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Home My WebLink AboutBLDE-21-003839 �E.� Commonwealth of Official Use Only .�,, Massachusetts Permit No. BLDE-21-003839 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:1/11/2021 City or Town of: YARMOUTH To the Inspector of Wires: . By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. O Location(Street&Number) 37 REGIONAL AVE Owner or Tenant Luke Cyr Telephone444./4 z.z....., Owner's Address 37 REGIONAL AVE, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Chec .oPurpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters p .0 ____ New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace&relocate 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 0 In- ElNo.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 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 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: DANIEL J PECKHAM Licensee: Daniel J Peckham Signature LIC.NO.: 26830 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 AUDREYS LN, MARSTONS MLS MA 026481629 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: $50.00 Lt/t. t L G J / A Crit al Mesdac Official use Only c:1 E �. t f5�� ,.. Permit No. i 83 1f,4. Occupancy and Fee Checked .. ' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance a with the Massachusetts Electrical Code ,527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I i a-(} City or Town of: y.„u,,,-,I4„ To the Inn or o Wires: • By this application the undersigded gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) A—7 1t.4.09LAv„-01 141f..e._ Owner or Tenant L u�� c_y,Z 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 j ep Amps i A0/..9,t 0/olts Overhead& Undgrd❑ No.of Meters 1, New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location andd Nature of Proposed Electrical Work: ic.e.p/,„,_� Its c...r /R.,,/ ,r�T.,. Completion of thefolowingtabk may be waived by the Inspectorof Wires. Pro.of Total No.of Recessed Luminaires No.of Cog.Seep.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Het Tubs Generators KVA No.of Lumiaaires Above ❑ In- ❑ a of units Ligating Pool�rnd. �rnd. _Battery Units No.of Receptacle Out No.of Oil Burners FIRE ALARMS No.of Zones Detection and No.of Switches No.of Gas Burners Na InitiatingDevices No.of Ranges No.of Air Cond. Z oons No.of Alerting Devices No.of Waste Disposers PumpTI Number Tons KW Na Self-Contained Na of Dishwashers Space/Area Heating KWLocal❑ comaseem M 0 other Na of Dryers Heating ' No.oSecurkyf or&avahnt 7N w0 w_`R nilatip �. Heated Kw Mos Ballasts Na of Devices or Na Hydromassage Bathtubs Na of Motors Total HP elecosnmunicadmisNo,of Devices or � OTHER: Attach additional detail if desired or as required by the hvpect r of Wires. Estimated Value of Electrical Work: (When tequired 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, , BOND 0 OTHER 0 (Specify:) I certffp,ander the pains and penalties ofperjary,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: r,..r i ;:s-.. '9> e- taw. Signature Or...iO4-- ._.i�Jr.L..- LIC.NO.:A Al O &. (ifapples,enter"exempt"in the license mmiber lime.) Bus.Tel.No.: Address:5r7 A.i.,,flet.. i_.,.. .vain sez s ry p. ►t(Ls +0144-Arr)xfo 4 k Alt.Tel.No.:3?�r`t-7,b--.1a0--.1a0*Per M.G.L.c. 147,s.5741,a 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 Telephone No. ( PERMIT FEE:$ r