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Home My WebLink AboutBLDE-21-006830 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006830 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:5/24/2021 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) 54 BREEZY POINT RD Owner or Tenant Julia Junghanns Telephone No. Owner's Address • j Is this permit in conjunction with a building permit? Yes ❑ No 0 Purpose of Building Utility Authorization N Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ .' New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade 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 ❑ 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: Licensee: Joshua Jones Signature LIC.NO.: 55825 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 6 Pine Tree Circle,Sandwich MA 02563 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 14 (CommoISIMA 4 Mamachuesiid Official Use on 1,1 ' � ,� cc�� cc�� Permit No. �� — (8,e a „ ' 2spa„6nsid onine Sery s , Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5l L-Ol2-( City or Town of: �.,�r, 1{n To the Inspector of Wires: u By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1 Location(Street&Number) 5 t'( T3 ct y_Apo- 'id . Vc✓ Yh, Alif _ 1 Owner or Tenant !. I tot , u Ili a n✓i S i Telephone No. ,ciGfs �i0 Owner's Address 5`i a e2 r Pc,v�r int 5& Y (M A Is this permit in conjunction with a building permit? Yes 0 No Er (Check Appropriate Box) Purpose of Building Utility Authorization No. 5 7('37(6. Existing Service I00 Amps (20 / ) Volts Overhead Undgrd❑ No.of Meters New Service 200 Amps 19.g / 7410 Volts Overhead Undgrd 0 No.of Meters Number of Feeders and Ampadty iLocation and Nature of Proposed Electrical Work: (��(rc,�, ✓ G� a✓k cf pc vi-GI Completion of the followingtabk may be waived by the hwector of Wires. tit Total No.of Recessed Luminaires No.of Ce L Sup.(Paddle)Fans No. aransformers ICVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ mod, ❑ Batters,units No.ot Emergency Lighting �i 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 i 1 f No.of Ranges No.of Air Cond. Tuna No.of Alerting Devices ined No.of Waste Disposer HeatPump Number Tom KW Ho of Detection/Alertingo Devices No.of Dishwashers Space/Area Heating KW Load 0 Co n ❑ Other : No.of Dryers Heating Appliances KW No.of ysi Devices or Equivalent No.of Water , No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or , 1 t No.Hydromassage Bathtubs No.of Motors Total HP T No,of Eq I t OTHER: Attach additional detail if desirect or as required by the Inspector of Wires. Estimated Value of E ectric Work: .5 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERA : 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g BOND ❑ OTHER 0 (Specify:) I certEfy,under the pains and penalties of perjury,that she information on this application is true and complete. FIRM NAME: .A0SkcA c._ 3----cKGS .eI eG h''c« LIC.NO.: Licensee: j U.•.c-cr,,,GS Signature ��,� LIC.NO.: 5 �2 5 (If applicable.enter" empt"in the license number line.) Bus.Tel.No.: 77-V 40( Address: ( Viv‘Q knee. (,.vcl.L Sc.-.0k(--i6(n, ,4,4 C- 3 Alt.Tel.No.: *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)❑owner ❑owner's agent. fle.nn../A....* I 1