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Home My WebLink AboutBLDE-22-003413 °' k4 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003413 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:12/15/2021 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 belpw1�0, 6� Location(Street&Number) 90 SEAVIEW AVE UNIT 150 •�./ J Owner or Tenant EQUI PATRICK W Telephone No. Owner's Address EQUI LESLIE G,4601 SAN MARCOS WAY, FRISCO,TX 75034 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: Install smoke detectors. 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 Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 perjuty,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 my 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 Qf q(c.(2A 1. C/0411, VIL /j{t RECEIVED •`+ DEC 15 2021 o •nwsatth 4 maddachuasild Official Use Only ( L- ct ` tnunf o` s' Permit No., J2� (3 ` :,-s, i?N G D E PA R I M E Par -firs .rvicsd iki k i ' ! — Occupancy and Fee Checked o `1►.,;+f` =• ' ' • • - PREVENTION REGULATIONS [Rev. 1/07] (leave blank) I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / 5 City or Town of: YARMOUTH To the Insp ctor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 9 0 �,,"ji i• w A. V , Owner or Tenant �GT-,Ri'ek u Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) m, Purpose of Building Utility Authorization No. dv,'l Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Q� New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity A y i Location and Nature of Proposed Electrical Work: ` (Ai �✓c� Fe,t_ .S ,„Lu CQ.„,i.Qc: J/LS kri f u Completion of the following table may be waived by the In ector of Wires. U..) No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA t` No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grrnd. grnd. Battery Units '`! No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones •7- No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices i No.of Ranges No.of Air Cond. Total r Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons tW No.of Self-Contained Totals: "' Detection/Alertin Devices No.of Dishwashers Space/Area HeatingKW Municipal p Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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: 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 12LBOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee:b/tom L S, . k , Signature Q,- ,,�7c.,C L LIC.NO.: a ��0 E. (If applicable,enter"exempt"in the license number line.) / Bus.Tel.No. Address:7,/9, 13 0,� 1&9? m rr,2_s T)r& . m;II' ✓kk- p�V7 Alt.Tel.No.:.S-pS--z-7ra-3.3d -- *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 riot have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)[]owner 0 owner's agent. Owner/Agent 1 Signature Telephone No. I PERMIT FEE:$