The URL can be used to link to this page

Home My WebLink AboutBLDE-20-005787 ,, Commonwealth of Official Use Only fig, Massachusetts Permit No. BLDE-20-005787 yr 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:5/13/2020 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) 20 BUCKWOOD DR Owner or Tenant WHITEHEAD BRENDA L Telephone No. Owner's Address 20 BUCKWOOD DR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approp ox) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 e n G New Service Amps Volts Overhead 0 Undgrd ❑ III q*o a 4117AP:4II Number of Feeders and Ampacity A , t r! Location and Nature of Proposed Electrical Work: Wiring for second floor addition&service upgrade. 4,2Completion ofthe following table may be waived b •I:t�. . ires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers K • No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o 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. 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 0 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 ofperjury,that the information on this application is true and complete. FIRM NAME: JOHN WEISS Licensee: JOHN WEISS Signature LIC.NO.: 53846 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:63 UNCLE BOBS WY, SOUTH DENNIS MA 02660 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: $180.00 -?� (e8+1'kt-y) r /is-/. <7 - /2 eadi ,__....„5,,c ,,,,,,i ), Jr.,,, Conunonw..a o/M7asMck to Official Use Only to C) 7"i .U.parlsw.l o�.,tir.�.rvru, Permit No J- ~7 BOARD OF FIRE PREVENTION REGULATIONS icy and Fee Checked [Rev. 1/07] (leave blank) G APPLICATION FOR PERMIT TO PERFORM ELEC RICAL WORK All work to be performed m accordance with the Massachusetts Electrical Code(M 27 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S/ 2 0 ZO' City or Town of: Yeti-wrar.ir To the Insp for of fres: 8 By this application the undersigned gives notice of his or h9r intention to perform the electrical work described below. Location(Street Si Number) 2 0j u c/C Gj�01� ,� A /J Owner or Tenant 13Cei /J 0( C^� i ilecL Telephone No., 24)1277? s Owner's Address ..` Is this permit in conjunction with a building permit? Yes !/'.1 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. U Existing Service Zee Amps /20/2 tOVolts Overhead ig. Undgrd❑ No.of Meters 14.1 New Service Amps I t1'/Tia Volts Overhead 0 Undgrd g. No.of Meters I Number of Feeders and Ampadty Location and Nature ofElectrical Work: ,i 4 G✓ 5 eve--, C c.,44de --si fr-- c,h/ • 2 Flc>-e-- • 4`; Completion oftheJWlowingtab1e may be waived by the basector of Wires. W No.of Recessed Luminaires No.of CBL-Seep.(Paddle)Fans Ta ofKatal Transformers VA Lt No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abodve. 0 IaIn..grad. Bat❑ Batm.ortery LmergeUnits mg Luing grn 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and �` No.of Switches No.of Gas Burners No.of n 111 No.of Ranges No.of Air Coad. Tidatint Devices om No.of Alerting Devices No.of Waste Disposer 'Heat oP Number Toes KW ,__ NoDe offSelf-Contained D evices No.of Dishwashers Space/Area Heating KW Local 0 MHicipal Coaunection 0 Other No.of Dryers Heating Appyncesof�or Equivalent No.of Water , No.of No.of Data Wiring. Heaters Signs Ballasts No.of Devices or ' , t No.Hydromassage Bathtubs No.of Motors Total HP TdecOmmeeons _ Na of Devices or Eq i . t _ OTHER: /9_,,-- Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value E 'cal Work: trl/ (When required by municipal policy.) Work to Start: ‘-- Inspect9ons to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O RAGE: 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 a BOND 0 OTHER 0 (Specify:) I caxtjy,under the pairs and penalties of pnry,that the information on this application is true and complete. FIRM NAME: ,/ vt/€fid L! .:3- x2 '!li- Liceesee: li�/ S� Signature /"4fi__ LIC.NO.: (Ifapplicable int license n�bbeer�line.) Bus.Tel.No.: r� 4 te Address: �" irL,A,r_ m %.0 S J)e�l'f, ow-z6 GO 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: 1 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. I PERMIT FEE:$