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Home My WebLink AboutBLDE-22-000670 a' Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000670 '+o' 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:8/6/2021 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) 99 THACHER SHORE RD Owner or Tenant SRIHADI TRI K Telephone No. Owner's Address 77 ROUTE 6A,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: Replace meter socket. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: No.of Total Susp.(Paddle)Fans 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. Tons Tota 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 HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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: Steven E Tullock Licensee: Steven E Tullock Signature LIC.NO.: 20114 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 RUTH ST, HARWICH MA 026451674 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: I /$50.00 1 gA , Cog-rtrQ t" s �.a.feviL#r..Jc /../tee- craw Ar if-/1s?s RECEIVED co l e AUG 05 2021 CommonwsaLth o/Mamachudalfd Off cial Use-Only � '� t BUILDING DEP RTMEVT B;'4 7 cc�� cc-� Serviced Permit No. &Z — A1•.; f 2 epartnunt e irs Serviced 4;7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: e" ac 2 tJ City or Town of: YARMOUTH To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5'f ThikbrcVk - 4 k-,u to RN::.- Owner or Tenant ..T dil N r- >> Telephone No. Owner's Address 4 Ma Is this permit in conjunction with a building permit? Yes 0 No DK (Check Appropriate Box) ( Purpose of Building Qe 0 - i .L Utility Authorization No. ( Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ti. S o OQ CE. (Vd . t--kEl , e;• C+rJS�- �oc_st_r S AS V �Z' , _t-f) (AsC,9re-c vl Completion of the following table may be waived by the Inspector of Wires. th o No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total '{ Transformers KVA ';t No.of Luminaire Outlets No.of Hot Tubs Generators KVA -4 No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. gr nd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones •c. ` No.of Switches No.of Gas Burners o.oThetection and r Tonsal Initiating Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 K o.of Self-Contained Totals:I"" "'""' } Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW aI❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts 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 Electri l Work: (When required by municipal policy.) Work to Start: �'Z Z��>�P; nspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE E: 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 end penalties of perjury,that the information on this application is true and complete. FIRM NAME: V e 'v l li: C LIC.NO.: Zd(( Licensee: CSC v t V1,42:SUI$ignature ��'1 .,.A C.NO• (If applicable,e 'exemy� i the license number line.) Address: C��IS`6- 1`.Q 0). '�•-�s Qw l C(n Bus.TelTel No.•�1�,��.�1�3 Z.1 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No.OWNER'S 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 owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 6PQ