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Home My WebLink AboutBLDE-19-003713 a Commonwealth of Official Use Only E`er ► Massachusetts Permit No. BLDE-19-003713 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:12/19/2018 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) 206 NORTH MAIN ST Owner or Tenant MCGUIRE JOSHUA C Telephone No. Owner's Address P 0 BOX 908,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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement burner. 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- a 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 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 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 ifdesired,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: JOHN H BREWER Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST,W BARNSTABLE MA 026681324 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 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 ata- yt.f/(9l Official Use Only Commonwealth of Massachusetts 2 I ' .9 ti PemiltNo. t29^-j7I J Wy.tk z Department of Fire Services it.;ii e Occupancyand Fee Checked -� BOARD OF FIRE PREVENTION REGULATIONS LKev. 1/Uj (leave blank) -. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 7 12.00 (PLEASE FRIKflN INK OR TYPE ALL INFORMATION Date: /.2 ✓* ALS City or Town of: pegs cnir,/i To the Inspector of Wires: By this application the undersignedgives notice of his .Iter intention/ to�rm the` electrical work described below. Location(Street&Number): -o20 (� /� J'I o -r t t 4. Owner or Tenant ,�;f P, CO C///?' _ Telephone No. Owner's Address 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 ❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ainpacity Location and Nature of Proposed Elect Wife— 43 (1�/r/�- Completion of the followine table may be waived by the Inspector of Wires. "Trani tont No.of Recessed Luminaires No.of CeiL-S (Paddle)Fans P (P ) Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA Aboveint- of Emergency Ltgldng No.of Luminaires Swimming Pool grnd. t] grnd. " co.c Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices L oral No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • Heat Pump Nuettcr Tam KW No.atSelKoatalned No.of Waste Disposers Totals: -----P-- Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local" Connection "Other No.of Dryers Heating Appliances KW Security Systems No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hdromassa eBathtubs No.of Motors Total HP 1elecomofDevicewiring: y g No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of(Vires. 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 such cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE (BOND 0 OTHER ❑ (Specify:) I cert,under the pains and penalties of perjury,tint the Informatlotrpighls applieatlo Is true and complete. FIRM NAME:John Brewer Electric �/yWARE'l?-&W Nide, LW. ri LIC.NO.:E21949 Licensee: Signatur - LIC.NO.:A14092 (Ifapptimble, enter"exempt"in the license number line.) /' Bus.Tel.No.: Address: 73 Mi LL.�C-4- Rt ,1 J/ . . S .41. S' ... /7241.5 flR tiniP Alt.TeL No.:508-367-0167 *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.I am the(check one) Ener El owner's agent. Owner/Agentr' Signature Telephone No. PERMIT FEE:$.� Q'