The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005335 Commonwealth of Official Use Only fie Massachusetts Permit No. BLDE-22-005335 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:3/24/2022 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) 18 CHESTNUT ST Owner or Tenant Tom Hyde Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (C ?., Box) Purpose of Building Utility Authorization N. * / e.3 Existing Service 100 Amps Volts Overhead 0 Undgrd s A,_ . . , eters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 f'' No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 0 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 ti) Initiatine Devices No.of Ranges No.of Air Cond. of l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinu Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* P No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: `y Heaters Siens No.of Devices or Equivalent C. No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: S. No.of Devices or Equivalent V, 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: DAVID R NICOLL Licensee: David R Nicoll Signature LIC.NO.: 37557 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 144 DRIFTWOOD LN, S YARMOUTH MA 026641038 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 RECEIVED '- -- . ownweal A ni �YJc_edacha:ai[+ Official Use Only f * =o AR 2 3 2022 // cc Permit No. �� 1l 'a a••rtinent ni._7`ire J�nruicca - l' ' UINeakk[g; RR PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 C R .00 , 00 (PLEASE PRINT IN INK OR TYP LL INFORMATION) Date: z L , City or Town of: �y,Q(�,O1 -- To the Inspector of Wires: By this application the undersigned gives notice of�h_is oorr her intention to perform the l electrical work described below. Location(Street Number) g c C s -U-E'" SI: Owner or Tenant e b E C1 T Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 21 (Check Appropriate Box) FDA UV' Purpose of Building r L l � Utility Authorization No. i�y 4 �1 Existing Service 00 Amps 1� /c?-IP Volts Overhead Cr Undgrd❑ No.of Meters j_—New Seance Amps lao /r-41 Volts Overhead Undgrd ❑ No.of Meters __L__ Number of Feeders and Ampacity CC Location and Nature of Proposed Electrical Work: J ce_vvC'-� C 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 T •ns •rmers KV• No.of Luminaire Outlets No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- No,of Emergency Lighting rnd. rnd. Batt-ry 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 No.of Ranges Total a.'fa:t 1 •evice No.of Air Cond. To,s No.of Alerting Devices Na.of Waste Disposers Heat Pump Number Tons No.of Self-Contained • •-s. D-tec ion/Alertin. Device No.of Dishwashers Space/Area Heating KW Local 0 Municipal No.of Dryers ❑ Other Heating Appliances KW Security Systems:* No.of Water No.of N..of Devic s or .uiv• • Heate s KW Si' No.of Data Wirth+: Bathtubs Ballas_ o.of •evice • •uiv. - No.Hydromassage No. of Motors Total HP Telecommunications Wiring: OTHER: No •f Devices o E.u'valent 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: 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 cov rage is in force,and has exhibited proof of •me to the permit issuing office. CHECK ONE: INSURANCE DI BOND 0 OTHER ❑ . 1 certify, under the •.ins andpenalties operjury,that the in orma f f n on t`s ap ,®ion i and complete. FIRM NAME: I ,Ni .t JV it.o L.L. Licensee: '� Signat l �� LIC.NO.: 7 S S 7 LIC.NO.: (If applicable, enter"exempt"in the license tuber line.) i �� '��- - Address: F1 i+ �t?f5 t ,' z, Bus.Tel.No.: `�Jt, 3Q`f 4 31 *Per M.G.L. c. 147,s 57-61,security work requires De artme�nt of �+ �, Alt.Tel.No.: St -366 `7 r P Public Safety "S"Licenser 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) 0 owner 0 owner's agent. Owner/Agent 11 i 11 /M/ A Win.G_ .�17onat/A G..�- - wit .. _) Cow- V"41ti < !VI t--1— vi.e 0 Li, IG Telenhone No. 6 , PERMIT FEE: $ i