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Home My WebLink AboutBLDE-22-005433 or_. Commonwealth of Official Use Only AiMassachusetts Permit No. BLDE-22-005433 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:3/29/2022 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. J Location(Street&Number) 69 BARNACLE RD "r74- (n-4SVO Owner or Tenant James Horton Telephone No. Owner's Address 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 ioI ters New Service Amps Volts Overhead 0 Undgrd ❑ ,,,, ,No.,i;t, c',. . Number of Feeders and Ampacity �,�f "\.¢�:,'h,) Location and Nature of Proposed Electrical Work: Wiring for rooms in addition I V y �% 406 42- Completion of the following table may or of Wires. No.of Recessed Luminaires 29 No.of Ceil:Susp.(Paddle)Fans No.of VVV oal Transformers 15:VA No.of Luminaire Outlets No.of Hot Tubs Generators 3'KVA No.of Luminaires Swimming Pool AboveIn- No.of Emergency grnd. 0 grnd. ❑ gency Battery Units No.of Receptacle Outlets 54 No.of Oil Burners FIRE ALARMS No.of oil02 No.of Switches 8 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 Eauivalent 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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: $100.00 31)47/ 6 2-�‘1-%31`) (1") RECEIVED . -i- 8 2 5 2022 Commonweal d/mil Official Use Only Permit No. ✓`'1 �� _. MEN 2 n S'.rvrces Ei• � EPARTMENT t 4 B . r' .. Occupancy and Fee Checked 'ef' :s, •F FIRE PREVENTION REGULATIONS [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -4... 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: J City or Town of: l Ct r iVI U v Oil To the Inspector of Wires: By this application the undersigned ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) gives f%qt'c'&c\ QQ e c (3 G foloA ri)uf+ P&t O2kl?s' t ne 'r Tenant i 1 M lAnc jc--N Telephone No. 77 4 '4 G 15'4}(3 6 Owner's Address Igo ct' 2 2 rFl .c le l2v cl CI N rn J" Parr M (J n 2 7S- Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building n ii '_/flQ/) Utility Authorization No. Existing Service �oO Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters o) Number of Feeders and Ampaclty L/oca /t �ion and Nature`of Proposed Electrical Work: n r'r,,n jv/IC rv' iu llh mn bvr/lli/tt ?fold t X c in e e l OO66. T0 qa t 11�Lv iiaAi 5�l hes,f t W�C..5 r✓)r j to i{LtU !i-k l217/11 S h/iq clelhci Completion of thefollowingtable may be waived by the/n ctor of Wires. vt No.of Recessed Luminaires p No.of Cell.-Snap.(Paddle)Fans p To.of a Total itlI Transformers KVA No.of Luminaire Outlets 0 No.of Hot Tubs 0 Generators O KVA No.of Luminaires I Swimming Pool Above ❑ In- ❑ Lou.of>,'mergency Lighting r. grad. grad. Baery Units "e1 No.of Receptacle Outlets S y No.of 011 Burners 6 FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 0 No.of Detection and o Initiating Devices 11' No.of Ranges O No.of Air Cond. 0 TOE Alerting No.of Tons Devices v No.of Waste Disposers 0 Rent Pump Number Toes �_KW No.of Self-Contained 0 Totals: Detection/Aleri�Devices No.of Dishwashers 0 Space/Area Heating KW 0 Local❑ Mnn 0 Other _ Connectlen No.of Dryers 0 Heating Appliances 0 Kw —Security Systems:* No.of Devices or Equivalent 0 No.of Water K, No.of a No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent '' No.H tiro Bathtubs Telecommunications Wilk: y massageo No.of Motors U Total HP No.of Devices or Equivalent a OTHER: Attach additional detail if desirecl or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9713°9 (When required by municipal policy.) Work to Start: 3 f d-0(`aa, Inspections 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 ❑ OTHER Ni(Specify:) 4-kjerl 0 s,— I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Jk 9A 1 LIC.NO.: Licensee: t-6-11N, olAj„!--%4 Signature CF LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: 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 si low,I hereby waive this requirement. I am the(check onefal owner ❑owner's Owner/Agent // agent. Signature ( , Telephone No. '774 ki(751F0 I PERMIT FEE:$ . aU .0 +r t a) '`-'' s 5 t • .-_ o o .-: t E co 0 m O a) L _c m a a) C L O w i a) /� a) C OA W aJ c) 0 C •Z o Y _ a .z Q V = � °' 3D _r a) 13 f4 Q L 4) a) au o N � E o o tv c , „�aft oo � awc ,� C U c E c = `a co ° 3 L. 6) CD -0t EtCO +' 2 .0 a o 2 x �t E CS N �n O E ri _ s- O .� 4 3 \ O O L v 71 Lf i O O L,V N c f°3 E S2 a E oN L... (NI c O i co(Ni X tn N E_C 1-1-1-1- w T-1 u +• O +-1 V) o t V ZA _ a) o a, CO L. 0 U ,/) ..._I N Y y O 6 O tQ N S a) -, a) O �O O m IP 0m v i 0. ow c.W w O: t Q Q N DC v J a1 N M d' J r-i c-1 z' • • • • • • •