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Home My WebLink AboutBLDE-22-003964 o Commonwealth of Official Use Only sell Massachusetts Permit No. BLDE-22-003964 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:1/18/2022 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) 25 DRAKE ST Owner or Tenant John Handell Telephone No. Owner's Address 25 DRAKE STREET,YARMOUTH PORT, MA 02675 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: Finished basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 32 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 12 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 44 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 32 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 2 Total 2 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 6 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 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 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: WILLIAM H NELSON Licensee: William H Nelson Signature LIC.NO.: 26513 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:871 BUMPS RIVER RD, CENTERVILLE MA 026323321 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 464g,t (I Vel 27/W--- ---- C Nay- 5 1721 V IREcEavE ® 011.�J/ inlsttemc!? F t 3o5l n oo� // Official Use Only a G 1 • ... COM/WM/ea&o/ amachu6ett6 ////� ANiii,b. c� Permit No. �e . g ' aUepartment of Sire Service l �_ Occupancy and Fee Checked BUILDINv ', +��li� .. P Y BY __-- .1 - :OARD 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(MEC ,5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /// odd g City or Town of: Ygl"/)l,,QW,, To the Inspector of Wires: By this application the undersigned gives notice of his or er intention to perform the electrical work described below. Location(Street&NujBher) L. I^a1:t �7 - // 'fa hoc ' Telephone No. Owner or Tenant J d h�- � �✓�( Owner's Address Is this permit in conjunction with a building permit? Yes ,I No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity f' Location and Nature of Proposed Electrical Work: E i�� 7` !�/rd� / — /—T 41ct Re 5-c- in=- Completion of the followingtable may be waived by the Inspector r of Wires. No.of No.of Recessed Luminaires 3 91,--. No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets / 01._ No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets Y No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and C.) No.of Switches 3 ry No.of Gas Burners Initiating Devices No.of Ranges / No.of Air Cond. 0 Total `, No.of Alerting Devices �.-. Tons HeatPump I Number[Tons I KW No.of Self-Contained No.of Waste Disposers Detection/Alerting Devices Municipal g No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ °ther . Heatin AppliancesSecurity Systems:* No.of Dryers g KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications iring: No.Hydromassage Bathtubs No.of Motors Total HP 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. 3 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. cri u7 CHECK ONE: INSURANCE 50 BOND ❑ OTHER ❑ (Specify:) ceI certify,under the pains and penalties of perjury,that the information on this application is true and complete; 5i'� Ca FIRM NAME: LIC.NO.: Q LIC.NO.: /j- d Licensee: G �. �1: Signature` Q (If applicable,enter?xeJnpt"in the license nu ber line. / Bus.Tel.No.: n �7G ��. 4.1 Address: /2 3 !� K f 2C� Ost I4 /VA `'Z � 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.I Owner/Agent I PERMIT FEE: $ 7S— Signature Telephone No.