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Home My WebLink AboutBLDE-21-005128 or Commonwealth of Official Use Only �. Massachusetts Permit No. BLDE-21-005128 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:3/11/2021 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) 164 PAWKANNAWKUT DR Owner or Tenant SEWELL STEVEN E Telephone No. Owner's Address SEWELL HEATHER J, 51 SOUTHBORO RD, UPTON, MA 01568 Is this permit in conjunction with a building permit? Yes 0 No 0 (ChipI o p 'riate B ytT Purpose of Building Utility Authorization o. tp Existing Service Amps Volts Overhead 0 Undgrd / ir New Service Amps Volts Overhead 0 Undgrd , t1 � . l Number of Feeders and Ampacity CI Location and Nature of Proposed Electrical Work: Replacement boiler. O Q 116 Completion of the following table may be Ni pector 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 g grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices 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 ❑ 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 perjury,that the information on this application is true and complete. FIRM NAME: William H Allen Licensee: William H Allen Signature LIC.NO.: 13699 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:35 CAMMETT WAY, MARSTONS MLS MA 026481508 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. I PERMIT FEE: $50.00 I HA 3(t't' (1 I ' Commonwealth ya � .as Official Use Only_ ' 111 � n Permit No. �% Z k-5 -1 " * ... sM��_ brie&el rvicee gt, :* Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 oZ I City or Town of: 4 g. . � p 't i To the 1 ect r of Wires: By this application the undersigned gives notice of his1pr her intention to perform the electrical work described below. Location(Street&Number) Ho it PA-W Viq. J NI K�r t\ 1 Owner or Tenant V Telephone No. Owner's Address 1Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters d Number of Feeders and Ampacity a Location and Nature of Proposed Electrical Work: to 1 g,I c, paf 1r4_ee,vvtiL.lA 1- 6 hi ,eve_ kil Completion of the followingtable maw be waived by the Inspector of Wires. Total a £ No.of Recessed Luminaires No.of CelL-Susp.(Paddle)Fans No.of KVA eq. Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin pal Above In- No.of Emergency Lighting g grad. L jand. ❑ 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 t tt' No.of Ranges No.of Air Cond. Toni No.of Alerting Devices No.of Waste Disposers Heat Pump Number._Tons KW No.of Sel'-Contained Totals: _ Detection/Aler�Devices No.of Dishwashers Space/Area Heating KW Local❑ Mu Connection 0 °ther No.of Dryers Heating Appliances KW Na o y f Devices or Equivalent No.of Water KW Heaters S No.of No.of Data Wiring: ys Ballasts No.o evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W 33aaggzs Na of Devices or Egalva�nt 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: 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 c9verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE -BOND 0 OTHER 0 (Specify:) I cerdfy,under the pal 7lpenalties o perjury,that the information on this application is true and complete. FIRM NAME: c Pi I PAl -C-p -1 C- 1 NC LIC.NO.: 13 b I i i, Licensee: Signature LIC.NO.: I?10 9 h (If applicable enter"exempt"in the license number line.) Bus.Tel.No.: --Z l;.a -4 Address: �i l !til 44/;.) ��.,c�-Pf jf LL /�(/f� *Per M.G.L.c. 147,s.57-61,securitywork It.TeL No.: 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)0 owner ❑owner's agent. SignatureOwA� Telephone No. I PERMIT FEE:$ 1