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Home My WebLink AboutBLDE-22-003944 Commonwealth of Official Use Only ,,�' Massachusetts Permit No. BLDE-22-003944 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) 70 OUT OF BOUNDS DR Owner or Tenant CALABRESE BERNADINE Telephone No. Owner's Address CIO SECRETARY OF HOUSING&DEV,451 7TH ST SW,WASHINGTON, DC 20410 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 ❑ I . ❑ 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 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 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: 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 4124A 2Je17)7' RECEIVED `. I r�� Official Use Only Y b JAN 1 4 202�com,.�n salth of !//aiiceehtUert1 Permit No /�' CSI J � F `t avar nerd of Sire Jervicei s I);7rLDbAANIE�LOccupancy and Fee Checked �F FIFjtIDREVENTION REGULATIONS (Rev, trod (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electricale(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: y 2-.02-7_ City or Town of:y4Rine&T IR 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) 7 0 OUT or 73O u N D.s Owner or Tenant CLEV y Telephone No. Owner's Address `�` L E Is this permit in conjunction with a building permit? Yes 0 No Itgi (Check Appropriate Box) Purpose of Building CPAA)?E SERV/C,/ Utility Authorization No. Existing Service 1OD Amps 12-0 /1-Y0 Volts Overhead lndgrd 0 No.of Meters / New Service 20D Amps 12.0 /246 Volts Overhead[ / Undgrd 0 No.of Meters / Number of Feeders and Ampacity 3 w 00 4 Location and Nature of Proposed Electrical Work: C 411'tX-E ,SERU,C.g— 7D 2004- AO Add i 7o/0 - 4011-D Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers KVA A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ lnem- ❑ No.of Emergency Lighting grnd. s • 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 on No.of Alerting Devices No.of Waste Disposers Heat Pump__4_40l2er_ __Tons_ KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Syystems:* NNo.of Water "No.of No.of Data W`nngDevices or Equivalent Heaters KW Sinn 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: 2700(When required by municipal policy.) V Work to Start: /4- Y 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 [BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury, that'he information on this application is true and complete. FIRM NAME: ' r AO SIV 'ie LC,I/4- LIC.NO.: 307Off`L Licensee: — :m ' TN. C_• . . Signature LIC.NO.: (If applicable,enter"exempt"in the l'cense number line. Bus.Tel.No.: Address: p [/aS iA A . 'N _'rirmiL 4 - Alt.Tel.No.:W E'-.:; o7/_7 +6\/ 3 *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 PERMIT FEE: $ Signature Telephone No.