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Home My WebLink AboutBLDE-22-004723 Commonwealth of Use Only M.11011- Massachusetts Permit No. BLDE-22-004723 Official �� 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:2/25/2022 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: Remodel office&storage area. Upgrade service. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 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 girnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 Total 4 No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 1 KW No.of No.of Ballasts Data Wiring: Heaters ,Siens 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: EDWARD M LYNCH Licensee: Edward M Lynch Signature LIC.NO.: 35609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 WIDGEON LN,WEST YARMOUTH MA 026733818 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:$100.00 Q.,.L. 3 2,1 ( (-z c 041 yl1/vz, kt 006 i Ti r: t. ) CA, e- A al"'' hN0°ti0 B`; y.� Official Use Only } •pa. .nt o f J1.0..S'.rvic d Permit No. �Z� .,,` BOARD OF FIRE PREVENTION REGULATIONS UpBncy and Fee Checked APPLICATION FOR PERMIT TORev'ro71 leave blank j All work to be performed in acme with the PERFORM ECC RIC WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: Date: By this application the undersigned tVYARticeMbOUT H To the Inspect r of fr , --- Location(Street&Nu ber) orm the electri work ribed below. Owner or Tenant Owner's Address Telephone No. Is this permit In conjunct' a b purpose of Building permit? No Yes ❑ (Check Appropriate Box) frxisHng Service Utility Authorization No. Amps �oit Overhead Uudgrd 2eza Amps a g 0 No.of Meters Number of Feeders and Ampadty olts Overhead Und rd g ❑ No.of Meters London d Nature of Proposed Electrical Work: 1.2 e Na ofCorn,letion o the ollowin:table m be waived b the I Ui Recessed Luminaires 'Na of Cell-Su 'a oMr o Wires. �t No.of Cell-Sump.(Paddle)Fans KVA �� Lunilij h a Outlets Na of Hot Tubs Transformers Na of Luminaires Generators KVA Swimming Pool ,A ' de ❑ n- 'o.o g cY ' i n \F No.of Receptacle Outlet ' nd• 0 Batte Uniten g - �� No.of Oil Burners No.of Switches No.of Gas Burners ,a o t No,of Zones 12,tec. ,na No.of Air Cond. o Initlatln Devices of Waste Disposers •eat u Tons ." ✓'> No.of Alerting Devices No.of Dhlh Totals: ...Jun er, ona `o.o on a washers Space/Area Heating KW mom DetectioNAlertin' Devices No.of Dryers Local °p Aeating Appliances KW 0 Coe ce n 0 O� HeatersArson `o.o `.o.o r y •o•o No.of Devices or E i trivalent S At Ballast Data Wiring: N .Hydromassage Bathtubs Na of Devices or ' ,trivalent No.of Motors Total HP a ecommun a 1 ons " OTHER: Na of Devices or ' .trivalent Estimated Val f ' I Work: Attach additional detail if asireul,or as required bythe Inspector Work to Start (When required by municipal policy.) 9 of Wires. WorktoINSURANCE C Inspections to be requested in accordance with the licensee pr Cvi • pleat waived by the owner,no MEC Rule el and upon completion. proof of liability "completed permit for the performance of electrical work may issue unless the:li undersigned certifies that such coverage a orer including operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE has exhibitedproof of same to the I eerie, lg BOND ❑ OTHERpermit issuing otYice. 13',under the pains andpenalt�r o 0 (Specify:) FIRM NAME: of that the information on this application is Licensee: true and complete (flicable, t ,��I //. ,IPor � �/./// � LIC.NO.: Address: �� -� L LIC.NO.: *PerM.G.L.C. 147,s.5 -6 • `i'I ' 1 /,Gilt I Bus.Tel.No.• OWNER'S INSURANCE WAIVER: work requires , , ' , of public :f •s• c Alt.TeL No.: — ry e regyired by law, By1 VER: i am aware that th Licensee does nor have the liability insurance coverage normally _ J my signature below,I hereby waive this Lic.No. Owner/Agent byl requirement. I am the(check one • owner g Signature � owner's a:ent. Telephone No. PERMIT FEE:$