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Home My WebLink AboutBLDE-21-004852 lU Commonwealth of Official Use Only fi_11% '; Massachusetts Permit No. BLDE-21-004852 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:2/26/2021 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) 2 FRANKLIN ST Owner or Tenant BEATON TIMOTHY P Telephone No. Owner's Address 90 ASPEN HILLS WAY SW, CALGARY,AB T3H 0G7 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: Wire 2nd floor bathroom&living room light. 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 Arad e 0 In- ElNo.of Emergency Lighting g 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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: Joseph Rego Licensee: Joseph Rego Signature LIC.NO.: 14348 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 OLD MEADOW RD, BREWSTER MA 026312630 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. I PERMIT FEE: $75.00 I N 7 A 3I 26:2,u c,b4 3I-2424 &ZML- (€*e t— • Lo • mmorwrsa[th of 'assaeLab Official Use Permit No. 0 -4On ly g5-Z�gparf+ e 4.cir Services BOARD OF FIRE PREVENTION REGULATIONS D panty Fee Checked . - jR.ev. I/07j • (leave blank) APPLICATION FOR.PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1200 (PLEASE PRINT fNINK OR TYPEALL INFORMATIOII) Date: City or Town of: YARIVIOUTH To the I• • By this application the l perform ined gives notice of his or her intention tonspector of work Wires: Location(Street&Number) i the electrical described below. Owner or Tenant Owner's Address e/4- Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Buildig #0 El (Check Appropriate Box) Existing Service Utility AuthotFzatfon No. • Amps / Volts Overhead D. Undgrd 0 No.of Meters New Service Amps _ Volts Overhead 0 Undgrd Number of Feeders and Ampacity ❑ No.of Meters Location and Nature of Proposed Electrical Work: G 5 / n► No.of Recessed Lnminafres Via"of thelouowih{gtable may be waived by the hapector of Wires. No.of Cell-Snsp.(Paddle)Pans Trans No.of Lnmfnaice Outlets � 'hformers KVq No.Hof Hot Tubs Generators KVA • • No.of Luminaires Sig Pool Above ❑ In- No.of Lmergency lagntn g No.of Receptacle Outlets • • � �d ❑ $ Units No.of Oil Burners FIRE ALARMS No.of Zones No;of Switches Na.of Gas Burners 'No.of Detection and No.of Ranges Total DevicesInitiating Na of Air Coed. Tons No.of Alerting Devices : mp 'umber —ons ' ,, `o.o v`� on.. rrn No.of Waste Disposers Totals: Detection/Merlin• Devices No.of Dishwashers Space/Area Heating KW' Local 'u No.of Dryers Connection Otieer Heating Appliances , ecurity stems:* o.o bate Wirin No.of mikes or E ens o. a r Heaters KW Si s Ballasts No.of Devices or uivalent No.Hydromassage Bathtubs No.of Motors Total HP • elecommunu ores thing.- OTHER: No.of Devices or uivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Valve of Electrical Work Work to Start: a.• j�� (When required by municipal policy.) INSURANCE COVERAGE: Inspections to be requested in accordance with MEC Rule I0,and upon RAGE: Unless waived by the owner,no permit for thecompletion. the licensee provides proof of liability insurance includin "completedperformance of es substantialeal work may issue unless undersigned certifies that such coverageg � operation"coverage or its equivalent. The is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (aBOND 0 OTHER 0 (Specify)ceruh',under the pains and penalties o s h n c r complete. FIRM NAME: _ fPQJ�',that the btfortttation on�p anion is true and cotnplet� r R v�. GIC.NO.: y Licensee: L censer her P Signature eat.•in the lice a nshrtber lfrhe) LIC.NO.: Address: ( U A- 3. ,) . 7 f Bus.TeL No: ?i' J *Per M.G.L.c. 147,s.57-61,security work requires DepartmentAlt.Tel.No.: OWNER'S INSURANCE WA of Public Safety"S"License: Lic.No. �r WAIVER: I am aware that the Licensee does not have the liability It required by law. By my signature below,I hereby waive this coverage n� o`Y ItOwner/Agent requirement. I am the(check one owner owner's a eat Signature Telephone No. • PERMIT FEE:$ 75,