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Home My WebLink AboutBLDE-21-005622 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005622 iQ� 0BOARD 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:3/30/2021 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) 113 NOTTINGHAM DR Owner or Tenant STETKIS JON E Telephone No. Owner's Address 113 NOTTINGHAM DR,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: Wiring for pool&equipment. (3 Inspections) 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 0 In- El 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. Tons Tot 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 0 Municipal 0 Other: Connection No.of DryersHeating 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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 ❑ 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: $135.00 aacoN01,16r C F� / / q /a/'/. zi g �1'2 P�,wp C c Lif?1V c AAR-atRzo arJ4 e) Official Use Only ��, .-fit Commonwealth of assachcsefts tivo. Z( S��v r Department ofFire Services Occupancy and Fee Checked Kev�.s° ` BOARD OF FIRE PREVENTION REGULATIONS MR (leave i A i P L 1 A IION FOR PER T T I) PERFORM ELECTRICAL 7* 0- Ahl work to be performed in accordancewiththe Massachusetts Electrical Code 527 ,1 12.00 (pr.F.AR7~PR1NTIN1N1CORTYP.g'A.LL.��ORMATION) Date: ` v 5- City Or Town of f � pi r-�' To the ctor of 'aces: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number-): -7/3 ( T r. ,/eifr VZ> �7 2 1'�/ S Telephone No. Owner or Tenant ': .� Owner's Address-Is this permit in conjunction with a beci•iing permit?_ Yes dNo 0 (CheckApproprtate Box) Purpose of Building /' rcf.�r "YC�. Utility Authorization'No. Existing Service Amps I Volt Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacet} Location and Nature of Proposed Elect /f /`�U '17 V z _ j2._ Completion of the following tableo be waived Ins the frpector of Wires. Tio. r Tout INo.of Recessed Luminaires INo.of Cei.-Snap.(Paddle)Fans Transformers KTA No.of Lurminaire Outlets 1No..of Hot itihs Generators OVA o.of 3 ae ncy Na.of Luminaires Swimming Pool ' ,d. ❑ grad. II Battery Units No.of Receptacle Outlets jNo.of Of Burners ..FME ALARMS )No.of Zones No.or detection and No.of Switches 'No.of Gas Burners Initialling Devices Total No.of Air Cond. Tons No.of Alertilxlg Devices No.of Ranges - Heat Pump IC,,..r_ Tans I f.W tam:.f aeeTi Totals: ""'...._...� Detection,- : ,�,�_ Devices- lo.of WasteIJ• posers minuet,, 1:2 Space/Area Aea#ins KW Local.'Connection Other No.of Dishwashers + s�� No.of Dryers Appiiaaccs Se of c$sorEquivalent No.of No.of Willow No.of Water Signs Ballasts No.of Devices or Equivalent Heaters i'efea ommuni ssirons whim: No.Hydromassage Bathtubs No.of Motors Total ID No.of Devices or Equivalent OTHER: red armsrequired inspector Tres Attach additional Mail(/desi (When required by municipal policy.) Work to Value of Electrical Inspections to be requested in accordance with MEC Rule 10,and upon completion. Work to Stan- rinattce of elecaric�tl work may issue unless INSURANCECOVERAGE:Unless waived by the owner,no permit for the per o mce or its substantial may issue The the licensee provides proof of liability insurance including"completed operation" issuing orrice. undersigned certifies that such cove is in force,and has exhibited proof of same to the permit BOND II OTHER II (Specie) CHECKONE:INSURANCEOF �� • �� ;s tt�re and � €cert�►,wider die pains and perrcrf�es Q.fPerlrsrl'�_EU.fit,�� LYE.i�i0.-�� FIRM NAME:John Brewer Electric kJ/4 C ''' ; Signaiat / 1 �` f,IC.NO.:A14092 Licensee: �' / �`�� Bus.Tel.No..: flf pplicable. enter'' PE"in the license number line.) Bus i Le Alt Tel 548-�Ci7-0lb7 �-� fS Address: T ha ALP C-"" �-� -�• � ."x'� � Lic.No. Department of Public Safety"S"License: insurance coverage normally #Per M.GZ. c.I47,s.57-61,security work requires E3 II R'S WA PIER: am aware that the Licensee does not have the liability oe s agent required by�Si below,I hereby waive this requirement.I am the(check one) l 0 der! t Telephone NO I cn) te/ I PERMIT ' ':. (IN 'c1aY4? : •