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Home My WebLink AboutBLDE-22-004744 Commonwealth of Official Use Only 'E or ,t, Massachusetts Permit No. BLDE-22-004744 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:2/25/2022 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 FRANKLIN ST Owner or Tenant BEATON TIMOTHY P Telephone No. Owner's Address 90 ASPEN HILLS WAY SW, CALGARY,AB T3H 0G7 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: Rewire kitchen&dining room. 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 Initiatine 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/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: Joseph Rego Licensee: Joseph Rego Signature LIC.NO.: 14348 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 OLD MEADOW RD, BREWSTER MA 026312630 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 glydri 3 114[7-2, r e,,,,,,, ,,ye,772,,,, _ ,,4., +fir,L, • a • nunona sa&of/r(aidseluteefti . ,.. • Official Use Only Services ir' 2eP ent el &rYice Permit No. _ '"�-��1--� .. BOARD OF FIRE PREVENTION REGULATIONSOccupancy •�Fee Checked APPLICATION FOR�PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code WORK(PL4SEPRINT WINK OR TYPE ( ,527 12.00 ALL INFORMATION Dater-aoZ City or Town of: YARMOUTH To the Inspector of Fres: . By this application the undersigned gives notice of his or her intention to ,Locatjion(Street&Number) perform the electrical work described below. Owner or Tenant. Owner's Address Telephone No. G op Is this permit in conjunctiolth a building • Purpose of BuiIdmg p�� Yes ® No 0 (Check Appropriate Box) Purpose Service Utility Anthorizadon No. ExistAmps / Volts Overhead Q Undgrd❑ No.of Meters ...a>•• New Service Amps / Volts Overhead E3 Un 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �` No. --Recessed Co .110 the a • table - be waived: the I , •r o No.offirer Ceil.-Stills.(Paddle)Fans Transformerso No.of Luminaire Outlets ICVA No.of Hot Tubs Generators KVA No.of Luminaires Sig Pooi A,ova ❑ 'o.o `mergency ar. No.of Receptacle Outsets d' arid. B .. Unita g No.of Oil Burners FIRE ALARMS No.of Zones No:of Switches Na.of Gas Burners o.o i . ,,, No.of Ranges futile,,,: Devices Na of Air Cond. Tuns No.of Alerting Devices No.of Waste Disposers _. • ,nip `. : i ons 0.0 v7.1 on rt tit^ No.of Dishwashers Totals: �� Detection/ Devices Space/Area Heating KW Lomas ri T unielp No.of Dryers C.inaction ❑ 'le' Heating Appliances , _ .rity ,. eat v.o •a r No.of t Heaters KW 'o.o `o.o or Si: ,s Ballasts ata of Dg; No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or uivalent OTHER; N0.ofm� ons +� gg:: Devices or <. ,ivasent if Attach additional detail Ordered or as required by the Inspector of Wires. Estimated Value of Electrical work Work to stark (Wher by municipal policy.) INSURANCE COVERAGE: Unless Inspections to be requested in accordance with MEC Rule I0,and upon completion. the licensee provides nless waived by the owner,ao permit for the performance of electrical work may " the licensee i ed certifiesproof of liability insurance including"completed operation"coverage or its substantial issueentunless The e gn that such coverage is in force,and has exhibited proof of same to the permit issuing office. The CHECK ONE: INSURANCE IN3 BOND 0 OTHER,1 irtitM I.cerr& under the pains and penalties of p th in(Specon on this application NJ NAME: _ is trice and complete. v Licensee: r LIC.NO.: 2 z9. o a reppttcabiementer"ere npr in the 1Signature i..�r, LIC.NO. �- Address: i-O aj license number line.) J "`Per M.G.L.c. 147,s.57-61a '2l Bus.Tel.No. t:5 OWNER'S INSURANCE RANCE WAIVER:,sewitywork'equi�Dep�e't of Public Saf S ``O�T�•No.. ed by law. goature below I h �' "License: Lin.No. I ant aware that the Licensee does not have the liability c Owner/Agent By signature waive this 'insurance coverage normally Signature r•°� t. I am the(check one owner i owner's ant Telephone No. PERMIT FEE;$ 75--