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Home My WebLink AboutBLDE-22-005258 - Commonwealth of Official Use Only 4 Massachusetts Permit No. BLDE-22-005258 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:3/21/2022 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) 89 ACRES AVE Owner or Tenant KIRKPATRICK BARBARA A Telephone No. Owner's Address WHITE NANCY L, 89 ACRES AVE, WEST YARMOUTH, MA 02673 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 ❑ 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 Ton No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs 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.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 my 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: $50.00 RE-CEIVED l..ommanweatfh of Ma»achruefff Official Use Only 1' jj t * ' d yJ1MA.D I cc��.Lepar6nenf o��ire Services Permit No.QUILDI aQ= OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked gv__ (Rev. 1ro7 ] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /1?4.eCN /$ --242,,7 a7 City or Town of:YARAW0111111811111111111R To the Inspector of Wires: By this application the undersigned gives jiotice of his or her intention to perform the electrical work described below. Location(Street&Number) ? /7 C S j y� Ai /M30) r�®i/ , r y Owner or Tenant CA 5J /V Telephone No. Owner's Address 541 Is this permit in conjunction with a building permit? Yes rp , T7C PUMP !f'H J�n No 0 (Check Appropriate Box) Purpose of Building / F Utility Authorizationho No. Existing Service /60 Amps / L�/ Volts Overhead!1Y Undgrd 0 No.of Meters / New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity J 1i-) /oQ A- Location and Nature of Proposed Electrical Work: C.,11//?�:r ,j —7C Pahli) 7Z—AMR 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 ❑ hi- ❑ No.of Emergency Lighting grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of RangesTotal Initiatine Devices No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Nu __ a_ __KW__ __�{W__ No.of Self-Contained Totals: rn ;'f Ton No.of Dishwashers Detection/Alerting Devices Space/Area Heating KW Local 0 Municipal Connection No.of Dryers ❑ Other Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWNo.of Data Wiring.: Signs Ballasts No.of Devices or Fquivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value.of Electrical Work: 9400 Work to Start: . -j�� (When required by municipal policy.) 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE tg BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury, that the information on this application is true and complete. /2 _ FIRM NAME: / rCG'GtI /—sec 7- .- ;4 1C , Licensee: LIC.NO.: L7 f�,�' Signature (If applicable,enter"xempt"in the license number line LIC.NO.: Address: i G ^� r� ✓ Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.rel.No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this requirement. I am the(check one) 0 ownerm❑owes agent. Owner/Agent Signature Telephone No. p PERMIT FEE:$ 50