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Home My WebLink AboutBlde-20-000457 Commonwealth of Official Use Only -41% Massachusetts Permit No. BLDE-20-000457 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:7/26/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 21 SCHOONER ST Owner or Tenant HIGGINS JOHN T SR Telephone No. Owner's Address 64 SUNSET CIR, MASHPEE, MA 02649 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: Repairs to service. 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 0 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 No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 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: DANIEL J PECKHAM Licensee: Daniel J Peckham Signature LIC.NO.: 26830 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 AUDREYS LN, MARSTONS MLS MA 026481629 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 l �- 7( Z19((1 re 7/ i//9 �� _;-__ Commo 0/�/las6ac fts ,. • Official Use Only I. ,, _ sit � arparfinent of.}in Servtcts Permit No. V� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ ,. ,.. [Rev. 1i07) (leave blank) APPLICATION FOR=•PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �>sz CMR l 2.D0 City or Town of: YARMOUTH To the I ecto of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) a ( c 'L o�,..s A_ • Owner or Tenant '� A L •j�yi K S Telephone No. Owner's Address ,, t. 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 ❑ No.of Meters I New Service Amps / Volts Overhead ❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: / / ,. �+�� IM�G/�Q 5OG I a I (..' g t s•e/C ,.n.pcs du Y ..s tg It.k QC. ••4 fie i Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet1-Snsp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Above ElIn- .No.oI Emergency Lighting - zrnd.. Qrnd. 0 Batter?Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Coact. Tons No.of Alerting Devices K No.of Waste Disposers Heat Pump I Number I Tons { W No.of Self-Contained Totals: f Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Lo�l❑ Municipal L Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No. of Data Wiring: Heaters ' Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP No. Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Workk (WhenWork to Start: required by municipal policy.) 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 unl• the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The ess undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER I certify, pen s of perjury,that, under the pains and ❑ (Specify:) the information on this application is true and complete. FIRM NAME: LIC.NO.: f T. .o� Signature/�n„�;,Q Q �— Licensee. (If applicable,enter ec pt in the license number line.) / LIC.NO.: Address:�'Z � �,ey� L�. �A3 `�lt Bus.TeL No.: D om' "S�'O� Alt Tel.No.- - 7 - bS+ j `Per M.G.L. c. 147,s.57-6f,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 required by law. Bymysignature insurance coverage n�orrria(l�S Owner/Agent below,I hereby waive this requirement I am the(check one 0 owner ❑owner's a .1 Signature eat. Telephone No. .• PERMIT FEE: $