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Home My WebLink AboutBLDE-22-006488 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006488 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:5/11/2022 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) 5 WEDGEMERE RD Owner or Tenant David Macray Telephone No. Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service Change . 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. Batten'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. T oval No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained •r 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 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 ❑ 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: Licensee: Robert Scala Signature LIC.NO.: 55987 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:24 Wagon Wheel Lane, Brewster MA 02631 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 I L Cb c 6f & " I ( ri/ pjqs asap 4 6 omit tivirtraey— I ds ---. , - SZN COMAIOISWItank 4 middach,..it, Official Use Only I. ti 0/ 0 Permit No. • p, 2spartmitat otgirs-urviced BOARD OF FIRE PREVENTION REGULATIONS ikiiiiiiii, = =, .. . (leave blank) fReOccuPay. 1/47 and Fee Checked 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: S/C\I ...). City or Town of: to es,c qact-vavih To the Inspector of Wires: rc By this application the undersigned gives n .,e of his or her intention to perform the electrical work described below. 3 Location(Street&Number) 5 weeor tnecte. Roo . 6 Owner or Tenant Day ie) r\CIZI Telephone No. 13- 1c - '%S 0 Owner's Address VI ‘AtoADoc.I4 ().Qts& t\rNANokr% NIA (20'301:61 : Is this permit in conjunction with a building permit? Yes 0 No 11 (Check Appropriate Box) 6 Purpose of Building ViaCqi'icr‘ Vip("re/ Utility Authorization No. Existing Service I i)c) Amps t19/ .1.19 Volts Overhead En Undgrd 0 No.of Meters ..a. kA New Service IOC) Amps Qs,I %iivoits Overhead IMI Undgrd 0 No.of Meters cc Number of Feeders and Ampacity 4. Location and Nature of Proposed Electrical Work: 6 6k/iceGheArkt QUAUt a t' c 13 ciSrefflet* -0 1 .. (3.e., c teas 904\e‘ ‘ocomoc> Completion of the followingtable m4 be waived by the&vector of Wires. No.of -- Total lb_ No.of Recessed Luminaires fD.. No.of Celt-Snap.(Paddle)Fans Transformers ICVA C No.of Luminaire Outlets `3Q4 No.of Hot Tubs .-.. Generators KVA a At. No.of Luminaires swimming Pool Ahnv--e 0In- 0 No.or-Emergency iriAnting „- grad. Battery Units _ :,,...1 No,of Receptacle Outlets 6Q, No.of 011 Burners FIRE ALARMS No.of Zones -- 't 11.1o.of Detection and _-- 1-- No.of Switches '3(;) No.of Gas Burners 4.. Initiating Devices 114 Na of Ranges a- No.of Air Cond. A_ Total <-I Tons d% J.-. No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained _- No.of Waste Disposers Totals: Detection/Ale . ,. Devices Mu -i No.of Dishwashers 1.- Space/Area Heating KW — Local 0 COMIeCti(111 0 Other No.of Dryers ... Heating Appliances — KW Security Systems:* No.of Mlim, or Equivalent No.of Water A it„, No.of No.of Data Wiring: Heaters -I- '" Signs Ballasts No.of Devices or Equivalent 'Telecommunications Wirt No.Hydromassage Bathtubs --" No.of Motors — Total HP No.of Devices or EQUIV. nt OTHER: Attach additional detail i f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 IQ C30 (When required by municipal policy.) Work to Start: Si 1Q/ (3.. 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 0 BOND 0 OTHER 0 (Specify:) I eerie,under the pains and penalties ofperjury,that the btformation on this application is true and complete. tAtI6ecA, FIRM NAME: cf\sclUct• V e.CtNCIC> 'Ct,, UNSuccAtNee Mc%?OM/ LIC.NO.: Licensee: joucneurNon EkeCikito:xcN Signature -POW-ViCel.A. LIC.NO.:-%5 MI i3 S CO4\Ok c."--- -exe9np "in (if applicable,otter the tlicense number lbw) BUS.Tel No.: Address: 'Ali W'Nfcel W\€ \ t.. kAcet,IS.ker A p, oak--3 1 Alt.Tel.No.: *Per M.G.L.c. 147,s.57161,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 aftent. Owner/Agent Signature Telephone No. PERMIT FEE:$