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Home My WebLink AboutBLDE-21-006994 Commonwealth of Official Use Only Permit No. BLDE-21-006994 Massachusetts 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:6/3/2021 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 efectncal work described below. Location(Street&Number) 277 ROUTE 6A Owner or Tenant Phil Baxter Telephone No. _ Owner's Address 277 MAIN ST,YARMOUTH PORT, MA 02675-1817 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: Upgrade fire alarm system. 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. 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 Siens 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: Jeffrey L Nemec Licensee: Jeffrey L Nemec Signature LIC.NO.: 1444 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2447 MAIN ST,W BARNSTABLE MA 026681116 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: $115.00 C 01--1 --c( r aA : ,, c Conunonureaith o`Massachusetts Official UseOnly ei • �/ c c� c� . ---2-11 �/2Ili q 1� _ , .[J Permit No. E f . ■+.,_ s/varim.nI o�,sirs�irrricse �. 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),527 CMR 12.00 kn (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (0,;1( City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of bis or her intention to perform the electri work described below. DLocation(Street&Number) 77 RT LA d ovz` / Owner or Tenant Ph/`Z R k rer Telephone No. Owner's Address v Is this permit in conjunction with a building permit? Yes [II/ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters � Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Fite up�%/`aiP o, V Completion of thefollowing table macer be waived by_the In for of Wires. W No.of Recessed Luminaires No.of CeIL-Snap.(Paddle)Fans No. KVA t nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA kNo.of Luminaires Swimmin pool Above In- No.of Emergency Lighting g trod. ❑ grad. ❑Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones 'No.of Detection and No.of Switches No.of Gas BurnersInitiating Devices 4. 1 1' No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals:J•".Number _ 'I.'_' -_.. Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municip l p Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Hears KW No.of Data Wiring: - Sims Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP likcommunications Wiringg: No.of Devices or E uivalent OTHER: Estimated Value of lec 'cal Work: ,2 O ,or, (When additionaldetail ` ted or s required by the Inspector of Wires. Work to Start: (o � required Y �policy.) L Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 cav a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEIV BOND 0 OTHER 0 (Specify:) I certify,under the pains' and penalties perjury,that the information on this applkation is true and complete. FIRM NAME: �v•eitice - s f Gcll''/1I Licensee: SJ-e f C _ ��e/�PC Signature LIC.NO.: /yl l{ C i (If applicable,eente" mpt F .the license l j�l %f%/ LIC.NO.: 13 Address: t„('f Mir j �I.�S�4� /�j�ty , Bus.Tel.No.. *Per M.G.L.c. 147,s.57-61,security work requires partment of Public Sae Alt.TeL No.: �- ,7- License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�ortualjy re required by law. By my signature below,I hereby waive thisrequirement. I am the(check one I owner Owner/Agentowner's a:ent. Signature Telephone No, PERMIT FEE:$ /0 U