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Home My WebLink AboutBLDE-22-004002 ate, Commonwealth of Official Use Only 4: ►� Massachusetts Permit No. BLDE-22-004002 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:1/19/2022 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) 87 OLD MAIN ST Owner or Tenant ANDERSON JOHN Telephone No. Owner's Address 200 SWANTON ST,WINCHESTER, MA 01890 r Is this permit in conjunction with a building permit? Yes 0 No 0 (C - , �' L Purpose of Building Utility Authorization No , , ' �I C -1 /, � � Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ �'" .: '' rs New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service change with sub panel. 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 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: SAGAMORE ELECTRIC Licensee: Stephen Davis Signature LIC.NO.: 22878 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 117 Old Plymouth Road, Sagamore Beach MA 02562 Alt.Tel.No.: 7743137154 *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 I p � I 12,4 2-7,'ta . (S v13 PPAI-0_,(xi 619121446 gni° el pro 175) � � CP 1•1 pfrAta. 44,4S J12. CI-Acim1--C609 D 50) R r E I ealth o� aachu�ette Official_. Use Only i'_ E Permit No. �7i'L-4007i JAN 19 20222 a meet o/ ire�ervicea F r ; Occupancy and Fee Checked '�,�' , '�I`.BOARD DINGJOR FFIENT• _EVENTION REGULATIONS [Rev. 1/07] (leave blank) A ' "4 - : . 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: 1/17/22 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) 87 Old Main St, Yarmouth Owner or Tenant John Anderson Telephone No. - Owner's Address 87 Old Main St, Yarmouth Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) S. z- Purpose of Building Residence Utility Authorization No. 7607259 Existing Service 100 Amps 120 240 Volts Overhead 1 Undgrd El No.of Meters New Service 200 Amps 120 240 Volts Overhead® Undgrd El No.of Meters Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work: Service Change with sub panel Z Completion of the following table may be waived by the Inspector of Wires. NoTotal t^^ No.of Recessed Luminaires No.ofCeil:Susp.(Paddle)Fans Transformers of KVA "J KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above Di In- ❑ No.of Emergency Lighting grad. grad. 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. Tons 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❑ Municipal ❑ Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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: 1/1 7/22 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 El (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Sagamore Electric Lic.NO.:22878-A Licensee: Stephen Davis Signature LIC.LIC.NO.: 53534-B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: (774)313-7154 Address: 117 Old Plymouth Rd 1 B Sagamore Beach, MA 02562 Alt.Tel.No.: *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 signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.