.of Water KW No.of No.of Data W Heaters Signs _ No.of vices or Equivalent No.Hydromassage Bathtubs Na of Motors Total HP Telec mmunxations W` No.of Devices orEquiva�•en# OTHER: Attach additional detail ifdesirett or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal Work to Start: — Z-Z— 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,,_, force,is in and has exhibited proof of same to the permit issuing • i 1 k CHECK ONE: INSURANCE t�J''BOND 0 OTHER 0 (Specify:) ecylii E 2 C . is ,9,, __ I certify,under the pains andpenalties ofperjury,that the information on this application is true and ampere. FIRM NAME: .S!L,vFF EL.E C- 21G. LIC.NO./1-?/41 7 Licensee: J bss-p/1 t".J C tL •ta- SigmaLIC.NO:.KZIL'7 (If applicable,enter"exempt"in the license number line.)_ r Bus.Tel No.: Rs-`fZ�'"qar e4 Address:.30 .0Dr. s- ,e' QZ-5-4 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public "S" Alt.TeL No.• fr 3� 3 f 1 r OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the abilit Lin.No. )❑(check one the required by law. By my signature below,I hereby waive this requirement. I am y m o n e coverage normally Owner/AgentDowner ❑owner's agent. Signature Telephone No. 1 PERMIT FEE:$ I