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Home My WebLink AboutBLDE-21-002432 Commonwealth of Official Use Only �:0Massachusetts Permit No. BLDE-21-002432 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:11/2/2020 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) 86 WILLOW ST UNIT 1 Owner or Tenant MARCHILDON JOHN L TRS Telephone No. Owner's Address MARCHILDON DOROTHY E, 100 WHARF LN,YARMOUTH PORT, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check A p Utility Authorization No. Airr Existing Service Amps Volts Overhead 0 Undgrd 0 'grR,, o • 'qtr New Service Amps Volts Overhead CI Undgrd ❑ o if • e AWN if Number of Feeders and Ampacity n Location and Nature of Proposed Electrical Work: Remove cable, access controls&security devices. J/ i. • �, Completion of the following table may be waived i $11,,'h , of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers .A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 13No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 AlertingDevices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWMunici al Local ❑ Connection❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devics or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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, J erry, u that the information on this application is true and complete. FIRM NAME: Joseph D Brown Licensee: Joseph D Brown Signature LIC.NO.: 7057 (If applicable,enter"exempt"in the license number line.) Address:7 WOOD ST, FAIRHAVEN MA 027193313 Bus.Tel.No.: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety 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 R Commonwealth �j/� / h /MadJachudetfa Official Use Only Z;411=I�1= t Permit No. ( 2( - j 1----/_—_ epartment a/3ire Servieee e' BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked � [Rev. 1/07] (leave blank) ® APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Cl All work to be performed in accordance with the Massachusetts Electrical Code MEC,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE LL INFORMATION) Date: O� City or Town of: m�uJ, di .20,..v.) �',�` s-�43 By this applicationCthe undersigned 14 4 To the Inspector of Wires: g' es notice of his or her intention to perform the electrical work described below. Location(Street&Number) &I / i/1 ) ST Owner or Tenant ,4- Chr iMee-44- 43621--- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead I I Undgrd Number of Feeders and Ampacity g I I No.of Meters Location and Nature of Proposed Electrical Work: '4.% % Com.letion of the follow in_ table ma be waived b the Ins.ector o Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers Total No.of Luminaire Outlets KVA No.of Hot Tubs Generators KVA No.of Luminaires Above ❑ In- `o.o mergency ig ting Swimming Pool 'rnd. _.rnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners I FIRE ALARMS No.of Zones I No.of Switches No.of Gas Burners No.of Detection and No. of Ranges Initiatin.Devices No. of Air Cond. Total Tons INo.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No. of Waste Disposers Totals: Detection/Alertin. Devices No.of Dishwashers Space/Area Heating KW Local❑ aConnectMunicipioln No. of DryersEll Other Heating Appliances Kms, Security Systems:* No. of Water No. of No.of Devices or E•uivalent ., Heaters KW No.of Data Wiring: Sins Ballasts No.of Devices or El uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E•uivalent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value o Electrical Work: ��/� (When required by municipal policy.) Sl 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 I certify,under the pains and penalties of perjury, � yer ur that the information on this application is true and complete. FIRM NAME: ' Johnson Controls Securit Solutions LLC LIc.No.:7057 C Licensee: Joseph D Brown (If applicable, me x pt"in t e license tuber d(inne.) Signature T LIC.NO.: 7057 C Address: -I4uu Providence H Norwood MA 02062 Bus.Tel.No.:413-750-0239 *Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.Lie.No. 413-750-0202 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normal'y required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's a!ent. Owner/Agent Signature Telephone No. PERMIT FEE: $