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Home My WebLink AboutBLDE-23-003640 #928 unit G of Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003640 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:1/5/2023 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) 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 • , i 1' ' :o Purpose of Building Utility Authorization No. (27 Existing Service Amps Volts Overhead 0 Undgrd 0 r New Service Amps Volts Overhead 0 Undgrd 0 . I MP. Ji er I • Number of Feeders and Ampacity 8 0 r if ' Location and Nature of Proposed Electrical Work: Replacement furnace (928 Rt-28-Unit G) Completion of the following table may be waive, I siN or of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of 4Fro 1 Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.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 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 0 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: JOSEPH P ROSE Licensee: Joseph P Rose Signature LIC.NO.: 21335 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Beverly Rd,West Yarmouth MA 026733559 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 r, Ni,t1 1 ter l s 010 P " t.-1A0 RECEIVED Su'& 7-4 EJANO42Jw /� Official Use On _ o nwra[th o/rat/meac�imaiie Only '"' '.?;t G DEPARTMENT / C23-3(044D .5 o-Y��f' ! o Permit No. I ...;iwr rloarimrni o .}in Serviced ;,�I7 s Occupancy and Fee Checked • . BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical (M ,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I LI/Y- City or Town of: YARMOUTH To the 1 pector of Wires: By this application the undersigned gives notice of his or her intend to perform the electrical work described below. lin Location(Street&Number) (qaL lcrv—� .�, , S,9D,r,-,�ft's1 Owner or Tenant vU ,\)l(_Li j lit I I \\„ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yea ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: vJhfe iuYvut(..„,- r Completion of the followingtable mg be waived by the Inspector of Wires. U Fans Transformers KVA No.of Recessed Luminaires No.of Ce6.-Soap.(Paddle) No.of ;,/ ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA t' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units _ No.of Receptacle Outlets No.of OB Burner FIRE ALARMS No.of Zones m No.of Switches No.of Gas Burners No.inlgating and Devices 11 r No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste DisposersMeat Pump Number,Tons__,KW_ No.of Self-Contained Totals: '......... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Muninnectiocipaln El Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Data Wirin Heaters Signs Ballasts e' 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: 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 suchislaverge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ (Specify:)I certify,under the pains andhis of perjury,that the information on this applcation is true and complete. FIRM NAME: LIC.NO.: J Licensee: JOs4Q.--‘0. 1' e-,C Signature LIC.NO: (ifappitcaltiq inter,�rensj i he I bar It e./ Bus.TeL No. a -952.4 Address:rTh '1'Yn7 (I,VAS Zvi 1 Alt.TeL No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$