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Home My WebLink AboutBLDE-21-005725• `� Alie Commonwealth of Official Use Only Permit No. BLDE-21-005725 E Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:4/5/2021 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) 81 TROWBRIDGE PATH Owner or Tenant CONSIDINE KEVIN N Telephone No. Owner's Address CONSIDINE NICHOLE L,81 TROWBRIDGE PATH,WEST YARMOUTH, MA 02673 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: Ponding of existing pool. 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- 13No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS . of Zones No.of Switches No.of Gas Burners No.of Detecti 1 n . • Q �Q Initiating DkAi No.of Ranges No.of Air Cond. TonsTotaNo.of Ale.`I s .. Q 2Z No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Co o Totals: Detection/Alertin No.of Dishwashers Space/Area Heating KW Local 0 Municip O Connection No.of Dryers Heating Appliances KW Security Systems:* v�j. No.of Devices or Equivalent4;CO No.of Water KW 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: 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. PERMIT FEE: $85.00 G12,00JOINX �+47 0 Li(2 f Zd • Cmnwnwsal o'«/aseaeku leas ,. Official Use CO • Permit No. E;2-4 — / as _ , , wst of.7 lee serviced ' '' J` BOARD OF FIRE PR Occupancy and Fee Checked i e- . PREVENTION REGULATIONS ,/,Rev. 1/07] • (leave blank) APPLICATION 1zQR PERMIT TO PERFORM ELECTRICAL WORK M,. - All work to be performed in accordance with the Massachusetts Electrical Code(MEL) 527 CMR 12.00 U (PRE PRINT IN INK OR TYPE ALL 1NFORMATI0119 Date: 11--/-a/ C City or Town of YARMOUTH To the Inspector of Wires: . By this application the padersigned gives notice of his or her intention to perform the electrical work described below. C Location(Street&Number) t. r. eQ _l k, Owner*or Tenant. t�6 n 5•d,'n 0 V Telephone No. d '775 )y7 it Owner's Address 5121..,,,- s Is this permit in conjunctionprith a building permit? Yes ❑ 1$?.E1 (Check Appropriate Box) rpose of Building G S . Utility Authorization No. cl !Existing Service Amps / Volts Overhead Q Un ��+ dgrd El No.of Meters �'�c New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity C Location and Nature of Proposed Electrical Work: 36 n d ex,-,/,),,5 As ,),,r 7' re lateenrii Couple tan of the f table may be waived by ther e Wires. No.of Recessed Luminaires No.of Ceit.�usp.(Paddle)Fans • No.of f Transformers KVA Vs. No.of Luminaire Outlets No.of Hot Tubs Generators i{VA • No.of Luminaires Swimmin Pool 2 e Bo, eery un geacy>�gittaag g ❑ ❑ Battery Unit= .of Receptacle Outlet.; No,of Oil Burners FIRE ALARMS `No.of Zones No.of Switches No.of Gas Burners . . No.°Initiating Devices No.of Ranges No.of Air Cond. Total ons No.of Alerting Devices • No.of Waste Disposers Heat Pump Number Tons KW No.oTSeif-Coataiaed Totals:1 ( ( Detection/Alerting Devices No.of Dishwashers • Space/Area Heating KW' Local Maaftdpal f ❑Cpaneetion ❑ Other No.of DHeating App KW * No.of Water No. f Devices or Equivalent Heaters KW No.of No.of ata . Signs Ballasts _ No.of Devices or ' .ulvalent No.Hydromassage Bathtubs No.of Motors Total HP • Telecommunications Wiring: Na of Devices or Equivalent OTHER. 417 Attach additional detail tf desire(or as required by the Inspector of eatimated Value of EIectrical 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND 0 OTHER 0 (Specify:) I fib,,under the painsand penalties ofperjury,that the information on this application is trete and complete. FIRM NAME: _ / • LIC.NO.: /4/3 dim Licensee: 5,�✓s7is. Signature AP - 1 LIC.NO.: (7fapplfcnb1 en er"exempt"in the l' number li e.) Bus.TeL No. - D Address: 1 - Air Alt.Tel.No.: .4 er N.ILL.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 0� R'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 o Owner/Agent •l Signature Telephone No. , PERMIT FEE:$ �S— ,.,. 4