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Home My WebLink AboutBLDE-22-006858 ' is _ �/v�ifr Commonwealth of Official Use Only fi. Ntki '' Massachusetts Permit No. BLDE-22-006858 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:5/26/2022 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) 29 OUTWARD REACH Owner or Tenant William Tarnowski Telephone No. Owner's Address Brian Sheehy,29 OUTWARD REACH,YARMOUTH PORT, MA 02675 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel basement. 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 Initiatine 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/Alertine 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 Ballasts Data Wiring: Heaters Signs 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: Stephen M Peckham Licensee: Stephen M Peckham Signature LIC.NO.: 17326 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 367, CENTERVILLE MA 026320367 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: $75.00 QCAY-e-4-1 It t W, (AD°In op s MS LOT) tOfg1 -2 ( cb.4 L/a) 1 a CFIVE ® l✓wlGi( I I MAY 25 2022 14- _ l.onsn onweadi o`MaoaachrweUe Official Use Only I - ILUI}, � ,�=TMENT gips i : , r n 2eparnnsni o`.brit�ervieee v Permit NoZ ._ Occupancy and Fee Checked (3 , BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK I --' All work to be performed in accordamce with the Massachusetts Electrical Code.( EC),5 7 R 12.00 Cr" (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6 OS r City or Town of: YARMOUTH To the Inspector o Wires: By this application the undersignei e undersigned�gs uohce ofhis or her inter' to perfo the electrical work described below. Location(Street&Number ,X ayi-14)0� Owner or Tenant PON 74-RY1V)ctk\ (-(3 r"L e1/41/, (°C. 7 Telephone No. Si Owner's Address Cr Is this permit in conju on with a b ' .' ng unit? Yes . No El (Check Appropriate x) '< Purpose of Building + S � I vL 4 �- L� , Utility Authorization No. Existing Service/CO Amps i /; r oats Overhead❑ Uudgrd 0 No.of Meters C a New Service Amps / Volts Overhead❑ Und rd❑ No.of Meters Number of Feeders and Ampadty h 4 Location and Nature 0,AProposed Electrical Work: L4)- dQ t c.. 4ae lice Li V+ n c 1 Completion of thefoiowingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Total Z. Transformers KVA CiNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires • SwimmingPool Above In- No.of Emergency Lighting 4rnd. ❑ tti'nd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No4. .of Switches No.of Gas Burners 'No.of Detection and Initiating Devices I IL! No.of Ranges No.a Air Cond. Too Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/AlertlnRDevices No.of Dishwashers Space/Area Heating KW Lord� MunIciippaall � Outer Connectiony No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaton Signs Ballasts No.of Devices or Equivalent No.Aydrontasaage Bathtaba No.of Motors Total HP Telecommunications Wires No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o lee ' 1 Work y (When required by municipal policy.) Work to Stan: Re Lions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 suchcoverage is in force,and has exhibited proof. 1 v to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify: tI certify,under pens perf�,'that the information , , , ,licadon is true and catnplet FIRM NAME: ,, �,, ie CsL .,'"`�y ,/ LIC.NO.:_L�!�+ �- Licensee: it, G► Signature �'oIL LIC.NO.: p (If applicable,enter"exempt"in the license number line.) Bus.TeL No.:. A. - J)Co- t(pL Address: 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. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 75 o CK4[7 r