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Home My WebLink AboutBLDE-23-000231 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000231 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:7/14/2022 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) 6 ARTHUR LN Owner or Tenant DECKEL THEODORE E Telephone No. Owner's Address DECKEL JACQUELINE A,6 ARTHUR LANE,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No CJ .(Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for split A/C&upgrade service. 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 rnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 2 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* Ns(o.of Devises or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: ANDREW G THOMAS Licensee: ANDREW G THOMAS Signature LIC.NO.: 22152 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 ECHO LN, CHATHAM MA 02633 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: $75.00 aa ��jj�� Official Use Only i Commonwealth,o /flamachweit.4 (�b c� Permit No.(,.,� �• e��--� , `, Thepartment o/.ire.eruicee I/4) Occupancy and Fee Checked 1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: .3ll5 E) a d City or Town of: y A((h ov T h 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) (o A f Tllu( I ci n X. Owner or Tenant t e Cl'i t I Telephone No. Owner's Address L A u1fo( kilt_ � X Is this permit in conjunction with a building permit? Yes U No l� (Check Appropriate Box) Purpose of Building (t S, t.n(til I Utility Authorization No. Existing Service Iou Amps i)0 /)Li.6 Volts Overhead Undgrd El No.of Meters 1 New Service 7.00 Amps 1 a 0 / 1.1'1 b Volts Overhead 171 Undgrd El No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: U(b(Qtt t. S t l viC', /.Jo A�i Add Z.nti \uc3Ir5 4L Completion of the following table may he waived by the Inspector of Wires. No.of Total No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA I No.of Luminaire Outlets No.of Hot Tubs Generators KVA I Above In- ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. Battery Units No.of Receptacle Outlets - I - - No.of Oil Burners FIRE ALARMS No.of Zones I� No.of Switches No.of Detection and No.of Gas Burners Initiating Devices No. of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained .. No.of Waste Disposers Totals: i a Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other Ii Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs KW Ballasts No.of Devices or Equivalent Telecommunications Wiring No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires, Estimated Value of Electrical Work: O (When required by municipal policy.) Work to Start: -51i142 7,26,E 1 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. CIIECK ONE: INSURANCE gl BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �� ,� A FIRM NAME: PAo1stJ Ofc"'lc` SaVtCt1 LIC.NO.: a. v �o Signature ''� LIC.NO.: Licensee: Al la Et � t'`�' �—T Bus.Tel.No.: L i^7 —Z7 S h7)3 f applicable,enter "exempt"in the licen e number line.) (,�� Addrrip 1►o Ict n t 1� A_- Address: ! G �y� �` t 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 ❑owner's agent. Owner/Agent Telephone No. I PERMIT FEE: $ Signature