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Home My WebLink AboutBLDE-22-001104 or ,r4\ Commonwealth of Official Use Only ' L. Massachusetts Permit No. BLDE-22-001104 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:8/26/2021 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) 425 ROUTE 6A Owner or Tenant Steve Flack Telephone No. Owner's Address 425 ROUTE 6A,YARMOUTH PORT, MA 02675-1824 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: Remodel bedroom&wire shed. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators O �40/,.... VA Swimming Pool Above In- ❑ No.of 'L ency Rte;' No.of Luminaires S g grnd. ❑ grnd. Battb, 0 ZZ No.of Receptacle Outlets 8 No.of Oil Burners FIRE . 'ii`� o. A• i No.of Switches 3 No.of Gas Burners No.of Detec Initiative Devic. 0 No.of Ranges No.of Air Cond. Total No.of Alerting Devi O g Ton �/ No.of Waste Disposers Heat Pump , Number Tons KW No.of Self-Contained Totals: I Detection/Alertine Devices , No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 4; 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 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: BRANDON J COOK Licensee: Brandon J Cook Signature LIC.NO.: 21761 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ANGELOS WAY, MASHPEE MA 026493063 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: $75.00 a-erGal 1E eakDu 41 2( /z- (lb Al7'16.s6 46z)6all,st"9 � l • RECEIVED :� AUG 2 6 20210 �j / _ o • ea o`1'//aedachaealte Official Use Only A/1� k', •,", ,DING utHARTMmrj�P ado/c7 s Permit No. � � l l�� }in srvicsd ,.7.,._1 Occupancy1/07) and Fee Checked `'' ' BOARD OF FIRE PREVENTION REGULATIONS (Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/2-t jZ 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) 11ZS Q I Owner or Tenant L.4ei e f o..C,j Telephone No.6755—57-7—"1`jt1 Owner's Address Is this permit in conjunction with a building permit? Yes ® No 0 (Check Appropriate Box) Purpose of Building 7;nal- imi1 j VRu%02-l1i Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 624 room I I 4 _r a i're-e. / 14n. /1q } Completion of the followinktable ntay be waived by the Inqaector of Wires. NA No.of Recessed Luminaires y No.of Cell:Sasp.(Paddle)Fans No.of Total `•'� Transformers KVA CI No.of Luminaire Outlets -L No.of Hot Tubs Generators KVA No.of Luminaires -3 Swimming Pool Above ❑ In- No.of Emergency Lighting . grnd. grnd. ❑ Battery Units ` No.of Receptacle Outlets 46 No.of Oil Burners FIRE ALARMS fNo.of Zones No.of Switches "-3No.of Gas Burners -No.oIDetection and t r Initiating Devices No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number J KW No.of Self-Contained Totals:ITons..........__... 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munieipal Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of 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: L/ 006 Li/ (When required by municipal policy.) Work to Start: IC/Z6 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 0 (Specify:) FIRM NAME:the ai and peva7eofPerJu /, atths e information on this application is true and complete. LIC.NO.: Licensee: igt--r,, t� C (Ifapplicable„ent "exempt"in the number line.) Signature�7��/' LIC.NO.: Address: 46 NIe� JO n�S)�_., M ozBus.TeL No.: *Per M.G.L.c. 147,, .57-61,sec ity work req res Department of Public Safety"5"License: Alt.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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ .