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Home My WebLink AboutBlde-20-002494 \ Official Use Only `,,,,,� Commonwealth of �` Massachusetts Permit No. BLDE-20-0024940 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: 0/31/2019 Inspectoro9Wires: City or Town of: YARMOUTH By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 43 CAPT NOYES RD Telephone No. Owner or Tenant ENGLERT EDWARD L Owner's Address ENGLERT LINDA R,740 W ROXBURY PKWY, ROSLINDALE, MA 02131-3343 Appropriate Box) Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Utility Authorization No. Volts Overhead 0 Undgrd 0 No.of Meters Existing Service 100 Amps New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement of tree damaged service. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Ceil.Susp.(Paddle)Fans Transformers KVA No.of Recessed Luminaires KVA No.of Luminaire Outlets No.of Hot Tubs Generators ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool grnd a grnd. CI No. Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices 0 Munici al No.of Dishwashers Space/Area Heating KW LocalConnection 0 Other: Security Systems:* No.of Dryers Heating Appliances KW No.of Devtces or Equivalent NoNo.of No.of Data Wiring: He Water KW Siens Ballasts No.of Devices or Equivalent Heaters Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of ires. 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 LIC.NO.: 14092 Licensee: John H Brewer Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:205 CEDAR ST,W BARNSTABLE MA 026681324 *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 (PERMIT FEE: $50.00 I Signature Telephone No. . ._ ,r ,�.� •.� & Official Use Only Commonwealth of Massachusetts Permit No. �%LI-f clq f - -fl - = Department of Fire Sen�ices t l Occupancyand Fee Checked jKeV. 1/Uj blank) ��' BOARD OF FIRE PREVENTION REGULATIONS (leave APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WOR' All work to be performed in accordance with the Massachusetts Electrical Code(ME ,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I/ 3. /J 67 City or Town of: ya jjZ To the Inspectorf s: o PYire By this application the undersigned giv notic f his or her ntention perform the electrical work described below. Location(Street&Number): ` ✓—.T e.',U Owner or Tenant / ,,��G.�O T il/r ( C....t %i l - ✓ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No WI (Check Appropriate Box) Purpose of Building ,7.,/-3 Uti' Authorization No. Existing ServiceZ2 Amps 14____-... 24E7Velts Overhead Undgrd 0 No.of Meters / New Service Y AmpsV olts Overhead Undgrd 0 No.of Meters Number of Feeders and Ampacity •- ( 2 ( Q " Location and Nature of Proposed Elect Completion of the following table may be waived by the Insp�eector of Wires. No.of 'total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators I€VA Above In- I4CotEmergency Ltghrin g No.of Luminaires Swimming Pool grnd. grnd. II_Battery Units No.of Receptacle Outlets No.of Oil Burners FERE ALARMS }No.of Zones No.of Detection and- No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Coed. Tons No.of AlertingDevices ,No. Pump t um Tans KW No:ofSdf-C No.of Waste Disposers Totals: —4 Detection/Alerting Devices Mnnldpat No.of Dishwashers Space/Area Heating KW Local'—' Connection Other No.of Dryers Heating Appliances KW Security of Systems:*DevisNoes or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Si s Ballasts No.of Devices or Equivalent 'elecommunications'Wiring: No. Hydromassage Bathtubs No.of MotorsTotal ;t' No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the Inspector of Wirer. 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE BOND 0 OTHER 0 (Specify:) I certif5r,under the pains and penalties of p}erjury,t tat the infot matio this�app/lllcatl is true and complete: FIRM NAME:John Brewer Electric ;JJ{ ii2gEly /4/14JO. '-71 LIC.NO.:E21949 ( .- Licensee: EA/ j�tie S'gna#u 4 �_� LIC.NO.:A14092 Bus.Tel No.: (If applicable, enter 'exempt"in the license number line.) Address: 73 Mlk(.fi/I Ci~ / ✓ , ticrid cc n)4.L5 O te`r/D Alt.Tel.No.:50&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) Ev ner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT TEE:$ c./ ./ \i/ ��ti/G ayrc C 47