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Home My WebLink AboutBLDE-21-002810 .tit s4) Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-002810 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:11/17/2020 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) 136 WIMBLEDON DR Owner or Tenant Richard Hill Telephone No. 6101 Owner's Address WEST YARMOUTH, MA 02673 �(�C Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A�ste '4t (. eaS j}v'— Purpose of Building Utility Authorization NIS cr. Existing Service Amps Volts Overhead 0 Undgrd ❑ 61 - sl s4Zs.). ‘ New Service 200 Amps Volts Overhead 0 Undgrd 0 N � er Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence with detached garage. Ilr 43 len Completion of the following table may be waived�1l't '`• �t'�df ' es. No.of Recessed Luminaires 38 No.of Ceil:Susp.(Paddle)Fans 4 No.of t.i:to Transformers • No.of Luminaire Outlets 24 No.of Hot Tubs Generators 1 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 55 No.of Oil Burners FIRE ALARMS No.of Zones - No.of Switches 42 No.of Gas Burners 2 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 3 Total 5.5 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 10 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers 1 .Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: 5 Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 6 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: GARY W BAKER Licensee: Gary W Baker Signature LIC.NO.: 30456 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 BEECHWOOD RD, BELLINGHAM MA 020191125 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: $180.00 IVC. rel- I Yom . J f a . 7//21 W l-o I% I- 2"1) 7/7-6/2, M/R 7/7/24 (-G' c W 61344) Cemett 4444^E41 Aptawar 7/2791 4f- `' t roil 04-6,4,E 4e/wiz, 1 Commonwtallta o f rliaotuickumitts Official Use Only ';;� 7tc7 C� Permit No. j` . 2 tCD department o f Jire Serviced i - ,-• Occupancy and Fee Checked u -' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: c)„ /rl I (� City or Town of: yapl� v- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number)"" /3 fo W lryj�/((4 a✓) : ) r'(/_- Owner or Tenant R-1(`Kai--el. t.41 li Telephone No.stg-a(pg-ggO7 Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building W o. C.n f Utility Authorization No. �,1 y8 g„2...01-1 Existing Service Amps '" / Volts Overhead❑ Undgrd 0 No.of Meters New Service x.40 Amps / L`i i2.tfO Volts Overhead f Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity 2 4 6 () 2p n a^' '.Z,',: Location and Nature of Proposed Electrical Work: /J 24. 3 1_}n/3,,t_ i,, i (-I, ,Dor p c{ &$.21, . v l Completion of the fallowingtable be waived by the Invector of Wires. Total J. No.of Recessed Luminaires 3 g No.of Cell.-S (Paddle)Fans y Transformersr.of KVA u�• KVA No.of Luminaire Outlets q No.of Hot Tubs Generators Y2,s KVA 1g 4. No.of Luminaires SwimmingPooi Above ❑ In- ❑ Ivo.of Emergency Lighting /off- Jrn& i-nd. Battery_Units No.of Receptacle Outlets '53 No.of Oil Burners FIRE ALARMS No.of Zones ;. 'No.of Detection and -"' No.of Switches y No.of Gas Burners Initiating Devices 6 No.of Ranges No.of Air Cond. 3 Tot kwr No.of Alerting Devices No.of Waste Disposers Heat Pump Number.,Tons----- °No.of Self-Contained Totals: Detection/Alerting Devices / No.of Dishwashers / Space/Area Heating KW Local 0 Con emiction 0 °ther No.of Dryers / Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /16,0 (When required by municipal policy.) Work to Start: co 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: (mj Gtr v 'p/,- Signature J 1 , - LIC.NO.:E.30 � (If applicable,ent Exempt"in the license number line. Bus.TeL No.•The--ej'(o,C% 13 Q( Address: / ,Q e Ci')t,Uoc� r-( j1 t htt m , t 1 A bub/q Alt.TeL No.: g-9(r b`it goS- *Per M.G.L.c. 147,s.57-61,security work requires Drtinent 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 0 owner's agent. Owner/Agent Signature Telephone No. l PERMIT FEEI $