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Home My WebLink AboutBLDE-23-002146 #934 Commonwealth of Official Use Only 41" Permit No. BLDE-23-002146 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:10/20/2022 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 ❑ 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 exterior fixtures(934 ROUTE 28) 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 15 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 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 ❑ 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 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: Roy A Recore Licensee: Roy A Recore Signature LIC.NO.: 12565 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 WEST ST, DOUGLAS MA 015162122 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. PER IT FEE: $80.00 r j Pw „ OCT2 0; Commonweal#e////adeachwolid Official Use Only y .LJ c'� Permit N 3 �� '`� rn eparimeni el iro Serviced BUILDING DE. .-„ __. BOARD OF FIRE PREVENTION REGULATIONSOccupancy 1/071and Fee Checked B y_ -- r.` [Rev. I/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: ICA t" 1\(" City or Town of: --� 01:L-C;�� To the Inspector of Wires: QBy this application the undersigned ' notice of his or her intention to perform the electrical work described below. Location(Street&Number) �a ,{L�-t LaI-� �x� mx Owner or Tenant ii- ()C G D rti.,42 fit, Telephone No Owner's Address a(Th. L'6 f- vw< 1(1 )Y13 Is this permit in conjunction with a building permit? No ❑ (Check Appropriate Box) NIPurpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Cli New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Electrical Work: L tion and Nature of Proposed )) / s (p ( sa t�C+c?� �.1(.(sh -k-,`ctt,c f� .-:1�ct `� t'1�e..o.� ( o t -i,cbs c r LiV ,QC I l i e_ lett IDS"- ( k* vt Completion o the followingtable be waived by the Inspector of Wires. Total W No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA VA o K �✓ Tra CINo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting and. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones z No.of Switches No.of Gas Burners No.of Detection and !L1 gInitiating Devices No.of Ranges No.of Air Cond. Totals No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municip other 0 Connection ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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: b pop (When required by municipal policy.) Work to Start:lUl Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 0 (Specify:) I certify,under the pains and penalties erjury,that the information on this application Li true and complete. FIRM NAME:( 4Pai trt(��S n �E'\7 ® P(S LIC.NO.: l�`C �' - j Licensee: , -Pt' red Signature .` LIC.NO.: (If applicable,enter" ' in the cane number line.) Address: ( o 2' { -XlG� Y s( ( Bus.Tel.No. �aG), itA *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.TeL No.�� to 1 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 (3 owner's agent. Owner/Agent 1 Signature ! 'elephone No. PERMIT FEE:$ I