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Home My WebLink AboutBLDE-21-004512 Commonwealth of Official Use Only —r` Niki Massachusetts Permit No. BLDE-21-004512 a.--' 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:2/9/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 76 TANGLEWOOD DR Owner or Tenant Dave Marceau Telephone No. Owner's Address 76 TANGLEWOOD DR,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. 4959867 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace panel. 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- ElNo.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 Connection ❑ Other: 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: 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: $50.00 N/A 7-11 i2+u tt\N- 9/71P/7 I Official Use Only Commonwealth ofMassachusetts I�e1 itNo. 2� --��I?� y J 4 Department of Fire Services Occupancy and Fee Checked 1,I [K8V. i t tTl J save blank) . ;,„ BOARD OF FIRE PREVENTION REGULATIONS APPLICATIII N FOR PERMIT T. PERFO <Ili IELECT IICAL ' . ,K All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 17 00 (PLEASE PALMY`IN INK OR TYPE ALL FORMATION) Date: c0— ,,,, City or Town of: 1�y?n1Q C>r'%1 To the Inspector f Wires: By this application the undersigned._ive,noticcee of his or her intention to perform the electrical work described below. Location(Street&Number) .7'LQ /14 "(is/ (o t : ' 4-7- Owner or Tenant .,UA ( / iq/zc' ,4 ( Telephone No. Owner's Address is this permit in conjunction with a building permit? Yes 0 No d (Check Approp to Box) Purpose of Building 7�rr r S/,Cg—-1-�C Authorization No: Existing Service Ps cam Am MCT1 c f olts Overhead Undgrd D No.of Meters 0 s ! Volts Overhead Undgrd 0 No.of Meters New Service Amp Number of Feeders and Ampacity _ Location and Nature of Proposed Elect J?' 'L1`� G r— (/�C.— Completion of the following tablemay be waived by the Inspector of n fires r iota No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Lurninaire Outlets No.of Hot Tubs Generators KVA Above In- l o.orEde geacT Lighting No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units No.of Oil Burners F€RE ALARMS }No.of Zones No.of Receptacle Outlets No. of Detection and No.of Switches INo.of Gas Burners Initiating Devices `.total No.of Air Cond. Tons No.of erting Devices No.of Ranges Heat Pump n er Tons # 1 KLv No:arSdf-Al_ am1 1 I 'l'otals�:: -" Detection/Alerting Devices No.of Waste Disposers tvtunicipai S ace/Area Heating KW Local Connection 00ther No.of Dishwashers P gAppliances Security Systen+s g No.oferseatin• l No.of Devices or Equivalent KW No.of No.of Data Wiring: No.of WaterBallasts No.of Devices or Equivalent Heaters Signs I etecammrmleat>onsTViring: No.Hydroniassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Hires 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 coveie is in forcep and hasTn exhibited II (Spy-)proof of same to the permit issuing office. CHECK ONE:INSURANCE BOND 0 rsaPPxzcaubo7jr rfs I certtr,fonder die palms and pertatties of perjury,t at rite info matt '. and complete.N 9 9 :,1EV � , FIRM NAME:John Brewer Electric � ,, ./ �,-..�..-�._ LIC.N®.:AI�U92 `� f Signatnr�"� / Bus.Tel.No.: Licensee: `_f d (lfapplicahle enter `exempt"in the license number lure) ./ ; !r iri ¢R-TeL No:50&367-0167 Address: 73 ivliA i ea f 3�-a' /l �t !v,.,. , V No.: of Public Safety"S"L►cense Lic.No. 'Per MEZ. c. I47:s.57-61,security work requires Departmentowner's agent. OWNER'S SCE 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) Eimer Owner/Agent Telephone No. 'PERMIT FEE: (114 \,t/yelq --ift/ C.Signature .1`7<f— - e_sr