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Home My WebLink AboutBLDE-21-006170 Commonwealth of Official Use Only fE Massachusetts Permit No. BLDE-21-006170 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:4/26/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 1 COVE RD Owner or Tenant BERKSON CHARLOTTE TR Telephone No. Owner's Address LALIDA REAL ESTATE TRUST, 1211 GREAT MEADOW RD, DEDHAM, MA 02026 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: Septic pump&alarm 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 Heat Pump Number Tons KW No.of Self-Contained 1 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 No.of Devices or Equivalent HeatersWater KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 30708 Address:30 LIMERICK CT, CENTERVILLE MA 026322713 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $75.001 cp-1---10-.Pumc-4- 4-(4,64 I IL\ l.oirirnanwealth o/Maddachuzeth Official Use Only It�' nepart1 �21 'Le (770 Permit No. nwnt o/.ipe:.epviced t Ii Occupancy and Fee Checked w,01 BOARD OF FIRE PREVENTION REGULATIONS [Rev, 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accor ance with the Massachusetts Electrica.f Code(IVIEC),527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: /9"// v7.3 .1007 I City or Town of: glinlifialliejgg_VM/IWTRo the Inspector of Wires: By this application the undersigned gives notice of his or he intention to-perform the electrical work described below. Location(Street&Number) / CO / ) 4 f,i d7—h' - Owner or Tenant L=-4 SD Telephone No. Owner's Address ‘5 � Is this permit in conjunction with a building permit? Yes f No (Check Appropriate Box) Purpose of Building 5EPTG Pa 499 91 ,4/ fi7 Utility Authorization No. Existing Service 9tO Amps /070/.ail0Volts Overhead Undgrd No.of Meters / - New Service Amps / Volts Overhead I I Undgrd I -No.of Meters Number of Feeders and Ampacity 3 LV .;2-O 0 r Location and Nature of Proposed Electrical Work: //e 5,177 Rli'4,7, / /./Li /r/ Completion of the following table may be waived by the Inspector of Wires. No,:of Recessed Luminaires No.Of-Ceil.-Srisp.(Paddle)Fans No.of Total - Transformers IAA 1 d No.of Luminaire Outlets No.of Hot Tubs Generators KVA g # No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting J grnd. grnd. Battery Units j, No.of Receptacle Outlets No.of Oil Burners FIE ALARMS No. of Zones 7.-1 ' No.of Detection and zi No.of Switches' No.of Gas Burners Total _ Initiating Devices • 1 a No.of Ranges No.of Air Cond. Tons No.of Alerting Devices ne No.of Waste Disposers HeatPump Number Tons KW No.of Self-Contained 0 B •. Totals; Detection/Alerting Devices. 2 x No.of Dishwashers Space/Area Heating KW Local[] Municipal_ ❑ Other Connection No.of Dryers Heating Appliances ICW Security Systems:* No.of Devices or Equivalent No.of Water No.of No. of Data Wiring: III .Heaters - Signs Ballasts s6 No.of Devices or Equivalent No.Hydro:nassage Bathtubs No.of Motors J Total HP // Telecommunications Wiring J v� No.of Devices or Equivalent OTHI R: • '7.00 Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of lee ical Work: `i' o? (When required by municipal policy.) Work to Start: ,23 a/ Inspecti ns to be requested in accordance with MEC Rule 10,and upon completion. • INSURANCE O RAGE: Unless waived by the owner,no permit for the performance of elecirical.work"may issue unless the licenseeprovides 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 21 BOND Li OTHER ❑ (Specify:) I certify,undei.the pains and penalties of perjury,that the information on this application is true and complete. • FIRM NAME: L 4 / / eIApt./ L:roc 7 le /'44/ LIC.NO.: 36 70 8 Licensee: X 4aR,/e y 73xioa,i,ii Signaturi v ( ):344,u,�, LIC.NO.: (If applicable, enter "e empt"in the license number line Bus.Tel.No.: --- pk Address: 3o 2,, ,i e cP Cr` G' 7 u,// M4 D -6 32- Alt.Tel.No.. "�v�f 77 *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 n owner's a ent. Owner/Agent I ?7 V"T 1 -. IS-------- ,