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Home My WebLink AboutBLDE-21-006467 Commonwealth of Official Use Only • ,/ Massachusetts Permit No. BLDE-21-006467 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:5/7/2021 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) 16 TRUMAN LN Owner or Tenant Bob Begin 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 ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Grounding of pool, pool equipment, &shed building. 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 Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 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: 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: John H Brewer Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST, W BARNSTABLE MA 026681324 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: $200.00 P q+llc o 1I ?,( C /4410.l` d 1-ids/3A S�\ Official Use Only Commonwealth of iljassachuselfs Permit No. _ Department of Fire Services Penult and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS LKev. i IO t J V-__,...,1: (leave blank) - APPLICATION FOR P Rllll IT TO PERFORM ELECTRIICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 CI 1R 12.00 (PLEASE PANT IN.LNK OR TYPE ALL r11> ,ORMATIO) Date: e .2 Cityor Town p 74 j.�/f rit,rn To the Inspector Wires: By this application the undersigned es notice of his or her intention to perform the electrical work described below. Location (Street d:1<lumber): -✓ (a �,/� .2//1 4� L4" " c_.: Owner or Tenant )8 C') r'1/.7 Telephone No. Owner's Address •is this permit in conjunction with a building permit? Yes J No 0 (Check Appropriate Box Purpose of Building / -- r. c"h-'r�--l_r Utility Authorization No. Existing Service (amps I Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps I Volts Overhead 0 Undgrd 11 No.of Meters Number of Feeders and Ampacity Lotion and Nature of Proposed EIect ,6 5-V 7 o aD-A✓ f/-, -�'/ 1�� - f�,0 / U/ ' /tr.-'l',, Completion-of the following table that=be waived by the Inspector of Wires. i'lo.of Total No.of Recessed Luminaires )No.of CeiL.Susp.(Paddle)Fans Transformers te:VA INo.of Luminaire Outlets No.of Hot it1 Generators VA5; _, Jove ri_ - II No.or Emergency 1igh ing No.of Luminaires Swimming Pool grad. grnd. Battery Units No.of Receptacle Outlets kNo.of Oil Burners FLRE ALARMS }No.of Zones No.of Detection and to.of Switches INa.of Gas:turners 1 Inihaeirg Devices Total No.of Ranges }No.of Air Cond. Tons No.of A lering Devices tHeat Pump NumtterTons 1 -� i1V-- .... ho.arSdr1^amined No. of Waste Disposers Totals: .�.._..__~ Dete-ction/A Ierdn;Devices municipal of DishwashersSpace/Area Heating KVV Local Connection Other No. Dryers _P e 1 geeuritr Systems No.• of yci s enfi=3g Appliances } -,o.°I Devices or equivalent Water `lilt }No.of No.of Data Wiring: No. of Ballasts No.of Devices or Equivalent Heaters Signs felecommunications Wiring: No. l ydromassage Bathtubs }No.of Motors Total No.of Devices or ill quavaient OTzhER: f' .:- I Attach additional detail f desired ores required b:y the Inspector of I,i es. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start_ 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 E BOND ❑ OTHER ,0_ (Specify:) I cert fv,under the pains and penalties of perjuiy,Oat the infornzatiottp..this appticatio is true and cont,plete. FIRM NAME:John.Brewer Electric -.Jill Asf 4,f 1* .l -1U,-O,, ti-:2W SIC.NO.:E21949 Licensee: •i �`�C/ gna Siture ld2. i �„- __.,_ LIC.NNNO.:A14092 • = (If applicable, enter"ereinai' in the license number line.) ::-a-- . Bus.TeL No.: t n _ :? 4 iYl r!: -.-c==-.-r f771—5 :/mil _Q. tf��L,C,- Alt.TeL No.:503-367-0167 Address: 731Ii,,:=./emu,Cc 1 1=� `Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S > • NCE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by Idw.By My si ture below.I hereby waive this requirement.I am the(check one) �`ner 0 owner's anent. O€ ner/Agent Signature \,,2 � A.A. (1l/' Telephone No:�t9Y(3) Gi'/y . BRI T FEE: NIA ' .. .. a .: ,-t et _ ...-., .. .i C., .. hf • fY6$c •i • • R 2 ... ..,e-.«s.. ...,.,............ .«w:,...._.....•:s+nr.......,:•a-+i�vw.r.Tv,.v..�y+w�.i e _ _.,yr, ...•vow., r . .-. _ .r. .., .......,,.. ...�.- mot. _ .. . k r r 1.� J • IbZf� 4': 't' , , ,r: • 1a•