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Home My WebLink AboutBLDE-23-000031 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000031 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:7/5/2022 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) 8 SUFFOLK AVE Owner or Tenant Andrea Wood Telephone No. Owner's Address 8 SUFFOLK AVE,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 ❑ 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: Replacement panel&add surge suppressor. 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. Batter,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 Initiatine Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons JKW 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 Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.yf 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 B Jones Licensee: James B Jones Signature LIC.NO.: 12351 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 118 MAPLE ST, HYANNIS MA 026015746 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: $50.00 dia\ 7/7,7,v (Pz g4 Commonwea[th o`fl7addachudetie Official Use Only .: .�,.�� 23— 003 ( )►::==tic,...„ c� n Permit No. - ra..— g 2eparlmsnl of gips Serviced ,,l,I 'w Occupancy and Fee Checked .,• BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical C`ode�MEC),527 CmR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: v City or Town of: YARMOUTH To the Inspector'of Wires: By this application the undersigned gives notice o hif pr her''AenttiioonJto perform the electrical work described below. Location(Street&Number) II Owner or Tenant 4 r-C_) IwCC Telephone No. Owner's Address s-r�/ Q bei Is this permit in conjunction with a building permit? Yes ❑ No, 1 (Check Appri ' .. to Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead D Undgrd 0 No.of Meters Number of Feeders and Ampacity g Location and Nature of Pr posed Electrical Work: C G, C)pc.i FRC' iU 3Q Cwc Lcv- �I 1.cT 5.,t SI, ice.. vl Completion of the following table maw be waived by the Inspector of Wires. nTotal l. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No f Traa onKVA sformers KVA "=1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires Swimmin Pool Above In- of Emergency Lighting g grnd. ❑ grnd. Battery Units ;' No.of Receptacle Outlets No. , Oil Burners FIRE ALARMS No.of Zones ~` No.of Switches No.of G :urners 'No.of Detection and v. Initiating Devices II-r No.of Ranges No.of Mr Co, -. Tons No.of Alerting Devices No.of Waste DisposersHeat P Number , qs...._.,KW No.of Se$fontained orals: Detection/Alerting Devices No.of Dishwashers S ace/Area HeatingKW Municipal P Locat❑ Cyyonnection ❑ — No.of Dryers Heating Appliances KVV Security No. of Devices or Equivalent No.of Water ars Hea KW No.of 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: Sa (When required by municipal policy.) Work to Start: 5.,..L S 2cr4nspections 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 aBOND 0 OTHER 0 (Specify:) I certify,under thea pa s and penalties o per ury,that the Information on this applicationis true and complete. FIRM NAME: Jc„rsteR g CVSQ,. LIC.NO.: j—. Licensee: �`wess i3 ,A,,k Signature /t (If applicable,enter"ex pt"in theficense number line.) Address: 3) i-4-45, '�CS P ` Y" �Z Bus.Tel.No.: �` 3� Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work quires 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 Signature Telephone No. 1 PERMIT FEE:$ l