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Home My WebLink AboutBlde-20-005024 Commonwealth of Official Use Only Mt Massachusetts Permit No. BLDE-20-005024 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:3/11/2020 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) 53 NAUSET RD W& 000Q Owner or Tenant BAYRIDGE REALTY LLC Telephone No. Owner's Address 16 KINGS WAY, HYANNIS, MA 02601 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Partial remodel per attached. Completion of the following table may ,aived spector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of n Transforms No.of Luminaire Outlets No.of Hot Tubs Generato eill/ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emer g t grnd. grnd. Battery Units ��i O No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of 7�! No.of Switches No.of Gas Burners No.of Detection and ((// Initiating Devices O No.of Ranges No.of Air Cond. Tota Tonal No.of Alerting Devices 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 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: John J Throckmorton Licensee: John J Throckmorton Signature LIC.NO.: 11465 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 CORTE REAL AVE, E FALMOUTH MA 025365343 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 RDuc ' 31l.r, 124 /� / Official Use Onl \ =_ Commonwealth o� wiachtuallf �� r �1��J) ��=*=i— c� Permit No. lJ C�7 � v�= _ �I_ .L'orarhnanl ol�ira �arvico� i � -i= Occupancy and Fee Checked �� v �( ;- � BOARD OF FIRE PREVENTION REGULATIONS } - — [Rev. t/071 (leave blank) v 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: 3 — //-- )-07� City or Town ofP.9.vistal.7r01111MMINIED To the Inspector of Wires: By this application the undersigned gives notice/off his or her intention to perform the electrical work described below. / Location(Street&Number) .5— 3 v 4 J Q71----- ✓ Owner or Tenant XI n Y �°'C o et . f_--4 i+/ s Telephone No. 7 7'"7 Owner's Address !b /- r it � � `I— vis- ;S MA- . Is this permit in conjunction Aith'a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building e li;kt Utility Authorization No.Existing Service lob Amps C� / olts Overhead Ig--. Undgrd 0 No.of Meters I New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity nrw &-,X�vQS 4- Dom.°, - F401-F Lo tion and Nature of Proposed Ele trical Work: S rt irois 1 A/& 47_ Li —F-C fl Q vri-e✓ G;vc-b AS - ÷L 4-0 IwC7v Y _S fall k. j r,A r• ' t„ v.. 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 Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool gm ❑ 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. Tong No.of Alerting Devices No.of Waste Disposers Heat Pump Number __Tons_ I__IOW__ No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other Connection 1 No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: j Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: If No.of Depi f OTHER: if , f E D Attach additional detail if desired,or as regi4rea b fei1 �cr `Wires. o , i Estimated Value of Electrical Work: 0`--'0 6 r ' " 'When required by municipal policy.) MAR '1OF j, Work to Start: "3 .-] Inspections to be requested in accordance with MEC Rule 10,and uponlcompletion. , I ;l INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electri w4 g>ks-'' ••.;r?hp the licensee provides proof of liability insurance including"completed operation"coverage or its substantialEquivalent,The .'/y undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. - ' //3G CHECK ONE: INSURANCE @r BOND 0 OTHER 0 (Specify:) /(] I certify,under the pains and penalties of perjury, that the information on this application is true and complete. FIR M NAME: _�011 t^ I I:l 1410Arti fin*,..-:...._ LIC.NO.: t!/6 S --13 Licensee: SignatureLIC.NO.: (If applicable,Inter"exempt"in the lice t num �,_6 b r ine.) Bus.Tel.No.: _ Address: /5 I1,,.t ?.f pc) F-64 tfMci [7:0,53g 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $