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Home My WebLink AboutBLDE-21-005769 a Commonwealth of Official Use Only IL Massachusetts Permit No. BLDE-21-005769 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:4/6/2021 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) 164 DRIFTWOOD LN { yrL.k ,,, Owner or Tenant Telephone No. Owner's Address FitlegRiliON160-13ar-13E4011181-461941/2656 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: Wiring of pool equipment&bonding. 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/Alertinc 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 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: JOHN H BREWER Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST, W BARNSTABLE MA 026681324 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: $135.00 (NvilA,0 0C-P ;_ ro coN " 1;4144 f et}t/Dez75 y/zecizi 6E, ® (7 4 c 9A-110.- -ki &IC-g qd_vac ( ' , ,,e.A. 'i i r a h t iosp ') i Oficial Use Only . _ .___ Commonwealth of Ma fuse S �r �I Permit No. 1 7 / Co 9 . r' ; Department of Fire Serwces Occupancyand Fee :1/4_.; ,,-,` BOARD OF FIRE PREVENTION REGULATIONS titelt. t/o (leave Muir) APPLBOATION FOR PERMIT TO PERFORM ELECTRICAL WORK • All work to bepefonned in aa:cordancewith the Massachusetts Electrical Code 527 12.00 (PLEASE PRINT INIMC OR TPPE ORMATIO1l� fie: 1 d l City Or Town of: k A6�a,(,7 H To the Imspe r f Wires: By this application the undersigned yes notice of his or her intention to perform the electrical work described below. Location(Street&Number : /( 'rj�,l �A�/� Owner or Tenant /4 (/G /5 / C 1-571 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No 9 (Check Appropriate Box) Purpose of Building SrtiQ 1l'C..... Utility Authorisation No. Existing Service Amps / Volts Overhead r00 Undgrd 0 No.of Meters New Service Amps / VD olts Overhead Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electo-V44:,- >1>,/z qu f1 _1'7. Completion of the foliatrbxgtable may be waved by the Ingvector((Frau. ' erm No.of Recessed Lumina-es No.of Ceil-Snip.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot fills Generators KVA Abair" No.of1mergencyLip No.of Ltunlnsires Swimming Pool grad. II grnd. II Battery Units No.of Receptacle Outlets IltIo.of Oil Burners tr r- ALARMS INo.of Zones I , of Detection anti No.of Switches No.of Gas Burners Devices 'row No.of Ranges )No.of Air Cond. Tons No.of Alertin . Devices No.of Waste DisposersTotals: q tr . .., g= Devices No.of Dishwashers S•:celArea HeatingKW Local°Connection Et Other No.of dryers _ -, _•_• Apgares �o. rkorleet No.of Water KW 'o.o 10.o Data Wiring: Heaters _am Ballasts No.of Devices ori ,r : ant No.Hydromassage Bathtubs No.of Motors Totelife No.of Devices or Equivalent OTHER: Attach additional detail tflestnad or as required by the mor of Wm Estimated Value of Electrical Rion:: (When required by municipal policy.) Work to Start 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 covegge is in forceand has exhibited prO0f of same to the permit issuing ofd CHECK ONE:INSURANCE Ili BOND D OTHER. II (Spiny"-) qPP� true and complete. I ate,wider the pains and penalties ofp�rj� the bee�i1 ` ,,. FIRM NAME:John Brewer Electric )�c .. �► oma. WW7 LIC.NO.E21949 Signs-0 / _ LIC.NO.:A14092 Licensee: � f �' C?' - -- Bus.TeL No.: ((Applicable enter exemp "in rhe license n um line) RP-0'4g.lr�0.r -- .3'‘12/1-.1.45' AY4 t f� Alt.Tel.No.508.367-0167 Address: 73 c. 147,s.Ar 57-61, Department of Public Safety"S"License: Lir.No. '`Per M.G.L. c.147, security work requires OWNER'S ' NIC CE WAIVER:I am aware that the Licensee does nos have the insurance coverage nominally � by : �.By.I% -.,'"1,► below,I hereby waive this requirement.I am the(check Brier D owner's agent. Owner/Signature r ,- Telephone N �-70 j �7 FER11 '�PM:$ d14 W'c1 Ct,4q, r # CSr