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Home My WebLink AboutBLDE-22-003711 ,, Commonwealth of Official Use Only E_ Massachusetts Permit No. BLDE-22-003711 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:1/4/2022 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) 8 TIDE LN Owner or Tenant Kerry King Telephone No. Owner's Address 8 TIDE LANE,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (C - .° Sox) Purpose of Building Utility Authorization No Existing Service 200 Amps Volts Overhead 0 Undgrd 0 C - li ters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Change overhead service to under ground. 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. Tn Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices Z 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent 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: LAWRENCE R BROWN Licensee: Lawrence R Brown Signature LIC.NO.: 30708 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 LIMERICK CT,CENTERVILLE MA 026322713 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 r 116 MM4-K . I( It2 tiAf � of dame te0 REC.: 4lw ,_,_------. '' Official Use Only Loin nwea th ri M uac wetti 7* // nn Permit No. /2j—`7 l F " i J A N 0 4 2022L�e art nenl o/Jire Jervicej i ai f ,__.. Occupancy and Fee Checked C.- 1�� 3 ID 'REVENTION REGULATIONS �'I,FT € (Rev. 1/07] (leave blank) APPLICATION F0-1 PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C e(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ( A/v 4/1 AO 2- 2- City or Town of:y'A-Rine/l To the Inspector of Wires: By this application the undersigned gives notice of his'�orrher inten[jpn to perform the electrical work described below. Location(Street&Number) S' T 0E- �",V ff Owner or Tenant t�' RY Ki'V9 Telephone No. 77 V 3S P-f1Z3 Owner's Address 5 nine - Is this permit in conjunction with a building permit? Yes 0 No A (Check Appropriate Box) Purpose of Building G114/V f ES1OCE" '7 a& Utility Authorization No. 5 71',r 373 Existing Service o OO Amps IA /).4o Volts Overhead IL, Undgrd 0 No.of Meters / New Service 9J)L) Amps in) la*Volts Overhead 0 Undgrd (/d'/ No.of Meters / Number of Feeders and Ampacity 3 a) a 00/1' Location and Nature of Proposed Electrical Work: C/1/9NC-k— i/ i k,i4/ .5k-- v'c 4 eliVDEe_?,e2 /41D sEe0C Completion of the following table may be waived by the Inspector of Wires. No.of tal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting Attu. 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. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump--�1ur_III t_ __'fogg-.___KW__ No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ ❑ Other Connection n No.of Dryers Heating Appliances KW Security Sffm yystes:* NNo.of Water No.of No.of Data V/inngDevices or Equivalent Heaters KW 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: /?CO (When required by municipal policy.) Work to Start: I -..c." 2?- 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 ilig BOND 0 OTHER ❑ (Specify:) I certify,under the pains and nalties of perjury,)that the information on this app ication is true and complete. FIRM NAME: I7 N iEC J l MI LIC.NO.: 0 70 6t Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number l' e.) / 0�?� Bus.Tel.No.: Address:�3() 4-it/la-Ater Cr- /1/,7�Q(//�/t`� 1 7,4 J Alt.Tel.No.:-0t5* 't I -7?63 *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 nor 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: $