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Home My WebLink AboutBLDE-22-004796 0,- i Commonwealth of Official Use Only sti Massachusetts Permit No. BLDE-22-004796 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:2/28/2022 City or Town of: YARMOUTH To the Inspector of Wires:‘:,...l By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ;'19, Location(Street&Number) 50 BENJAMIN WAY j ,� Owner or Tenant Ken Lafrenie Tele .^°.4, ' ' Owner's Address 50 BENJAMIN WAY,WEST YARMOUTH, MA 02673 I? �' in conjunction with a buildingpermit?. Yes 0 No 0 (Check ,Ca x k; ',r i Is this permit J P r` ,�•-.,, Purpose of Building Utility Authorization No. ''. ' apt ,, Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Mete New Service Amps Volts Overhead 0 Undgrd 0 No.of ete s `" Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: In ground pool %z Completion of the following table may be waived b 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 El 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 NNo.of DetDevectio i nan nd No.of Ranges No.of Air Cond. Ton Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Cct M n eunis pion al 0 Other: No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LEON KNIGHT LIC.NO.: 20979 Licensee: Leon Knight Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:9 PILGRIMS WAY, BREWSTER MA 026312061 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. I PERMIT FEE: $85.00 I eQ(10v-t i -,V Pi.9 et. C1244-Aire. 13e404 . .i t t3 t`)f a t NLP, -3 t9-1 i 6 c I)M 1I'V (1 Ce 513t7-rz-a -Ev'e et 3/'4.l - i/0 6 NOW,w c lea-) 3/LYl,77v i RECEIVED ii4 /� a�,� I FEB 282027 Commonweal of true awake Official Use Only ��- f c� i�uivv uCrAtY7Vil�6�jjti No. l/ ce p ! r •U part~m.nE o`.}iry. iiyicee ` (—l �/ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1ro7j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTR ICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Zg 9 2 City or Town of: YARMOUTH To the Inspector f Wires: c y this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Nu bsr)) Owner or Tenant /4 r"�► I Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) purpose of Building Utility Authorization No. xisting Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd I❑ No.of Meters Number of Feeders and Ampadty . Location and Nature of Proposed Electrical Work: , f�'(,�.f a 1'Yl lm l'I�1- �( Q1 r` "lr�/ -,Ti ll Completion of the followlng_table m be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cdl.-Su No.off �.(Paddle)Fans 11 Transformers KVA rrzx No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires swimming Pool Above ❑ Io- No.of Emergency Lighting N Rrod. &rad. ❑ Batter Units \4 NNo.of Receptacle Outlets No.of Oil Burners .,V FIRE ALARMS f No.of Zones No.of switches No.of Cas.Burnera No.of Detection and Initiatine Devices t t.t No.of Ranges No.of Air Cond. rotat Tons No.of Alerting Devices 4o.of Wsste Disposers Heat Pump Number Toss KW . No.of Self-Contained "Totals:L " � �."� `� - - Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municip Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters No.of KW Signs Ballasts Datallo.of evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 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: 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 r: BOND 0 OTHER 0 (Specify:) I certify,under the oayts /d, 'es of �rrtur that the Information on this application is true and complete. FIRM NAM : 6 Hei_ /`'I�CIfil a LIC.NO.:4'Zp 97 t9 Licensee: f') Ufth/�Lt/ Signature LIC.NO.: (Ifapplicable, is yr t" the Itio4se manber li .) �� Bus.Tel.No.• 7 Address: ra f yyl S �i-�°(` `S � /} /�J Alt.Tel.No.: ?No.. �� *Per M.G.L.c. 147,s. 7-61,security work urres Department of is Safety SS"License: Lic.No. 2 /23 OWNER'S INSU CE WAIVER: I 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:5