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Home My WebLink AboutBLDE-22-001922 of Commonwealth of Official Use Only ., , Massachusetts Permit No. BLDE-22-001922 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:10/5/2021 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) 484 WILLOW ST Owner or Tenant NSTAR Telephone No. Owner's Address P 0 BOX 270, HARTFORD, CT 06104 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: Install 400 Amp panel and wire new air conditioner. 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. 1 Total 40 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LAURIER A ROCK Licensee: Laurier A Rock Signature LIC.NO.: 11737 ((f applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:982 GERALDINE ST, NEW BEDFORD MA 027401867 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: $160.00 0 E( r 4t)c6[ze 1 hAfrL' q /q(7/9 % C.onunatuveatth al Maddacheudeltei - Official Use Only f y Zc^� ` Permit No. r�Z-Z -1 q z' sparinten of.y`ire Serviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Occupancy 1l07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9.30 / City or Town of: MAR//760%// To the Inspe for of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 9 8 CO/l-.L Old S / Owner'or Tenant rUe/2„co(JA C/_' Telephone No.C/9-26-}-064 3 Owner's Address S 7i/ GU y9 GUos7GU0,1, /171), a-r`6 Is this permit In conjunction with a building permit? Yes � No 0 (Check Appropriate Box) Purpose of Building 1��'/CE' /Ui LD,/Vg Utility Authorization No. /1//, . Existing Service/A00 Amps ./ / v2.O Volts Overhead El Undgrd L1" No.of Meters / New Service — Amps -"T'--Volts Overhead 0 Undgr No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:/J ip f X j/ i5' ,1/5 fZ/3 '4/c w/*/A y 2-GWA : ifi ' i iQ/C on/i% 9- Ns 7,9/ A A 47ic6/9- ido/crag- 594'Fy- f Completion of thefollowingtable may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming-Pool r Above ❑ In- in ❑_Battery Units Lighting • No.of Receptacle Outlets No.of 011 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 Tons 17 No.of Alerting Devices Heat Pump Num",er Tons _jW 'No.of Self-Contained No.of Waste Disposers Totals:, ""'"""""""°'""" .-".,... '.... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 other * No.of Dryers Heating Appliances KW 'Security of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.-Al Motors Total.HP Telecommunications Wiring: • No.of Devices or n'° Y '.vstvtt OTHER: l./ 4/ f/ 3 /a a.f/adgf ' / �A1llll, l/t/ Dl��lfV �L�-G-��2/G �cGO/r) Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: lJ�(193,4e (When required by municipal policy.) Work to Start: /17`/a."9 f 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 cove_we is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) . • ' I certify,under thm pains and penalties of perJary,that the information on this application is true and complete. FIRM NAME: KOC k CJC-//G /}- - 7:ve/gym LIC.NO.•. 1,::z--�`} Licensee:2gvt?,F_2 /9. oc/< Si atu L of applicable,enter"exgtpt_"_in the 11 a number line.) ��%2L�� LIC.NO.i l f �,r! Address: 9.'- 6 '-1 13 4/F -'^ NFLU /3,E,D"2)i 1'i9•G 7 4' Bus.Tel.No.56g•9 O sa . *Per M.G.L.c. 147,s.°57-61,security work requires Department of Publi Safety"S"License: Alt.Tel.No. 'Sog-yn�-yis� c�e0 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(checkone)L owner Owner/Agent 0 owner's agent. Signature Telephone No. I PERMIT FEE:$1(Q'OO 1