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Home My WebLink AboutBlde-22-003279 NL\ Commonwealth of Official Use Only el' I Massachusetts Permit No. BLDE-22-003279 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:12/9/2021 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 belo 6,5�J A9 Location(Street&Number) 90 SEAVIEW AVE UNIT 150 Owner or Tenant EQUI PATRICK W T lephone 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 ❑ 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: Re-feed outlets on second floor&add recessed lights. (# 150) 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/Alertina Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 Signs 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 perjury,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: $75.00 ?c €A fZt0(74 c /t q('?D2/ c ) i/ 7( 1 RECEIVED b&jllCait 'r :�12, DEC Q BUILDING D E P e.�.1 a -N T Conrmontvsa/Ih o f///aeaac/sueslfe Official Use Only By w_ii; c� Permit No. z: •!„,z, �Uslvarfinsnf o f}irs�irvicse :.1 I.. ? 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( C),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /, 2-0.1 / City or Town of: YARMOUTH To the Inspe!!llcto of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ci O 5,C4,4r 1 Ct, it v t,,- u et it' I Owner or Tenant'4TA)-, k i=Qt., Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No EJ (Check Appropriate Box) Purpose of Building tasty Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity it Location and Nature of Proposed Electrical Work: f Jl --i„.115 07 F L, Q AS R-.ec��d,tc9 L1Cit c VI Completion of the followingtable m be waived by the In vector of Wires. ',FV y she til No.of Recessed Luminaires No.of Cell:Sas No.of Total 0/ p.(Paddle)Fans Transformers KVA '.. No.of Luminaire Outlets No.of Hot Tubs Generators KVA r`' t. 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 t`. Initiating Devices No.of Ranges No.of Air Cond. Tons! No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW.... No.of Self-Contained Totals: Detection/Alertingpevices No.of Dishwashers Space/Area Heating KW Municipal ❑ Connection ❑ O � ther 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 BOND 0 OTHER 0 (Specify:) I certify,under the pains and pena ties of pedury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: '' � 4h i..e/ . -.1 ``�.4�v� Signatur .rt 9 LIC.NO.:.. ,L$ fl(If applica ,enter"exempt"in the license number line.) Bus.Tel.No.: Address•• „e, �3pL, I..i92_ lVIGAg-t'�,zs "yY,t U-5 Oler, O. .b 418— Alt.Tel.No.: . 7Z k-.1 s *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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 7S'--