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Home My WebLink AboutBLDE-22-002662 Commonwealth0 of Official Use Only E - Massachusetts Permit No. BLDE-22-002662 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:11/9/2021 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) 15 CAPT WRIGHT RD Owner or Tenant Deborah Beglane Telephone No. Owner's Address 15 CAPT WRIGHT RD, SOUTH YARMOUTH, MA 02664 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: Exterior service replacement. 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. 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: IAN B JACKSON Licensee: Ian B Jackson Signature LIC.NO.: 39860 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:273 MAIN ST, HARWICH MA 026452467 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 (-o t l R, cex--L-e RECEIVED NOV 0 8 2021;4 Commonwealg el Maddachadelld Official Use Only �-', 2- {oZ � �� cc�� cc77 Permit No. BUILDINGDEN'ey :,: K 2 parlmenl° iroServiced r Occupancy and Fee Checked ''''` ,y Rev. j BOARD OF FIRE PREVENTION REGULATIONS 07 'rtr ( ] (leave blank) 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. $,c21 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) /6.- c ,n t v2/5.47z/20.00 Owner or Tenant Pebo t l Telephone No.if/2-en-MS Owner's Address �8Y /le,1e)Q 4O '"`�0 ,ve, e4 ,/#T , Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building A/fez-444{ Utility Authorization No. Existing Service/ea Amps / I lo?(Fd Volts Overhead[V Undgrd 1 g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: ij"'/;, Arm f r,[-440 \r I' Completion of thejollowing able may be waived by the Inspector of Wires. ,U No.of Total lb: No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA ,t No.of Luminaires Swimming Pool Above DiIn- ❑ No.of Emergency Lighting grnd. Bernd. 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 't' No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers - Totals: _ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local o Municipal Connection ❑ °tiler No.of Dryers Heating Appliances KW Sec riNo oSyf Devices or Equivalent No.of Water No.of No.of KW Heaters 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: Nek2"lie' (When required by municipal policy.) Work to Start: /#At,a/ 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 521 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: LIC.NO.: Licensee: Ap/ Z. �AGX,Leg4 Signature `. 11c��,.('�_ LIC.NO.: (34�� (If applicable,enter"exem t"in the lig�►sa number l'i)e.) `��` Bus.Tel.No.: Address: 0271 /fitr ,/i1 sirn r f ee y- 434 5�1 Alt.Tel.No ) 8a9 *Per M.G.L.c. 147,s.57-6 I,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: $ LS-0— I C4 RD—Ng