The URL can be used to link to this page

Home My WebLink AboutBLDE-21-001483 Commonwealth of Official Use Only A.:,,,,, " Massachusetts Permit No. BLDE-21-001483 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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;9/23/2020 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) 65 GRANDVIEW DR Owner or Tenant JACK SARKIS Telephone No. Owner's Address 65 GRANDVIEW ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (C eck App)ron cute Bo Purpose of Building Utility Authorization No. '!i`-I/(0 16,3e Existing Service 200 Amps Volts Overhead 0 Undgrd ❑ f Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Mete Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations of house. 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 g bovernd. 0 Irnd ❑ No.of Emergency Lighting 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 No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent NNo.of Water KW No.of No.of Data Wiring: es 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:) 1 certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: JOHN H BREWER Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST, W BARNSTABLE MA 026681324 *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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$180.00 I 90- /`C /OI/2o r4 f2Jt6/ .1---, 7"Ve-L 7J i /74' , ,per Official Use Only\ Commonwealth of Massachusetts Permit No. ,, =•.t. _== Department of Fire Services p Occupancy and Fee Checked -_,_� __- LKev. 1/U/j leave blank) - �_: _ BOARD OF FIRE PREVENTION REGULATIONS ( APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All work to be performed in accordance with the Massachusetts Electrical Code C),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / •a7c 461 City or Town of: l f n✓C!'Cri{ To the Ins ector of Wires: By this application the undersigned pves notice of his or her mten io to the electrical work described below. Location(Street 8c Number): ( 0',� � r� C l� `S 44Ki S Telephone No. Owner or Tenant .T. �"/ Owner's Address Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) Purpose of Building /'c---7-5 r (`i. Utility Authorization No I &3 Existing Service ?Cfl 'Amps / 'c 51tbits Overhead Er Undgrd D No.of Meters ` New Service c> _ Amps.4.22cTP-2 5QVolts Overhead UZI Undgrd ID No.of Meters / Number of Feeders and Ampacity Yc C (1 Location and Nature of Proposed Elect //qv- I2(;/ .br./4��/) d��i=r S`� Completion of the following table may be waived by the Inspector of Wires. No.of No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.otEntergency Lighting No.of Luminaires Swimming Pool grad. II grnd. II Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS }No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Ilium er Tons 'KW No:arSelr.Cen ned No.of Waste Disposers Totals: _`. 1 —��._........- Detection/Alerting Devices Municipal S ace/Area Heating KW Local Connection Other No.of Dishwashers P Appliances KW Security Systems:*• No.of Dryers Heating No.of Devices or Equivalent i KW No.of No.of ata Wiring: No.of WaterBallasts No.of Devices or Equivalent Heaters Signs Telecommunications'Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTH ER: 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 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performancg"completed operation" e o�el substantial its icalwork may issue unlesse the undersigned licensee provides proof of liabilityiginsurance nforce,and has exhibitedroof of same to the permit issuing office. undersigned certifies that such covgna� CHECK ONE:INSURANCE j BOND II OTHER II (Specify:) I certify,under the pains and penalties of�p�erjtiry,t tat the at; this applicato is true�C.N®complete. FIRM NAME:John Brewer Electric r;,r .' LIC.NO.:A14092 Signature '^��'"�- — Licensee: �.�/ � 9- ,r- Bus.Tel. 21949 Address: 73 ti licable. enter exempt"in the license nwnber line.) F- rr# , tP`s��t Bit.Tel No.:.508-367-0167 Mill-,�C u I'J `'�'`�y�" "S"License Lic.No. *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety OWNER'S INSURANCE WAIVER:I am awarethaa does have the liability coverageolmlly required by law.By my signature below, b this Licensee I amthe(check one) owner's agent. Owner/Agent Telephone No. PERMIT�' : Signature Cl 14 \i/ /c e Vote - - Qsril7