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Home My WebLink AboutBLDE-22-004718 Commonwealth of Official Use Only Massachusetts '�\0Permit No. BLDE-22-004718 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:2/25/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her.,• . '.! .p rform the electrical work described below. Location(Street&Number) 1376 BRIDGE, Owner or Tenant PEDRO FRANK A TR Telephone No. Owner's Address PELAGIA REALTY TRUST, 208 HARVARD ST, CAMBRIDGE, MA 02139-2717 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check • r •priate Box) Purpose of Building Utility Authorization No. A,_ I Existing Service Amps Volts Overhead 0 Undgrd ElNo. r New Service Amps Volts Overhead El Undgrd d'W i1io o rto# Number of Feeders and Ampacity 1:1 Location and Nature of Proposed Electrical Work: Water. heater. r..��lr �,1 �� Completion of the following table lid' VVV ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Y.,...? K o al Transformers qNo.of Luminaire Outlets No.of Hot Tubs Generators VA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 Ton No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting 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 1 KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices 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: 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: JEFFREY W NESSING Licensee: Jeffrey W Nessing Signature LIC.NO.: 53160 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 133 PINECREST BEACH DR, EAST FALMOUTH MA 025364725 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 t RECEI ED L-wrAfl • FEB 2 4 022 �s�� •. "'`": ,. ILDING DEPAR4�ait++ Official Use Only �_ i1 -- n �I f 2)spar art o`�Ny Jivwcee Permit No. j BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked �=—_.— Rev. ]ro7) leave blank �u APPLICATION FOR PERMIT TO MI work to be Performed in BCcordance with PERFORM ELECTRICAL WORK the Massachusetts Electrical Code(MEC),527 CMR 12. (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOIyI B' City or Town of: v Date: L y this application the undersigned givesARMbOUT intention to T o e Inspector f P Wires; t.ocatiog(Street&Number) �i p �e electrical work described below. CP Owtier or Tenant -. -c,in (-J✓t r Owner's Address Telephone No. ' Ia this penult in conjunction with a brdidin o �nrpose of Bnilding g permit? Yes 0 No ❑ (Check Appropriate Box) tiding Service Utility Authorization No. Amps / Volta Overhead 0/ Volts Overhead 0 d Un C few Amps 0 No.of Meters Number of Feeders and AmpUndgrd 0 No.of Meters _ --- ocadon and Nature of Proposed Electrical Work: No.of Recessed Lgnrbrah ea Com.letion o the ollowin, table m No.of Ceti.-Sn ,o�o waived b the/ . cror o Wires, -,1 No.of Ln sP�(Paddle)Fans KVA 'r minaire Outlets Transformers No.of Hot Tubs ` No.of Luminaires Generators KVA F Swimming Pew ,,e ❑ n- 'o•o g cY 7 r n o.of Receptacle Outlets d, 0 mar en g No.of Oil Burners Batte Ugits c iWo.of Switches No.of Zones No.of Gas Burners_ `o.o i^t 1.rIniUatia� Devi No.of Air Cond• o Devices o.of Waste Disposers eat 'map Toga No.of Alerting Devices Totals: ...n_A!, �r ona n `o.o l�o.of Dishwashers TM DetecdoNAle trim Devices Space/Area Heating KW Local0 •uq No.of Dryers Heating Appliances Cognac: 0 Other ' ar o.o KW . : ty y Heaters KW 'o•o •o.o Data Wiring: No.of Devices or ' ,aivalent S,_ s No.Ryd Heaterage Bathtubs No.of Motors BallastsNo.of Devices or ,uivalent Total HP e ecomm ; ,na , gg OTHER: No.of Devices or ' i nlvalent Estimated Value of lectri W :�� v v Attach additional detail iifdesired or as tot Start: ' (When required by municipal policy.)required edby the/nspectorofWires, WorkSURANCE `7 '- irons to be requested in accordance with GE: Unless waived bythe owner,no MEC Rule 1el and upon completion.ss the,licensee provides permit for the Performance of electrical work mayissue unless undersignedproof of liability insurance including" ompleted operation"coverage or its substantial certifies that such •.v :ge is in force,and has exhibitedproof of equivalent. The CHECK ONE: INSURANCE \l BONDsame to the permit issuing office. lcertlfy,seder the pains and, ,. , � 0 OTHER 0 (Specify:) FIRM NAME: of tyn0'•that the information on this appi'icatfon is true and complete (/f gaee: . lienN Lice ® S t rv. 1 LIC.NO.. apnsee:le,enter" Signature ,%�--- __ Ad�lnu b l t"in theII Ch"-Ck license ,'!` line.) fin r ... LIC. o• *Pe{M.G.L.c. 147,s.57-61,security work requires Department�1 fP�, U d s i But.TeL No.• ()• -p J 6 OWNER'S INSURANCE WAIVER: I am aware that h ene Public es not have the liability insurance co• Safety•S"License: Lie.No. lly required bylaw. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent la coverage no Signature owner • owner's a:ent. Telephone No, PERMIT FEE $ 0 —