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Home My WebLink AboutBLDE-22-006110 Commonwealth of Official Use Only MMassachusetts Permit No. BLDE-22-006110 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:4/25/2022 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) 66 POND ST Owner or Tenant CHU WILLIAM W TRS Telephone No. Owner's Address CHU VIVIAN K TRS, 20 TREMONT ST,WINCHESTER, MA 01890 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&wire hot tub. Completion of the following table may be waived 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 1 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 Gas Burners No.of Detection and No.of Switches Initiatinu Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertinu Devices 0 Municipal No.of Dishwashers Space/Area Heating KW LocalConnection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siuns 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Steven E Tullock LIC.NO.: 20114 Licensee: Steven E Tullock Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. Address:4 RUTH ST, HARWICH MA 026451674 *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 (PERMIT FEE: $65.00 I Signature Telephone No. Og cl LA C 27(72 (jL ' to 1, 0 r .1 tca ) Commonmaalth of Maadachudattd Official Use Only,_ Isi ;;ft Permit No. 22' ((( & tp. h 2)epartmeni o/,Jiro Serviced 1h 0 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: qi 1 20 22 City or Town of: YARMOUTH To the Inspector of Tres: By this application the undersigned gives notice o his or her intention to perform the electrical wor described below. Location(Street&Number) (, f N1) ' 'a px` A 2)-kb -(n Owner or Tenant Olt IV C.3-.J E co L'1S ,4C t Telephone No. Owner's Address j MILE 1 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building K I Q L,N-1A L Utility Authorization No. Existing Service \CO Amps 1 /?c40/olts Overhead Ea Undgrd❑ No.of Meters I New Service ?Amps C' /2t-10 Volts Overhead VA. Undgrd❑ No.of Meters Number of Feeders and Ampacity L`Q `�� ( — P (c 9t rLocation and Nature of Proposed Electrical Work: (( Completion of the following table may be waived by the Inspector of Wires. i1t. Luminaires No.of Recessed Luminai No.of Ceil.-Susp.(Paddle)Fans No.of Total r•,� Transformers KVA '=,t No.of Luminaire Outlets No.of Hot Tubs Generators KVA ,t No.of Luminaires SwimmingAbove In- No.of Emergency Lighting ' Pool grnd. ❑ grnd. ❑ Battery Units _ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones f No.of Switches No.of Gas Burners -No.of Detection and — Initiating Devices 11,+ No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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❑ Municipal ❑ � 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 El trio Work: (When required by municipal policy.) Work to Start: 21 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA : 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: \ \l E ` t v 1\E:3c1L E\E.C_'TQ f Ck( LIC.NO.: -2.fl((�A Licensee: � t) L `1 [\O Cit.- Signature -"ySp _-- �C LIC.NO.: �,j (If applicable,emery jexe t"Al the license number line. Bus.Tel.No.;. '-7-Z,C8 - 3-1'GL Address: [ �L.-t �i<(line,) i-f- ,e_w icy, Alt.Tel.No.: *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 coverage normally required by law. By my signature below,I hereby waive this requirement. lam the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$