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Home My WebLink AboutBLDE-22-003347 =` �� Commonwealth of Official Use Only f1..or Massachusetts Permit No. BLDE-22-003347 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:12/13/2021 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) 268 ROUTE 6A Owner or Tenant BOUCHARD KENNETH R Telephone No. Owner's Address 268 ROUTE 6A,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: Install electric heat in two second floor bathrooms. 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 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 2 KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sims 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: Brandon J Cook Licensee: Brandon J Cook Signature LIC.NO.: 21761 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ANGELOS WAY, MASHPEE MA 026493063 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 fic- 1-21( ct,--1 6(4-24-y RoAti fiktsz-- etml cm,0-6_/Ino AcefAuLe.,fie.) ( 240 .t7 ) p,,,,,,4_, ALtiv).,(c5r- — RECEIVED :� DEC 13 2021Ca sa[th o�//Jaddac�udajtd Official Use Only E22 — 33 4 7 ....__ Permit No. � •,...y, o p2:7't DING DEPARTM" c7 n �_, JaF. /of.tm..n.i o�,}us Jirvicsd `�' Occupancy and Fee Checked ` -' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C 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: a. ►3/24 City or Town of: YARMOUTH To the Inspector of Wires: 5- By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 2.1,q A - ')- , Owner or Tenant x,..�.�rj c,r,� Telephone No.S`L`e--'74.- `65c1C �. Owner's Address 7 Oif_•744/7211 Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building �ky� rh\ Ov,a1\\ , Utility Authorization No. Existing Service Amps VoltsJ Overhead ❑ Undgrd❑ No.of Meters r New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity A f Location anddNature of Proposed Electrical Work: kr,•. ('i e .. A t Sex( ) �c`v,j << 'Opr 0\S VI Completion of thefollowingtable may be waived by the In ector of Wires.v „ No.of Total Cly: No.of Recessed Luminaires No.of Ceti:Susp.(Paddle)Fans Transformers KVA 41 No.of Luminaire Outlets No.of Hot Tubs Generators KVA C' ,.l No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting irnd. grnd. Battery Units _ O. 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 1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: �� Detection/AlertinglDevices No.of Dishwashers Space/Area Heating KW '3,0 Local 0 Connection 0 other No.of Dryers Heating Appliances KW SecuriNo s:* of Devices or Equivalent No.of Water No.of No.of Heaters KW 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: //LC() (When required by municipal policy.) Work to Start: /21/3 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 Do BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pjerjury,that the information on this application is true and complete. FIRM NAME: ce,c ,„, Ste^ �.J -EiG-j LIC.NO.:ZI 7614 Licensee: 17 ;.t\d (it)it Signature %'Z” ..-- LIC.NO.:I4'{`12-13 (If applicable,,ente exem t"in the license numb line.) Bus.Tel.No.•-774-N87' $055 Address: b a4DS 1#\j/Ay & 7, ' ��y�l Alt.TeL No.: *Per M.G.L.c. 147,s p7-61,security/work require Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$