The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001982 ;: Commonwealth of Official Use Only Massachuse : Permit No. BLDE-22-001982 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:10/6/2021 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) 1111 HEATHERWOOD Owner or Tenant BOOTHE WILLIS A TRS Telephone No. Owner's Address BOOTHE BETTY J TRS, 1111 HEATHERWOOD,YARMOUTH PORT, MA 02675 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 ❑ 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: Replacement air handler. 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- ElNo.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. 1 Total No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting 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 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: CHRISTOPHER R SWIFT Licensee: Christopher R Swift Signature LIC.NO.: 37071 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 PINE TER, E SANDWICH MA 025371432 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: $50.00 tv/iL , SD A Sezoo4" + /2'r iJA.l2r Sew F Cr ac✓r ''°rcJSt� �'� /e)kV C21 1C� ! �A 1-79 ,(7 "1/I ! r<o 1! •V_'yr+z'S 1.rr 4 rYy �, Official Use Only q ` ,7.1/41/474 :.� o^,�nruoarvas i cc�� l�N6itfd Permit No. E'�-—` 1 �i .spa►tmont o f..tiN. siwicea Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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: /0/1 /a t City or Town of: VA R 010 u T N 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) /00 tigAniFa tAJdon 0Q t}/F ON/7 's //// Owner or Tenant 2E T 7 y aoD 7"7.if Telephone No. i Owner's Address /DO lEA rMEg o d f)k/v F LW t T 't t i/ l IS this permit in conjunction with a building permit? Yes ❑ No [? (Check Appropriate Box) Purpose of Building DI.JE Lc.)N G Utility Authorization No. Existing Service /00 Amps /ao I y o Volts Overhead❑ Undgrd[3" No.of Meters c°' o cQ047P a gr New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ay / Location and Nature of Proposed Electrical Work: .ti/R p RENAL-Err/EA/7 A/R Wilw/ntg j Completion r f thef rllowitKtoble may be waived by the Inspector of Wires. 1-0 No.of Recessed Luminaires No.of Ceo.-Snip.(Paddle)Fans Transformers 'TVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of emergency Lighting No.of LuminairesSwimming Pool trod. ❑ grid. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices Total Ili No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Ere!s___.. '..___.... N.�o �-C ontained No.of Waste Disposers Totals: No.of Dishwashers Space/Area Heating KW Local 0 ConnectionelFw 0 Other H Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water Ityy No.of ers sites ofData Wiring: No.of Devices or Equivalent iationa W : No.Hyde Bathtubs No.of Motors Total HP TekcommunNo.of Deviices or Event OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: d a 4 5 (When required by municipal policy.) Work to Start: Jot 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 covrage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Pi BOND 0 OTHER ❑ (Specify:) co I certify,under the pains and penalties of perjury,that the informationon this application istrue andLIC.NO.: 370 1 E.FIRM NAME: cm121sSoPHE2 Sw/PT Licensee: CNR ism ?to R St..) t FT Signature - LIC.NO.:(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: See 3 So S 7111 Address: 8' PIIu E TERRkcE E. St4nNDwl cti erne 0a 5 3-) Alt.Tel.No.: *Per M.G.L.c. 147,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)❑owner 0 owner's agent. Owner/Agent Telephone No. I PERMIT FEE:$ Signature Of