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Home My WebLink AboutE-20-276 Commonwealth of Official Use Only ` " Permit No. BLDE-20-000276 �E, � Massachusetts s 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:7/16/2019 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) 62 BEACON ST 77£-930--(/92-' Owner or Tenant JAMES BAKER Telephone No. Owner's Address 62 BEACON ST, SOUTH YARMOUTH, MA 02664 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 garage 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 6 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 24 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 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 1 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 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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:$75.00 ' y S'.b �o //�� ryyj mnsonrosaLtls of///aadaehffs -..:• Official Use Only r - �' v ■ _--- �__-_. -1.1aparfms+rt of"ire Services Permit No. �"1.0 -c'Z-](o _— ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07)y.a Cl Fee Checked) �L y •",`.• ZRev. 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PREV7 IN INK OR TYPE ALL INFORMATION Date: c7>527 CM"�2.()0 City or Town of: YAR1VIOUTH To the Inspector of Wires: By this application the'mdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 6Z Z IS,f MAIM ip h i . 02464 Owner or Tenant � � u Telephone No. 4 I Owner's Address Stint Is this permit in conjunction with a building permit? Yes No Check 0 ( Appropriate Box) Purpose of Building c Zt j U •' Authorization No. Existing Service j Q Amps jam/ )2 Volts Overhead Undgrd❑ No.of Meters sl6 )b8 Amps AO/ l Volts Overhead❑ Undgrd E No.of Meters Number of Feeders and Ampacity 4. Wo 60 A Location and Nature of Proposed Electrical rk; Completion of the following table may be waived by the Inspector No.of Recessed Lunuasires- n1_,of Wires. No.of CeiL-Susp.(Paddle)Fans v No.of KVA �^ Tt a�rmers KVA - No.of Luminaire Outlets 6 No.of Hot Tubs O A - No.of Luminaires Sw►tiow ur rocs ove ia- N�oi Lmer�eacy htin `�Y ernd. ❑ $artery UniEs No.of Receptacle Outlets , Y r1 urners FIRE ALARMS JNo.of Zones // f No.of Switches No.of-Gas.B sera No.of Detection and sni a=- i _ No.of Ranges O No Too No.of Alerting riPszice' No.of Waste Disposers Heat__Pn h Nnn Pr 'on I KW No.of Self-Contained - _ Detection/Alerting_Devices S� iey— '� No.of Dishwashers a Sizue Ap Wit,. Ma oancip on No.of Dryers Q HeatittgAppliances tilk Security Systems:* No.of Water ,,, o,of or gmvalent Heaters CA1 No.of Data,W�'Lng _ Iv B a of Devices or Equivalent No. Hydromassage Bathtubs V No.of T elecommunit - OTHER: evices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires.- Estimated Value of Electrical Work: OQ @� Work to Start: ,� (When required by municipal policy.) D ` Inspections to be requested in accordance with AEC Rule 10,and upon completion. C 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 ❑ OTHER 0 (Specify) I cerizfy, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: LIC.NO.: v Signature ��- U (If applicable,enter"errempt"in the license number line.) LIC.NO.: Address: M. Tel.No.: - - - J *Per M.G.L.c. 147,s.57-61,security work re Tres D Alt-Tel.No.: - OWNER'S INSURANCE WAIVER: I Department of Public Safety S"License: Lic.No. 5�r am aware that the Licensee does not have the liability required by law. B y signature b ,I hereby waive this requirement I am the(check one wnercove own Owner/Agent �o ❑owner's a eat Signature Telephone No, h PERMIT FEE: $