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Home My WebLink AboutBLDE-22-005706 Commonwealth of Official Use Only t'EA Massachusetts Permit No. BLDE-22-005706 It:;§ 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'4/6/2022 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) 29 LIVERPOOL DR 1-71. 2 ' QR if q Owner or Tenant MOOSEKER KRISTINE PERS REP Telephone No. Owner's Address C/O JOHNSON JACQUELINE, P 0 BOX 1492,WEST DENNIS, MA 02670 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: Permit to correct violations from permit E20-3849. 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. Toot Sl No.of Alerting Devices Ti 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 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 Sinus 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DAVID R NICOLL Licensee: David R Nicoll Signature LIC.NO.: 37557 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 144 DRIFTWOOD LN, S YARMOUTH MA 026641038 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 OM- 1'1it (Z- DP &tor Wikal pdvekty Lf/ fw C 46/14c?-63 41/4/4 .. �i �lqq Official Use Only Commonwealth 0/ JVcjjachutslh �rJ �7 ---51069 it _ Permit No.( I L_� �► • :apartment of �irc Services Se '-- '4 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE L INFORMATION) Date: AigZC- / Ya' City or Town of: Al Ntou('14- To the Inspector of Wires: By this application the undersigned ives notice of his or her intention to perform the electrical work described below. Location(Street&Number) L `!L 6 L ti, _ Owner or Tenant TAK it cf d 5-A Telephone No. 77Y-dial-OM Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No lit (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 f' Location and Nature of Proposed Electrical Work: �L "id � r hin`.` Zy`�Zku' qhs K' /6f 611,1A' cr O(941 , ,(C- 7 "(az z C v-92f /461- s- ,0ac-- cilte4Cye-lVdFF Cc I unra l lC-It7 goX Completion of the following table may be waived by the Inspector of Wires. tal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA VA A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑IIn- ❑ No.of Emergency Lighting 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. Tont No.of Alerting Devices No. of Waste Disposers Heat Pump,Nytrlper_ Torts. KW No.of Self-Contained Totals: ,Detection/Alertin .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 No. of No.of Data Wiring: Heaters KW 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 Iicensee 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 Nli BOND 0 OTHER pecify•) I certify, under the mains and penalties of perjury,that the inform ion o this .ti,licau4on is e f nd complete. FIRM NAME: ! ON i lh N tC a 1.L LIC.NO.: �wI�S 7 E Licensee: '' Signa LIC.NO.: (If applicable, enter"exempt"in the license ber line.) Bus.Tel.No.: 508' 3q 1 -.6g31 Address: 14 4 £tt1 FtUJOOj. L -C,Y t Attk 03(.0 Alt.Tel.No.: S-03-3 bp.'73(,3(cf..U. *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) 0 owner 0 owner's agent. Owner/Agent Sianarure div..-co(( 63) C,. Telenhon No. I PERMIT FEE: S ck5-,ne: