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Home My WebLink AboutBLDE-23-003585 DINER Commonwealth of Official Use Only 4* lieqv .,,A7 Permit No. BLDE-23-003585 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•12/31/2022 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 ❑ No ❑ (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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add receptacle in bathroom. (ROUTE 28 DINER) 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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/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 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: JOSHUA B DEJOIE Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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:$80.00 A �J rRE,,CEIVED i DEC 2 0 2022 114 n ,�{{'' Massachusetts Caararaat wrlk el///assachusetts Official Use Only BUILL VG 1.l:-:,, WT ,Q�-' By- y _m. i c7� �''/ Permit No. ["Z3-350 _ .=yeti:5 .� �[hrpartauaf a/Jtn-Serviced I I BOARD OF FIRE PREVENTIONOccupancy and Fee Checked ` _ REGULATIONS [Rev.1/07j paave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 6 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I,.,-?..0-a'a- J City or Town of: YAROUTH To the Inspector of Wires: cL By this application the undersigned grvei make-ofbis or her intenUtq to perform the electrical work described below. J Location(Street&Number) ciae) lb�jj'e,aQj K --e D1RZS- Owner or Tenant fbt �'L\,(an`,� Telephone No.5D ,57L -aZ 6- �I Owner's Address 9'.(3 JJ'C aD qyq Is this permit In conjunctiont7 with a building permit? Yes 0 No (Check Appropriate Box) `�1 Purpose of Building IZLSl\O.J Ca(l\ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 4 New Service Amps / Volts Overhead 0 Uodgrd❑ No.of Meters ,.n Number of Feeders and Ampaclty 11"/ Location and Nature of Proposed Electrical Work: A,) Do\AL?, c‘ (zjc,}h(•00N\ ay,� y{ Completion of the following_tabte may be waived by the Inspector of Wires. Ui No.of Recessed Luminaires No.of Cell:Sosp.(Paddle)Fansof 1 oral V.. No.Transformers KVA 't No.of Luminaire Outlets No.of Hot Tubs Generators KVA t' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units Zi No.of Receptacle Outlets No.01011 Burners FIRE ALARMS No.of Zones - No.of Switches No.of Gas Burners ldo.of Detection and d - Initiating Devices 11.i No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number„Tons_,KW_ No.of Self-Contained - Totals: _ Detention/Alert(ngDevices No.of Dishwashers Space/Area Heating KW Local Monnectiunicipalon Other C No.of Dryers Heating Appliances KW Security Systems:* No.of No.of Water KW No.of No.of Data Wiringvices or Equivalent HeatSigns 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: 5-DO (When required by municipal policy.) Work to Start: f a.- --- - 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 such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE[Xq, BOND 0 OTHER 0(Specify:) I certify,under the pains and penalties of pegury,that the Information on this application is true and complete. FIRM NAME:Yo51c1Jc. :ia t- e(-kriGiwr\. LIC.No.: 534 0 >3 Licensee: �oShJy C. o;t` S re �) ` (If applicable.enter" iP /'�/^� LIC.NO.: Address: !n the license mother line) ✓ Bus.TeL No: 7'I rjy 0 t(83 'Per M.G.L.c.147,s.57-61,security work requires DepartmentAlt.TeL No.: icense: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the en does not have the liability insurance coverage Donnelly required bylaw. By my signature below,I hereby waive this requirement. 1 am the(check one owner owner's Owner/Agent Signature Telephone No. PERMIT FEE:$ 1 N.