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Home My WebLink AboutBLDE-21-006237 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006237 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:4/28/2021 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) 69 ROUTE 28 Owner or Tenant MESHWA CORPORATION Telephone No. Owner's Address 69 ROUTE 28,WEST YARMOUTH, MA 02673 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 ❑ 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: Repairs due to water damage. 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 Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens 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: (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: Mark T Walters Licensee: Mark T Walters Signature LIC.NO.: 51081 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 JAMES CIR, MASHPEE MA 026494912 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 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:$80.00 Y / W30/2, -- Commonwea�h o/Illaddachudetid Official Use Only r • " C7'37 '_ , cc�� ec77 �7 Permit No. E =' 21epartm.?d el ire Serviced I r--::,,- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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: 3-2-5- ot-I City or Town of: Ij Sfi prezeilioirrxi To the Inspector of Wires: By this application the undersigngives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 41 NI �`/bf �t iTh 14,..y/g11Jy�(��1'! Owner'or Tenant 0-e(/f)A/6- />i9-f e L Telephone No. Owner's Address C/P-(LI-Q Is this permit in conjunction with a building permit? Yes El No E I (Check Appropriate Box) Purpose of Building Mb- 1,7`P., L Utility Authorization No. Existing Service iUL2 Amps -h ) l r 4vVolts Overhead ❑ Undgrd Er No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 11,6 fe a- 1.449-kr AA,9GCo 7/-111 Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd. grnd. 0 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 AlertingDevices Tons 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 0 Municipal Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* 'No.of Water No.of No. of No.of Devices or Equivalent Heaters . KWData 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: (When required by municipal policy.) Work to Start: 3-?-S_) t 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 0' BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the informationon this application is true and complete. FIRM NAME: Mfink. WA''L h4, /5 ( ,¢121il)9- �J" LIC.NO.: F -4)OR l Licensee: N►A471 IAA lie/75 Signature ` ',h'1,-y/"!/1,r/�; LIC.NO.:J_- r i 0 g I (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: -/ 7 -7) C, Address:P,ORs it 9S7 AiAw4A-ee M4 026 : i i.0 j7, 2_ y Att.Tel.No.:5�� - _ *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. /,.-rl t' ) 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ • TOWN OF FALMOUTH FEES 2008 Page 3 ELECTRICAL FEES RESIDENTIAL: New Construction $ 50.00 each unit Smoke,fire and burglar alarms $25.00 • - Alterations,remodels, additions $ 25.00 Change of service - $25.00 plus$10/meter • COMMERCIAL: New Commercial Building $150.00 plus $25/room Addition,alteration,remodeling • $ 75.00 plus$25/room Service change and services only $ 50.00 plus$10/meter Fire and burglar alarm system $ 75.00 MISCELLANEOUS ELECTRICAL FEES: Swimming Pool $ 35.00 Temporary service $ 35.00 Carnival,concession, fair, etc. $ 50.00 per day Annual maintenance fee* $200.00 Re-inspection Fee $ -50.00 • Repair and maintenance annual permit: All businesses employing a licensed electrician on•their staff, or an electrical contractor shall take out permits for repairs and maintenance work on their premises only ** Municipally owned buildings are exempted from wiring permit fees,but permits must be pulled before work is done. ** When work is started before the issuance of a permit,the cost of the permit will be doubled.