The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001639 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001639 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 perform the electrical work described below. Location(Street&Number) 46 SOUTH ST Owner or Tenant Paul Cook Telephone No. Owner's Address 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 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&install dryer receptacle.(RESIDENCE @ 42 SOUTH STREET) 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 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 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: 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 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: $50.00 Otb / O/ i kg Commonwealth o/711a-0achu-ett3 rt Official Use Only 21 c-� c7 parimont of gire Serviced Permit No. 522� i ," BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rey. I/07J APPLICATION FOR PERMIT TO PERFORMeave blank) All work to be performed in accordance with the Massachusetts uical Co e E C),52 MR WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f MR 12.00 City or Town of: L By this application the undersigned I'yes notice of his or her int lion to To the In cto of Wires: perform the electrical work described below. Location(Street&Number) Owner or Tenant Ma Parcel# Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building 0 (Check Appropriate Box) --- Utah Authorization No.Existing Service (fCY Amps / /� -= Overhead Undgrd❑ No.of Meters L New----Service Number of Feeders and Amppsity s ' Volts Overhead El Undgrd El No.of Meters _ Location and Nature of Proposed Electrical Work: Corn detion of the o table m, be waived,owin„No.of Recessed Luminaires f •the I tor ofWires. No.of Ceil.-Susp.(Paddle)Fans a•o To , No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool .Above rnd. ❑ n o.o mergency ig i ,rig No.of Receptacle Outlets No. = d. ❑ Bette Units of Oil Burners - -No.of Switches FIRE ALARMS No.of Zones s No.of Gas Burners 1 o.a t etection an, No.of Ranges Initiatia Devices No.of Air Cond. o" No.of Waste DisposersTans No.of Alerting Devices ,eaT Pump umber ons o.of._el antarned _ No.of Dishwashers �� Detection/Alertin• Devices Space/Area Heating KW Local & ❑ uaic1pal No.of Dryers a:"n 0 Other Heating Appliances KW ecurtty ystems: No.of Water o•of moo•o No.of Devices or E i uivalent Heaters Data Wiring: No.Hyd He assage Bathtubsi_r s Ballasts No.of Devices or E'uivalent Na.No of Motors Total HP a ecommumca,ons i f irmg- OTHER: No.of Devices or E i trivalent Estimated Value of Electrical Work Attach additional detail if desired,or as required by the Ins (When required by municipal policy.) pecror of Wires Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. iNSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liability insurance including permit for the performance of electrical work may issue unless undersigned certifies that such coverage is in force,and has`exhibited proof leted of same to the coverageion" or its substantialagoffice.uivalent The CHECK ONE: INSURANCE 0 BONDipermit issuing I certify,under the pains and penalties o r❑'u OTHERthat the information on this FIRM NAME: fPe l � PPcation is true and complete. Licensee: l �!s•am" * C LIC.NO„��1 (If applicabjH e exempt m the license number line.) Signature LIC.NO.: J c.c.rr Address: ,i - _ Bus.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety/ 04 L Tel.Na.So . 1(o j OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no ve the liabilityme: Lin.insurance c required by law. By my signature below,I hereby waive this requirement I am the(check one r coverage normally Owner/Agent El owner ❑owner's al.ent. Signature Telephone No. PORTAN T:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed FEE:$ erformed by the FD having jurisdiction: