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Home My WebLink AboutBLDE-21-003235 Commonwealth of Official Use Only Permit No. BLDE-21-003235 • 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:12/7/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomm the electrical work described below. (f� 2 Location(Street&Number) 131 PLEASANT ST `77 L/ a53 4 L Owner or Tenant COOPER ERICK W Telephone No.40 Owner's Address P 0 BOX 1048,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (C ,pro 4'. • I Utility Authorization No j� Purpose of Building �� Existing Service Amps Volts Overhead ❑ Undgrd ❑ 41I'S . f i 1New Service Amps Volts Overhead ❑ Undgrd ❑ kbb ,,'14, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations per attached(Up to four inspections.) Completion of the following table may be waived by the or 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 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 Heating Local 0 Municipal No.of Dishwashers Space/Area KWConnection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PPi No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if de� auired by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) /5 7 fir iZ._ Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon c INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issu Lerfr- %%7JZj11/ef a" provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The under k //, coverage is in force,and has exhibited proof of same to the permit issuing office. t 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: Mark H Chase Licensee: Mark H Chase Signature "" "` — (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:21 DRAKE ST,YARMOUTH PORT MA 026752204 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 PERI MIT FEE: $150.00 t� iV :✓i/ZFS '7�/fr %tiC,,•O /� rl.%t Lt. If✓�:,�` �n r,tCii/ 171,07i6 i...k, ,' /Z/c�'�24 s- 1 at,rl (^f i>r HA l tI_44,.41/) i 2 J,'a/i-7��(`" R0`v( (0 (N1 tu-c Ritit 411/44" ,tQ l A. tgl3 kt e-.- 64,tz44_t ) 46 Lt(2A r A Comrnonmsaig o yyj =.__ _ ///assac [ • Official Use Only __ w,-___ c7 n +�� = 2epartmant o`.}iro Servicss [ permit No. �- 1{ v. Occupancy and Fee Checked ";,,, ----,./ BOARD OF FIRE PREVENTION REGULATIONS1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: i' /41 D-.0 City or Town of: Y -r4'11JVP1 To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1 3 I P6-40t$,4,,-I'>-- ST 5:. �i4(zeirovjT.r Owner.or Tenant ,Ell.LC-14.- f X„41„1 Lvo /3( P� Telephone No. 7`j 3 _ i� Owner's Addresssl-Sq�l �t�f � `�✓rt.., Girr-('mit Is this permit in conjunction with a building permit? Yes Eg. No Purpose of Building 621 �z��^'&7 El (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd El No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ",e tc 1_S-r Rae4 - �Pirt / G� �✓ �G�' d" '� -t- Completion of the followingriable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Sus . No.of Total p (Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In.. No.oft Emergency Lighting - • grad . grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones 'p No.of Switches No.of Gas Burners No.of Detection and VInitiating Devices No.of Ranges Na of Air Cond. TTo on 0 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons �KW No.of Self-Contained Totals:I __"""' .._..l._.__...._. .___._.____ _.S Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other J ry Heating Appliances KW Security QSystems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: 0Signs Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: v OTHER: No.of Devices or Equivalent Attach additional detail if desireg or as required by the Inspector of Wires. t, Estimated Value of Electrical Work: �-- Work to Start: Inspections (When required by municipal policy.) in INSURANCE COVERAGE: Unless aived by the owner requested permit or the performance of e with MEC Rule electri al work on iss the licensee provides proof of liability insurance includingmay ent. unless `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 Er.- BOND 0 OTHER I certijy, under the pai and penalties n�ry, 0 rSpecify:) ��P Jper'u �t the information on this application u true and complete FIRM NAME: G ` Licensee: Frj�Q,rli/,rtr �" E LIC.NO.: y ftt Signature��%i LIC.NO.: (If applicable,le, ter exempt in the licens berg►e iL Address: (�. d,t I( ' �` .�ej �a-C6o-fl�Z,`f Bus.Tel.No.: -3 al( J "Per M.G.L. c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt•Lic. No.. 0E- 1�G,,— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�— required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner 0 owner's a:ent. Owner/Agent d Signature Telephone No. PERMIT FEE: $