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Home My WebLink AboutBLDE-21-003544 A Commonwealth ofINti official use only E Massachusetts Permit No. BLDE-21-003544 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:12/26/2020 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) 22 CLIFFORD ST Owner or Tenant Harry Hammond Telephone No. Owner's Address SOUTH YARMOUTH, MA 02664 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: Plugs, lights,&electric heat. 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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.No.of Self-Containedta Totals: Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW 4 Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: LAWRENCE R BROWN Licensee: Lawrence R Brown Signature LIC.NO.: 30708 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 LIMERICK CT, CENTERVILLE MA 026322713 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 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 12.,Liogi 4.)4t t-5 I L/L Zc/ _ C//�� '�24///1) // Official Use Only ommonwealth of !r/cuJacnLuattJ fi- '„ -!a c� �\7 Permit No. ' %l-t , 4; _ - r .L'cparbnanl of ire ...)erricCJ Occupancy and Fee Checked AV 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:')FS'. o2 I a0,20 City or Town of:y! 21Y10Ol/1 To the Inspector of Wires: By this application the undersigned gives note a of his or her intention to perform the electrical work described below. ALocation(Street&Number) HARP; tvlJV\ON P c; t t/ Poe.) S T 5• 14M1Telephone CGS=68�5-0878" Owner or Tenant C No Owner's Address Sf1114E. Is this permit in conjunction with a building permit? Yes ❑ No [ (Check Appropriate Box) Purpose of Building li)/R E ?LiLVng S±i1&HTS Utility Authorization No. Existing Service 106 Amps /a 0 &VO Volts Overhead[ ' Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ..3 i0 /00 A Location and Nature of Proposed Electrical Work: ( Mg' P4 u GS, L.161173, E'/ h 47 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 Above In- No.of Emergenc i , r�¢ No.of Luminaires Swimming Pool d ❑ grnd❑ Battery Units G. C4 .,,.. No. of Receptacle Outlets S No.of Oil Burners FIRE ALARM', o.of .* No.of Switches nn No.of Gas Burners No.of Detec •on • d o�� ' off. Initiatin' D:,ices p No.of Ranges No.of Air Cond. :„.1 Total No.of Ale 'ti D- ' :`:� No.of Waste Disposers Heat Pump Number __Thus.. KW No.of Self-Con••+•�d .�/v; p Totals: Detection/Alerting ,sue L. . No. of Dishwashers Space/Area Heating KW Local ❑ Municipal dye,the *�d � Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Teleco of Devices or Equivalent OTHER: _ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electric Work: 06.d0 (When required by municipal policy.) Work to Start:/a"al'a0 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 cQv,erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1�`I— BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and pena es of perjury,that the information on th0 application is true and complete. FIRM NAME: L 4A'W A901V 4/ecm'/G/ 4/' y LIC.NO.: L.3 0706 Licensee: Signature• i- LIC.NO.: (If applicable,ent r"exempt"in th license numbycline.) Bus.Tel.No.:'r Address:c3i0 A/#?9 /ae. cT L&V7�R/'//'P_ z iA 0).63 Z Alt.Tel.No.1.5Dff-,20-77Lj3 *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 - Signature Telephone No. PERMIT FEE: $