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Home My WebLink AboutBLDE-23-005649 6\,\ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005649 • 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:4/11/2023 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) 62 HIGHBANK RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address BASS RIVER GOLF COURSE, 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: Wiring for 4 garage door openers at maintenance facility. 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 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 4 Total HP 2 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Christopher J Stevens Licensee: Christopher J Stevens Signature LIC.NO.: 20665 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:456 MAIN ST,PO BOX 1101,HANSON MA 023416101 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 Commonwealth of Massachusetts Official use only, t I. — 1� Permit No.: (`.Department of Fire Services ii ,-* BOARD OF FIRE PREVENTION REGULATIONS [Rev. Iv Occupancy 3ldFeeChecked ^Y''"-- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code WORK City or Town of: Yarmouth (MEC),527 CMR 12.00 To the Inspector of Wires: this application, Date: 4/5/2023 By the undersigned gives notices of his or her intention to perf the Location(Street&Number): 62 Highbank Road N electricalelectricalelectrical WOd`d below. Owner or Tenant: Town of Yarmouth Unit No.: Owner's Address: 1146 Route 28 Email: Is this permit in conjunction with a buildin g permit. (CheckPhone No.: 508-398-2231 appropriate box)Yes 0 No❑Permit No.: Purpose of Building: Golf Course Maintenance Facility Existing Service: AmpsUtility Authorization No.: / Volts Overhead 0 Underground New Service: Amps / Volts Overhead❑ Underground0 No.of Meters: ❑ No.of Meters: Description of Proposed Electrical Installation: Adding electric power requirements for 4 garage door openers. At the Bass River Golf Course Maintenance Facility. Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: No.Luminaires: � of Generator KW Rating: Type: Recessed Luminaires: No.Wind Generators: Wind KW Rating No.Appliances: KW: No.Water Heaters; KW: Space Heating KW: No.Transformers: Total KVA: Heating Equipment KW: No.Motors: 4 Total HP: 2 Total KW: 1.5 No.Heat Pumps: Total KW: Total Tons: In-Grad.0 Above-Gmd. Fire Alarm System 0 No.of Devices: Swimming Pool:In-G 0 Hot-Tub 0 No.of Self-Contained Detection/Al No.Oil Burners: No.Gas Burners: Detection/Alerting Devices: Video No.Air Conditioners: System 0 No.of Devices: Total Tons: Telecom System No.Energy Storage Systems: KWH Storagey El No.of Outlets: Solar PV KW DC Rating: Security System 0 No.of Devices: Solar PV KW AC Rating: No.of Electric Vehicle Supply E No.of Modules: Roof-Mount 0 Grotmd-Mount❑ Level 1❑ 9unP�at. OTHER: Level2❑ Level3❑ Rating: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 10,000 Date Work to Start: 4/10/2023 (When required by municipal policy) Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: CDS Contracting Services Master/Systems Licensee: Chris Stevens A-I or C-1 LIC.No.: 142$ Journeyman Licensee: Sean Stevens LIC.No.: 20665A LIC.No.: 39046E Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 275 Centre Street Holbrook, MA.02343 Email: Sean cdscontractintz corn I certify,un the pains d penalties o Telephone No.: 97$-49ag032 f perjury,that the information on this application is true and complete. Licensee: Print Name: Sean Stevens INSURANCE COVERAGE:Unless waived bythe owner,no Cell.No.: 978-490-9032 provides proof of liabilityOVincluding GE: permit for the performance of electrical work may issue unless the licensee "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 ►4 BOND 0 OTHER 0 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage required by law.By my signature below,I hereby waive this requirement.I am the:(Check one Ownerg normally Owner/Agent: ) 0 Owner's agent 0 Signature: Tel.No.: Email.: