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Home My WebLink AboutBLDE-22-001637 12-1 Commonwealth of Official Use Only 4„4or p (� Massachusetts Permit No. BLDE-22-001637 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:9/22/2021 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) 2 WHITES PATH Owner or Tenant TWO AND TWELVE WHITES PATH LLC Telephone No. Owner's Address 23 B2 WHITES PATH, SOUTH YARMOUTH, MA 02664 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: Replace exit light, emergency light, &timer. (12-1 WHITES PATH) 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 1 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 1 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. To No.of Alerting Devices 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 0 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 Signs No.of Devices or Eauivalent 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 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: $80.00 *�= Commonwealth e/rr/�jadoac huoeth Official Use Only =F/ � i s c c7 Permit No. t �37 t. 2)opartment o/,}ire&ruices ~ : ;‘" 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 a C),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: �il �,� �I `-� By this application the undersigned yes notice of his her int tion to Too th the e In ector ofoWires: teh pert r electrical work described below. Location(Street&Number) •/4:7--/ IA/Hi�� - A r l� Map Parcel# f//(7 ol/ �LG? _ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building `---S—',- PG-e�. 0 (Check Appropriate Box) (. Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd❑ No.of Meters Location and Nature of Proposed Electrical Work: / --', _ 4 --- — IG- --e-7'./VC y •C/G 1-?c---- '✓/h,C-V \•icc-7 C/G,L' Kff Gvly t ' Completion of the followinvable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Sas .(Paddle) No.of p Fans Transformers KoVAI No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones i No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Dis osers eat Pump Number pTotals: _ __ _ ons--•-— .``___ o:o ..e ontame e 1 Detection/Alerting Devices J No.of Dishwashers Space/Area Heating KW Logi❑ Municipal No.of Dryers .1 Connection 0 � ry Heating Appliances ,y Security Systems:* No.of Water I No.of No. No.of Devices or Equivalent Heaters of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 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 thepains and penalties ofperjury,that the information on this Ate,1:: `1 K� pplication is true and completg FRMN . P,/. P,/ �C61J �X <J1� lril li'- rf , (Dyiij4(ja .Ql LIC.NO.:Aa/9y4 c, Licensee: f` Signature 4,..' �� LIC.NO.:E/fa 9,,,z (If applicable enter"exempt"in the license number line.) :us.Tel.No.: Address: Li_ — _ ,4r4*Per M.G.L.c. 147,s.57-61,security work req res Departmen of Safety"S"License. Lic.No Public s t. t.Tel.N . 6.0' /�� . 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 ■ owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed by the FD having jurisdiction: