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Home My WebLink AboutBLDE-22-005302 or _ /443\ Commonwealth of Official Use Only 'tipMassachusetts Permit No. BLDE-22-005302 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:3/23/2022 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) 19 ELDRIDGE RD Owner or Tenant Kevin Cooper Telephone No. Owner's Address 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 fire&security system. 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 0 In- ElNo.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 15 No.of Switches No.of Gas Burners No.of Detection and 15 Initiatine Devices No.of Ranges No.of Air Cond. Tootal No.of Alerting Devices 9 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertina Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* 15 No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: BRIAN REZENDES Licensee: BRIAN REZENDES Signature LIC.NO.: 22213 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 GOELETTE DR, PLYMOUTH MA 023601228 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. I PERMIT FEE: $115.00 r_.....,-0\173_c__ ;/31 r-:;, F C E 1,---\ .1. 022\-- D�/ �j� !•1 AR �amrnonwealih al/!/aodac ef}a ` Official Use Only �7 a c] n Permit No. :. '_ MENT rTl 0 � eioartmetr�o�,}ire Serviced B V I 1 ' -- • Occupancy and Fee Checked BY — .'7!.s.„-1,--:-.....-.4' �: BOARD OF FIRE PREVENTION REGULATIONS •ev. 1/07] ' leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 ii 19c3 a City or Town of: 14VVn�t?Vl'1 To the inspector of Wires: By this application the undersigns tees notice of his or her intention to perform the electrical work described below. Location(Street&Number) I OcIN't t gl Owner or Tenant �Q01 yi L Ll( e Cco rel/. 1 Telephone No. jOL}-t,77-yj81' Owner's Address 1 aD I D F'�1�IQiPSc rK �t`{y�Q M 1�I t11alY► �� a3 I I3 Is this permit in conjuncts .kwith a building permit? Yes ❑ No IA (Check Appropriate Box) Purpose of Building Nes(ckirkvkl Si v k Av it j Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd 0 Na.of Meters New Service ...„_____ Amps I Volts Overhead Li Undgrd n No.of Meters Number of Feeders and Ampacity i- " Location and Nature of Proposed Electrical Work: :6-p16I, Low Vo I{cc$Z UJ I SS1 Qy5 oI 5eC-1)A.,t 3 t 4tv 4,011 SCK ^ - - Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans K Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool grnd. " grad. Batter Units • No.of Receptacle Outlets - No.of Oil Burners FIRE ALARMS No.of Zones ('j No.of Switches No.of Gas Burners o.of Detection and Initiating Devices t 5 Total 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal FA Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent I 5 No.of Water KW No.of No.of Data Wiring: Heaters 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: *10 Q..Sf3 - (When required by municipal policy.) Work to Start: 3/R4901 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties ofpetjiny,that the information on this application is trite and complete. FIRM NAME: ALA01 ,14J ,'C-{.rf.J o I.4G- LIC.NO.: 2.21.-,4 Licensee: eel jt1J f'zFr.i i )S Signature 4 LIC.NO.: Od 1.3 (Ifapplicable,enter"exempt"in the license number line.) r' Bus.Tel.No.: (,0`�l �B Address: Alt.Tel.No,: -54N-6�c1 *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 not have the liability insurance coverage normally required by law. By my signatpre below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's a•ent. '_ igna re_ Telephone No. r : . 1 i 6-0080-g-8't 80-g---399- 5- a — /