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Home My WebLink AboutBLDE-21-002878 Commonwealth of Official Use Only - Permit No. BLDE-21-002878 St Massachusetts 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:11/19/2020 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) 25 GREEN TEAL WAY Owner or Tenant MARADIAN C GARY Telephone No. Owner's Address KILGALLON PATRICIA A, PO BOX 5,YARMOUTH PORT, MA 02675-0005 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A. i i • e Box)9 Purpose of Building Utility Authorization No. J Existing Service Amps Volts Overhead 0 Undgrd 0 o '. .1) New Service Amps Volts Overhead 0 Undgrd 0 o. e ' 0rol Number of Feeders and Ampacity //,��8aI`' Location and Nature of Proposed Electrical Work: Install generator&replace panel. Completion of the following table may be waive .k •y•.tor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of al Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 14 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 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 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 perjuty,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 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 (� i `) COsvc' a— I t1(Q a I Commonwealth of Massachusetts o cial Use Only ,. - "/ Pennit No. Z`-Z—�jr 16 �er- r Department of Fire Services Occupan and Fee Checked -:- lxev. II" - ''-t � 5' BOARD OF FIRE PREVENTION REGULATIONS , (leave blank) APPLCATI of N FO PERT T TO PERFORM ELECTRICAL ` RK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 MOO OO T FASEPRLNTININI OR TYPE ALL 'OR/16177OAt) Date: I/, ' q City,or Town of: y#1 G7U'1 0 U' To the Inspector of es: By this application the undersigned gives notice of his or her intention to perform the electrical work d described below. Location(Street Sr Number): ( fe /L/ s>.- .y G1/1/4L'1 / Owner or Tenant �U� 4'Z/�'1/C. /2/4 Te phone No. Owner's Address is this permit in conjunction with a building permit i Yes 9 No (Check Appropriate Box) Purpose of Building___A"c. Z9C C.,, Utility Authorizatio No. Existing Servicea4 Amps ✓dam//410olts Overhead 0 Undgrd Ell No.of Meters / New Service Amps / Volts Overhead El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Elect /11/1l / Mr-WC� /-vr y t Ivor;n Completion of the following table may be w • by the Inspector of Wires No.of Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above `gin- No.of-tnergefc31Aghuag No.of Luminaires Swimming Pool grad. ❑ grad. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS )No.of Zones No.of Detection and No.of Switches O.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices - Heat Pump Mt r Tons 1(.W ern.a[5df-Cmnsined No.of Waste Disposers Totals:j " Detection/Alerting Devices Municipal No.of Dishwashers Space/Area beating 4Local."� Connection 0Other No.of Dryers heating AppliancesKW Security o€Devices or Equivalent:* 1 No.of Water �No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs INo.of Motors Total BP No.of Devices or Equivalent _ OTHER: Attach additional detail tf 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 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 corer age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE Er BOND El OTHER II (Specify:) I certftr,wider the pains and penalties of perjury, rat the inforinatit tilts opp/lleati is trace arid complete. FIRM NAME:John Brewer Electric )E�,49/74--14.- 1? > /�e,,� ' LIC.N®:b.'ti949 ( LIC.NO.:A14092 licensee: , /' Si„�natur - - -�_ (Ifeppticable, enter 'exempt"in the license number line.) Address: 73 Ml AL if;f f #�jyJ 4 • .::. = 1kL-) e41/ ter Y Alt.Tel.No.:508-367-U167 '''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 coveragenorrm ally required by law.By my signature below,I hereby waive this requirement.I am the(check one) EC tl 0 ent. Owner/Agent ' : Signature Telephone No.