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Home My WebLink AboutBLDE-22-000442 Commonwealth of Official Use Only � -000442 . Massachusetts Permit No. BLDE-22 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:7/23/2021 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) 125 NORTH MAIN ST Owner or Tenant Ed Bertorelli 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 ZtMeteyNumber of Feeders and Ampacity r ty Location and Nature of Proposed Electrical Work: Replace damaged overhead service. #) o2 Completion of the following at.• w ' e ' •• nspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of o ` otal Transformers No.of Luminaire Outlets No.of Hot Tubs Generators O No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lights grnd. grnd. ,Battery Units O No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zone No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent 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: James M Egan Licensee: James M Egan Signature LIC.NO.: 20668 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:81 GROVE ST, HOPKINTON MA 017481827 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: $50.00 131 929 ( iktiCILR -- A, 7 r23 zi a' ( 1 ue- Togo Moque ALD/2744 RECEIVED JUL 2 2 2021 j Maedacuda(fe �� , DING pt.NAF2TM— nmaa o Official Use Only z._ � [ '� ti - c7 n Permit No. az _0`i S„ -.,*.,- . F I slpart:en'o/.Jiro Serviced .1'1 �`j BOARD OF FIRE PREVENTION REGULATIONS [Revc.1/07]y and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ---.-.1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC)/527 CMR 2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �. — City or Town of: YARMOUTH To the Inspectoi of Wires: By this application the undersigned gives notice of is or her intention top rm the electrical work de gibed below. Location(Street&N mber) 13-c , N O 2k�1 .� , 0.0 ) y\ 5 t Owner or Tenant L �5, T') {,e,'l t LI;t 1 CZt hr vt.d.e. Telephone No. O v�, ' Owner's Address yV.J` Is this permit in conjunction with a buiHng it? Yes ❑ No (Check Appropriate Box) GCy1^l`db ) 1 Purpose of Building .,G)Q,tr, 1(; Utility Authorization� No. C? ►rCAO v ---------- ExistingServic� Ampss � ��'/ C Z�1Volts Overhea Undgrd❑ No.of Meters New Service r Amps/IA°/ I1.4-Volts ,Overhea ' Undgrd g ❑ No.of Meters Number of Feeders and Ampacity `) 'e Q.A. r Location and Na ure of Proposed Electrical Work: �/'(,(� CorD.J.,.,' 4- 1 11 v1 1 Completion of the followingtable may be waived by the Inspector of Wires. tlr No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total of Transformers KVA 'Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires Swimming Pool Above ❑ In- 'No.of Emergency Lighting grnd. grnd. ❑ Battery Units "4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones 1/4--- No.of Switches No.of Gas Burners "No.of Detection and Initiating Devices :r No.of Ranges No.of Air Cond. -Total Tons No,of Alerting Devices No.of Waste Disposers Heat Pump . Tons W 'No.of Seftontained Totals:I..........4 �' "`KDetection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal er No.of Dryers Heating Appliances KW Security Systems:* �� No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Data 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: 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 li:.'lily insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such c average is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURAN ra BOND 0 OTHER 0 (Specify:) I certify,under the pains an,pens'.'s ofpeOry,Oat the information n this application is true and complete FIRM NAME: 0�1,, C( -c.�`j -'C Z (J,j LIC.NO.: �6'(-‘ A Licensee: -1 v�-e.0 ' I.—, Signature ✓Anv LIC.NO.: (mac 1(o. `�( (If applicable,enter"exempt"in the lic e number lipf.) u Address: C.1') (_ •-r0.)1( �-� p�� Bus.Tel.No.: lV� '� f" vns Alt.Tel.No.: t$'b Sci .0 (C. (.! *Per M.G.L.c. 147,s.57-61,security work requires Department f 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)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$