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Home My WebLink AboutBLDE-22-000459 of Commonwealth of Official Use Only illin Massachusetts Permit No. BLDE-22-000459 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:7/26/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 31 DEACON ST Owner or Tenant FISHER RANDALL Telephone No. Owner's Address FISHER ELAINE, 31 DEACON ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Renovations of two bathrooms. 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. Tons Tot No.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 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Alt.Tel.No.: Address: *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. I PERMIT FEE: $75.00 1 SCommosureaa 4 View neeth Official Use Only Sl .,. aj % ++'�.1�iew,frt Permit No. �ZZ-u c-{' g t . Occupancy and Fee Checked % ' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave murk APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Attired:to be performed inaccosdamewin the Maserichoents Electrical Code(MEC).527 ant 12.00 ,i (PLEASE PRINT INi VK'OR E ALL INFORMA77ON) Dote: '7. Z. 1 r City or Town of: ex.r(o0TH To the Inspector of Wires: By this applicationthe undemi gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) �wy.('3 11 �`c+2:t cl, A 41 Owner or Tenant 0 uJ nGC" Telephone No. Owner's Address I1Z inne.e.c6VS ow) (Jon t.o-.M e MA Is this permit ha conjunction with a building permit? Yew 0 No 0 (Check APProPringe Bon) { Purpose of Boating gt14-eft [ i..["iond.."Ore.1 115WLIL Utility Authorisation No. Existing Serrlae ll j_ Amps f Volts Overhead 0 Undgnd 0 No.of Meters _I__ Diszkfidta Amps / Volts Overhead 0 Utdgcd 0 No,of Meters Number of Feeders and Ampadty Location and Nature of Proposed lkctriad Work: 1 117 ovvA l/ O +. .Xe,r 1ncc. 5 r,fictr . cii , al tj rtir+ l t‘C...t-ut S n the followingto.le70,waived by the twectorof Total No.of Recessed Lasmiudres No.ofCC easel.(Paddle)Faso Transformers KVA 44 No.of Laminabre Outlets No.of Hot Tabs Generators KVA 10,+C No.',Luminaires Above ❑ In. � Battery of Units icy Lipari; Pool grad. mud. Err Units - J No.of,., Outlets No.ofOti Baru k FIRE ALARMS No.of Zones No, Gas Bara�etY No.of Detection and z. No.et Switches Initiating Devices 11i No.of Ranges No.of Air Coed. Tam No.of AlertingDevices "Beat Pump Wumber Toss 1KW ,No.o?Self-Contained No.o WasteZBsposer Totals: I 1 Deteetion/Aletintp%Derkes No.of Dishwashe s Space/Area Heating KW Conine lion ❑ Otbar Na of Dryers 'Heating Appliances KW -Data No.aft +or FoalvsIeut Ho.ofW y 'Na Heaters Signs Bests No.oofDevices orEquivalent �Teleoommn canons b� Na.Hydrtsmmsage Bathtubs No.of Motors Total HP No.of Devices or Earth OTHER: Attach additional detail Vdesbvd or as required by the hapector of Wires. Estimated values of Electrical Work: ")_0 Z) (Wbco required by Percy.) Work to Start r' p 27.21 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 provide,proof of liability insurance including"completed operation"coverage or its substantial equivalent. The rmdeaigned certifies drat such coverage is in force,and has exhibited proof of same to the permit issuing t~ kgVk.4.A CHECK ONE: INSURANCE RI BOND ❑ OTHER ❑ (Specit�y:) P m erne fart"under the armed atpet►as!ti that hefornad=on is end complet�' t FIRM NAME. W Ptee i C.NO.. Licensee: Signature IJC.NO.: (Ifopplieable,eater"exempt"in the license number film) Bens.TeL No.. Address: Mt.Tel.No.: *Per MAN..c.147,s.57-61,security work rename Department of Public Safety"S"License: tic.No. OWNER'S INSURANCE WAIVER: I ant aware that the Licensee does not have the liability insurance coverage normally required signature below.I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent Owner!by - Z-----�'"'""��p Telephone Na if/g..57 a.S001 PERMIT FEE:$