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HomeMy WebLinkAboutBLDE-21-004997 Commonwealth of Official Use Only Permit No. BLDE-21-004997 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:3/4/2021 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) 425 ROUTE 6A Owner or Tenant Steve Flack Telephone No. Owner's Address YARMOUTH PORT, MA 02675-1824 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 5126205 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service ...-00 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for kitchen,dining room, laundry, &service upgrade. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 15 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 25 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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/Alertinc Devices No.of Dishwashers ' 1 Space/Area Heating KW Local ❑ Municipal 0 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: 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: Brandon J Cook Licensee: Brandon J Cook Signature LIC.NO.: 21761 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ANGELOS WAY, MASHPEE MA 026493063 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: $150.00 *. 3 l " (rev Pfr-to)r(NYS- /'L (-z-{ ( cq) c PiZG "t 0„J Crui t REs (A) t (Arco ? Cif 1 eta bay 62) • A Commonwealth of///aesaeLeitts Official Use Only • ' •r Permit No. 6 2A—LA ct GI 7 v 2.partment of .—cemiced 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 performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/3/11 6 City or Town of: Ye.,;^;,c A i 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) -4 Vi- �} 6 A Owner or Tenant YI C V, c:1,-;J0 Telephone No. 67 ----(.7-70t Owner's Address Is this permit in conjunction with a b, ,.,,, permit? Yes El No 0 (Check Appropriate Box) �" Purpose of Building ,;'J`,z, " ".6\m:, J 0v^'i'�s1\f)60 Utfty Authorization No. 51 7 6 2,0C Existing Service /6 0 Amps i 20 rt y C Volts Overhead© Undgrd❑ No.of Meters c New Service ZOO Amps i t'J l 2'1 i' Volts Overhead Q Undgrd ❑ No.of Meters Number of Feeders and Ampadty Location and Nature ofElectrical Work: 1 Al r , •. e.rJeC-ie.... Up ( _ J Completion of thefollowingtable m be waived by the lector of Wires. '^ No.of Total U.), No.of Recessed Luminaires (_, No.of CeiL-Susp.(Paddle)Fans Transformers KVA t No.of Luminaire Outlets /6j No.of Hot Tubs Generators KVA AboveIn- No.or Emergency Lighting -(- No.of Luminaires I 3- Swimming Pool grad. ❑ grad. ❑ Battery Units `J No.of Receptacle Outlets L< No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches j c'_ In No.of Gas Burners iNo. Deteand Initiatinnggon Devices tal W Z.l No.of Ranges 1 No.of Air Cond. To No.of Alerting Devices ns No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ _�.._ __.__..__ .._._ Detection/Ale+Devices No.of Dishwashers + Space/Area Heating KW Local 0 Cyonnection 0 Other No.of Dryers f Heating Appliances ' Secustems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or *uivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications f Devices or ` \ , ' nt OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4� iU, �,_, (When required by municipal policy.) Work to Start: '5/3/L ( 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 certify,under the pains andeTnaldes of perjury,that the information on this application is true and complete. FIRM NAME: Tic or (.,,,c cfjU,} :',L Li._(___. LIC.NO.: Ll 76 i h Licensee: 6, G.c.,-10 r, bre t C Signature � �. LIC.NO.: (If applicable.enter"exempt"in the license number line.) Bus.TeL No.:77-1-%7 etc/ Address: C Ai- •�e i�'; kit-A,/ l ri t)ai,4 to oxo i Alt.Tel.No.: *Per M.G.L.c. 14 ,s.57-61,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 agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$