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Home My WebLink AboutBLDE-23-005650 1\ Commonwealth of official Use only i61i ' Massachusetts Permit No. BLDE-23-005650 '�-�� 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) 635 WEST YARMOUTH RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address RECREATIONAL& MUNICIPAL/WATER DEPT, 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 10 garage door openers at maintenance facility. 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 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 Space/Area HeatingLocal 0 Municipal No.of Dishwashers P KWConnection ❑ Other: HeatingAppliances KW Security Systems:* 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: No.Hydromassage Bathtubs No.of Motors 10 Total HP 5 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: Christopher J Stevens LIC.NO.: 20665 Licensee: Christopher J Stevens Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N o. Address:456 MAIN ST,PO BOX 1101,HANSON MA 023416101 o.: *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. I Owner/Agent 'PERMIT FEE: $0.00 Signature Telephone No. l Use Only Commonwealth of Massachusetts Official Permit No.: - _ b L, ej v Department of Fire Services Occupancy and Fee Checked: 6 [Rev. 1/20231 i E- * BOARD OF FIRE PREVENTION REGULATIONS -_- ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: Yarmouth Date: 4/5/2023 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 635 West Yarmouth Road Unit No.: Owner or Tenant: Town of Yarmouth Email: Owner's Address: 1146 Route 28 Phone No.: 508-398-2231 Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: Golf Course Maintenance Facility Utility Authorization No.: Existing Service: Amps / Volts Overhead El Underground 0 No.of Meters: New Service: Amps / Volts Overhead 0 Underground 0 No.of Meters: Description of Proposed Electrical Installation: Adding electric power requirements for 10 garage door openers. At the Bayberry Hills Golf Course Maintenance Facility. Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No_Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water llea&.ib: KW: No_Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: 10 Total HP: 5 Total KW: 4 No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Grnd.0 Above-Grad.0 Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1❑ Level 2❑ Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspedor of Wires. Estimated Value of Electrical Work: 25,000 (When required by municipal policy) Date Work to Start: 4/10/2023 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: CDS Contracting Services A-1 [1 or C-1 0 LIC.No.: 1428 Master/Systems Licensee: Chris Stevens LIC.No.: 20665A Journeyman Licensee: Sean Stevens 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@cdscontracting.com Telephone No.: 978-490-9032 I certify,unde a pains an enalties of perjury,that the information on this application is true and complete. Licensee: Print Name: Sean Stevens Cell.No.: 978-490-9032 INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability 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❑ Specify: 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 0 Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: