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Home My WebLink AboutBLDE-22-001638 ** Commonwealth of Official Use Only it. t Massachusetts Permit No. BLDE-22-001638 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:9/22/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pert the electrical work described below. Location(Street&Number) 46 SOUTH ST V -0i✓ COCK_ Owner or Tenant Owner's Address �GDFA+wu- n�z in ...�� Telephone No. 42 SOUTH ST, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps Volts Overhead a Undgrd 0 gNo.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: Replace meter/disconnect&0/H cable. (BAKERY) 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 Above ❑ Irnd. ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool g Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ' 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 perjuly,that the information on this application is true and complete. FIRM NAME: JOHN H BREWER Licensee: John H Brewer Signature (IfLICapplicable,enter"exempt"in the license number line.) Tel. NO.: 14092 Address:205 CEDAR ST,W BARNSTABLE MA 026681324 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. II PERMIT FEE: $80.00 tgeti: t°Iq 2-f (Ce 1• * rt C.ommonmeanh o�//'1addac i �1_ c Official Use Only r r=S± 2)epariment of-7 seruiced Permit No. ?Z.-t _�:>�� BOARD OF FIRE PREVENTION REGULATIONS �- APPLICATION �®D L.ATIC�NS Occupancy and Fee Checked�_— R PERMIT TOPERFORM ELECTRICAL Tave ICk/q}� All work to be performed in accordance with theM �`��! R/�K� (PLEASE PRINTlw1/ k t OR TYPE, assachusetts Electrical Co QRK City or Town of: 444_.4LL I�1rFOIZM��ON) � C),s2 cMR t2.00 $Y this application the - mate.undet To the Ifies notice of is or her int erical of workdescribed Wires: Location(Street&Number) aC�� tion to perform the electrical described below. Owner or Tenant Ma Parcel#Owner's Address Is this permit in conjunction with a buildin Telephone No. Purpose of Building — g Permit. Yes ❑ No D (Check Appropriate Box) ---��4mps� • U 'ty Authorization No. Existing Service New Service Its Overhead � Amps ✓ Undgrd D No.of Meters Its Overhead[inj� Ampacity Undgrd❑ � No.of Meters _ Number of Feeders and Loc 'on and Nature of proposed EIectrical Wo : No.of Recessed Luminaires Com.letion of the 1ollowin• table ma waived b:the 1 No.of Ceil,�usp,(Paddle)Fans ector o Wires No.of Luminaire Outlets No.of No.of Hot Tubs Transformers To No.of Luminaires I{VA Swimming pool Above n_ Generators KVA No.of Receptacle Outlets rttd. ❑ nd. [] '°•o mergency Ig, , g No.of Oil Burners Batte Units No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners No.of Ranges `o.o l etectton an No.of Air Cond. otai Initiatin Devices No.of Waste Disposers :eat pure Tons No.of Ate p Number TonsAlerting Devices No.of Dishwashers Totals: Mum e o untamed Space/Area Heating ocal on/Alertin, Devices No.of Dryers g ' Local -''unicipal No.of Water Heating Appliances �Connectionurrty te� ❑ Other Heaters KW o.of I No.of Device or E uivalent Si;,s BallastsData Wiring: No.Hydrorttaers Bathtubs No.of Motors No.of Devices or E,uivalent OTHER: Total HP elecommunications 'wing: No.of Devices or E 1 uivaient Estimated Value of Electrical Work: Attach additional detail i Work to Start (When rby 1 desired,or as required by the Inspector of Wires Inspections to be �� municipal policy.) INSURANCE CO requested in accordance with P Y)VERAGE: Unless waived by the owner, MEC Rule 10,and upon completion. the licensee provides proof COVERAGE: i Ins �r no permit for the repletion. undersigned liability insurance including completed operation"performance electrical �b a work may issue substantial equivalent The fined certifies that such coverage is in force,and has exhibited CHECK ONE: INSURANCE 0 BONDproof of same to the e I cep*,under the 0 OTHER ( P fY) permit issuing office. FIRM NAME:t ,pains and pets/ties ofperjury,that the information on this r _ Plication is true and compietg Licensee: J LIC.NO.�AZ f rf afapplicable enter`exempt"in t e license number line.) Signature - Address: �t rlJ LG./ -v� LIC.NO.:� �`PerM.G.L.c. 147,S.57-61,security � d9�2 OWNER'S INSURANCE work requires DeBus.Tel.No.- Address: WAIVER: I am aware that the L ce ofee Public not have the liabilityt TeL N e required by law. BymySafetyo a License: Lic.No. � Owner/Agent signature below,I hereby waive this requirement. I am the(check on owner Signature singe normally Telephone No. ❑owner's a,ent. aP=ANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections �'EItNIlT FEE:$ are performer by the FD having jur'isdictiorr.-