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Home My WebLink AboutBLDE-21-006453 4.\,_ �. • Commonwealth of Official Use only Massachusetts Permit No. BLDE-21-006453 � 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:5/7/2021 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 descri ed below. Location(Street&Number) 236 SOUTH SEA AVE ('1 . 4 7 j Owner or Tenant LOBUE JOHN W Telephone No. Owner's Address LOBUE LAURIE J, 1869 BEACON ST UNIT 1, BROOKLINE, MA 02445 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: Relocate 3 lights&5 receptacles in 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 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 5 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 Siens 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 ❑ 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:$75.00 %C/r- 0/1*/.24" C,� t;� rrt Tl76, IComasoaarsa/Fh oi M cisuos& �OOfficial Use Only .-/ cc�� Permit No. lilt- (o 4 5�3 •LV 26r aparsai ofcc�7 ire Seeviue Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) + APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1- All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Z$ IA P 2 Zo21 Z City or Town of: yA2vK ou� To the Inspector of Wires: _Q By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7-3 (0 50,,i,Tin SEA. Ave- U)• "ms't'i - _qi Owner or Tenant Jo HN 14- -414/4 E Logue. Telephone No.hi S 24 lb 7c, 7! Owner's Address Is this permit in conj with a building permit? Yes El/ No El (Check Appropriate Box) al (g Purpose of Building GI 1-4.6 Utility Authorization No. j Existing Service toounction Amps / Volts Overhead❑ Undgrd❑ No.of Meters - New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters • Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 6,4/244er o1 Y• RE(-b + l 3 t_/6 w-" r,Ic i7j,V S +- S au ri-57S Completion of the following.table may be waived by the Ittasector of Wires. Total �4} No.of Recessed Luminaires No.of Ceil. Fans No.roof KVA -Stop.(Paddle) Transformers KVA (sJ '1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- NO.or Emergency Lighting -4- No.of Luminaires Swimming Pool and. ❑ Knit ❑ Battery Units No.of Receptacle Outlets S No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of DetectionngD and < Initiating Devices 11 No.of Ranges No.of Air Cond. Ton` No.of Alerting Devices No.of Waste Disposers Heat Totals: Number Tons ICV�--NDet of�S�e tained tingj) evices No.of Dishwashers Space/Area Heating KW Racal 0 Corms 0 Otis" Seca :* No.of Dryers Heating Appliances ' No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Teleco o W No.of Devices or dons llq � of D ev nt OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /0 tS (When required by municipal policy.) Work to Start: -rip 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 a BOND 0 OTHER 0 (Specify:) I certift,under the pains and pena of perjury,that the information on this application is true and complete FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license manber 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: 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. Owner/Agent �,(6 Signature Telephone No.G t?S2? ?47/. PERMIT FEE:$ `JS- S 4 �`r