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Home My WebLink AboutBLDE-22-000943 tk Commonwealth of Official Use Only ARA- 1 \ Massachusetts Permit No. BLDE-22-000943 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•8/18/2021 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) 32 MARINERS LN Owner or Tenant BRESNER ARLENE I Telephone No. Owner's Address MCKENNA LINDA S,229 HARTFORD ST,WESTWOOD, MA 02090 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for hot tub. 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: 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: TYLER W PAYNE Licensee: Tyler W Payne Signature LIC.NO.: 22091 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 JANS PATH, HARWICH MA 026452458 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: $85.00 '1714iet4 4 c6iout t (,'0 /30 174epett && ateAt ate A- v'O gi`'121 le, p02.144 L-z1, a Rem cip,,b 42.a-U Wit— eizsi't -- €1 R/. -7/1 1/7)T/ Commonwealth of Massachusetts ""'L'a' "°y v"'' �[ y 1 i Permit No. �2— ° "L� • i b Department of Fire Services ® _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS IRev.9/0.5i �,'� (leave blank) >I t y PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ® iop w i All work to be performed in accordance with the Massachusetts Electrical Code(MEG).527 CMR 12.00 '� ( L.ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Ya(,US�- tg, af.�3-f f c� —imi . zo 1 City or Town of: Jo rr To the Inspector of Wires: B�' �� is application the undersigned gives notice of his or her intention to perform the electrical work described below. •tion(Street&Number) 3 a Yi Ines. Y L.- Owner or Tenant A r14hQ �� Telephone No.7N a.-I3-1 c�Owner's Address r�c\ r'V-�I- [�r��V.rsk zoo C7Z () Is this permit in conjunction with a building permit? Yes T No n (Check Appropriate Box) Purpose of Building D tAJe-\\1' Utility Authorization No. Existing ServicOOC Ampst26 /7,`�Volts Overhead Undgrd P No.of Meters I New Service Amps _ / Volts Overhead ❑ Undgrd c No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (ce \r\4- Vek Completion of the following table may be waived by the Inspector of Wit es. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers f KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones oria No.of Switches No.of Gas Burners iNo. I Detection anitiatin Devices Total No.of Ranges No.of Air Cond. TonsNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Other Connection — No.of Dr ers Heating Appliances KW Security Systems:* Y No.of Devices or Equivalent No.of Water K`,�, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elect ical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE AGE. Unless waived by the owner,no permit for the performance of electrical work may issue unless the licenace 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 !I BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:PM nit NE �L..E..C� .1C., I c.. .o LIC.NO.:`rj3OZ -S. Licensee: T LE W. NE Signature *I/ #.66- LIC.N04(If applicable,enter "exempt"in the license number lute. Bus.Tel.No.: Address: P.O. Box IDDR SOJ�N tI PI Y' tC.1� 1 O�.'�AD 1 Alt.Tel.No.: .Z 2. *Security System Contractor License required for this work;if applicable,enter the license number here: 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 ❑owner's agent. Owner/Agent Telephone No. I PERMIT FEE: $ Signature