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Home My WebLink Aboutblde-21-007138 unit A -\01.111%. Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007138 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:6/9/2021 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 below. Location(Street&Number) 27 BRIAR CIR Owner or Tenant COONEY PETER Telephone No. Owner's Address LUCAS CAROLE, 27 BRIAR CIRCLE, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 late B x) Purpose of Building Utility Authorization •; 0# Lam'' Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters yilleiltit 14...- New LNew Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity S . Location and Nature of Proposed Electrical Work: Upgrade servic _ 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/Alertine 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 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 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: Douglas K Tiernan Licensee: Douglas K Tieman Signature LIC.NO.: 28753 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:437 COUNTY RD,WEST WAREHAM MA 025761503 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: $50.00 ci (//26/24/ ,?& Commonwealth o/Il/adlae�eue�1 �Off�icial Use Only/ „, •i nn Permit No.(E2- "-'7 1�e mil 2)epaet ent o�.1ire Jaruiced t_` _ 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 performedin accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 i- City or Town of: Y ,,.,?.1,`, To the Inspector of Wires: 1'�""` z . application the undersigne8om, gives notice of his or her intention to perform the electrical work described below. , s Lee< ton(Street&Number) a 7 .p R i,+k.tZ Cj 0,....cc-Y L,,v j7- a ....: `' (*v r or Tenant Yh ilA C„,„,(4,,z,,......-1.- L . Telephone No. LI.I c ` �,'is Address . 9 ` Fi tz..a 2 C',"�-4.-Ir ' ,"' Ii4 , permit in conjunction with a building permit? Yes 0 No 1-k-frs (Check Appropriate Box) LI i F, - r, ,se of Building O pL.., Utility Authorization No. .5'L,a a39S ire L. 0 `_�-- r- 'ng Service u1p,Q Amps lo7p/.2‘,2?Volts Overhead [Undgrd❑ No.of Meters New Service ,Dv Amps J /.i'Seo Volts " Overhead Undgrd 0 No.of Meters • Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: up le., 14.4::,42 ,c-1, 142...„,r Completion of the followin&table may be waived by the Inspector of Wires. No.of Total 1 Na.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA I No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool:Above ', In r Ivo.01 J1.mergency Lighting grad. grad. Battery Units 1 No.of Receptacle Outlets ; No.of Oil Burners FIRE ALARMS No.of Zones Na.of Switches No.of Gas Burners No.ofDeteon and:; Initiating Devices Total No.of Ranges No.of Air Conti. Tons No.of Alerting Devices No.of Waste Disposers Heat pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection 0 other Heating Appliances ecurity ystems: No.of Dryers No.of Devices or Equivalent No.of Water , No.of Na.of Data Wiring: Beaters Signs Ballasts No.of Devices or E i uivalent Telecommunications g:No.Hydromassage Bathtubs No.of Motors Total HP o,of Devices or Equivalent nt OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: B 47p e=7.e2 (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 covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND;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: / - _ .../.:., „,. z,► LIC.NO.:4- 2sG7 Licensee: c,,. (,e5 Signature ,,,.� i _, IC.NO.:, 7A-2 (If applicable,enter' mpt' in the license number line) , Bus.Tel.No:77 3-�/�,t i,=,. Address: Aior- - ` A,„ L ___ r ./...e_- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,se''•ty 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 I PERMIT FEE: $ Signature Telephone No.