Loading...
HomeMy WebLinkAboutBLDE-22-002850 �. Commonwealth of Official Use Only IE. • Massachusetts Permit No. BLDE-22-002850 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:11/17/2021 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: Remodel 2 second floor bathrooms. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tonal 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 Enuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Enuivalent 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 perjuiy,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: $75.00 \-26),01( <Li (0( [ -I-CN�- pIPrF1VED ', r NOV 15 2021,k, onnso AA`` y�j nwaatth of Miumachudatid Official Use Only i �� P r tr.. >t c� c� Permit No. ..iZZ. 2651) Bu i 44.: t 2spartmanio I - o r— • ,tin�irvicsd 1...2.2.--- ------ :.V"ii BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. 1/07] (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: j 1--/c-2-1 City or Town of: YARMOUTH To the Inspector of Wires: 4_) By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 2.6`75 itile“„n `t. ((A) Owner or Tenant berme-\ � r>Dcly.5UrT / Telephone No. 50'6-741-72:6 1'': Owner's Address Is this permit in conjunction with a building rmit? Yes r© No ❑ (Check Appropriate Box) Purpose of Building '1;,5� arr1MIN Utility Authorization No. Existing Service Amps / v�Volts -)verhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: puylock l or (a) c/ poor -h 5 V, \i j Completion of thefollowinktable nuy be waived by the Ingrector of Wires. ti.t No.of Recessed Luminaires 2 No.of Cell.-Susp.(Paddle)Fans No.of Total 0/ Transformers KVA c-2.1 No.of Luminaire Outlets '3 No.of Hot Tubs Generators KVA 1 No.of Luminaires ?j Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting - �rnd. grnd. Battery Units _ No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 5- No.of Gas Burners No.of Detection and i Initiating Devices No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number, Tons...._..KW......... No.of Self-Contained Totals: Detection/Alerting_Devices No.of Dishwashers Space/Area HeatingKW Municipal P Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of 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: 5;b00 (When required by municipal policy.) Work to Start: j i-/S-7-2-1 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,1 that the Information on this application is true and complete. �{ FIRM NAME: ,/ and El�T6 i GJ �-C__ LIC.NO.: 217 el-7F Licensee: g-- -col- Signature LIC.NO.: ftfYyZ- (lf applicable, me "exeret"in the license ymber line.) ) Bus.Tel.No..-7-74-1-W7- �f Address: �9h Jc+7 \,t/�y /'laSh pS - hA OZZ‘1"1 Alt.Tel No.: *Per M.G.L.c. 147;4.57-61,security work re ices 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. 1 am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$