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HomeMy WebLinkAboutBLDE-22-000907 BLD. 3 Commonwealth of Official Use Only Permit No. BLDE-22-000907 Massachusetts .i 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:8/17/2021 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) 481 BUCK ISLAND RD Owner or Tenant BUCK ISLAND VILLAGE CONDOS Telephone No. Owner's Address CIO BOARD OF TRUSTEES,481 BUCK ISLAND RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec riat Purpose of Building Utility Authorization No. `� 4 Existing Service Amps Volts Overhead 0 Undgrd 0 Ic . s New Service Ams Oak ps Volts Overhead CI Undgrd Cl No. r , Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work: Replacement metering eguipme _ A A i Completion of the following table may be k by •# of Wires. aipt No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers ' 'A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. prod. 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 ❑ 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 Siens 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 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: $80.00 Official Use Commonwealth ofMassachusetts Pen tN '___. ,x �t _di* } Department of File Ser vices o and Fee Checked _ r i. t �xev. nu' b , -.v_ BOARD OF FIRE PREVENTION REGULATIONS � ) APPU CATII )N FOR PERMIT TO PERFORM ELECTRICAL t3A' O K Ali ti�=orkto be performed ui accordance�eiththe lvIassachusettsEla� 527 Electrical Code(ME (PLEASE PRLNTNM P OR E ALL WORIVATIOA9 Date: /7 r City or Town of: V -.16 V T ' To the ector Wires: By this application the undersigned gives notice of her i tio�pm rot ui thy cal work described below. Location(Street es Number): -I Ki 67, i G <fri,,� lephone No. Owner's Address .:Is this permit in conjunction with a building permit? Yes 1 0 No 0 (Check Appropriate Box) Purpose of Building ./ c zS/..,-, r/I'1- Utility Authorization No. Existing Service Amps / Volts Overhead Undg-d 0 No.of Meters New Service Amps / TO Volts Overhead! t IUndgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Elect- Cc�f'YI ' c' �' 0/ kit"lfiiJ� l � anon of thefolIowb table may be waived by the Inspector o`I ires. Na of Tarot No.of Recessed Lumbtaires No.of Cell-Snap.COS(Paddle) ins Transformers A No.of Luminaire e`udets ti'o.of Hot iibs Neitet A above BI moo.drE ergency No.Of Luminaires ISwitmtiin Paoi „rnd. grad. II Battery Units No.of Oil Burners ',ALARMS )No.of Zones No.of Receptacle�udets :a of tuete wn and No.of Switches No.of Gas Burners Initiafing Devices otai No. No.of Air Cond. Tons No.of Alerting Devices of "` ,,o.ar _-- " on!AIeC,t,z: ces No.of waste Disposers Totals: - ,r:;� Space/Area feadn. i Local Conueetion ether No.of I yevashers rig Appliances urlty No.0yst a Les:*• or :t - No.of s ryers No.of �� ' "` o.of ater KWtr a.ai Signs Ballasts No.of Devices or Equivalent Heaters etecommuaicauons wiring: No.Hydroaiassage Bathtubs No.of Motors TouirBP No.of Devices or Equivalent OTHER: Attach additional detail(desired ar as required by the Inspector of Wires. E (When required by municipal policy.) Work to S S tar Inspections to be raga te Value of Elsctric2i ork requested in accordance with MEC Rule 10,and upon completion. Work INSURANCE COVERAGE:Unless waived by die owner,no permit for the perforfn a of its electrical workntial may u vaiien unless providesproof of liability insurance including completed operation" issusuing office. the licensee f of same to the permit undersigned certifies that such cove is in force,and has ex}�ited proof CHECK ONE:INSURANCE Cr BOND ❑ OTHER 13 (SSnpceify) �ttzre and cv nlei� r eertl ,wader dtePaats and penalties©f perjrs�', �i�/'�`,l`i _esq_ is � t�,. C.1� FIRMNAME:John Brewer Electric J i t (� .Signaturj €IC.NO.:E21949 .:AI 42 Licensee: .�f. I Bus.Tel.No.: (lfepplicahle enter exempt"in the license number line.) .�-�j r. r ycl.�t_BID feel No.:548-35T-016? Address: 731v l Cv f'" jl/--- ..� . JAl�.. "S"License: Lit:.No. work requires Department of Public Safet coverage normally ParIti� c.147,s.57-61,CEsecurity owner's agent. CE iidAlfl- :I am aware that the Licensee does not have liability OWNER'Sequ .By below,thereby waive this requirement.lain the(check one) Ni n II required by �� ) �� 1 � � Owner/ t Telephone N Signature l 3L iii/ - C y� ' -3 Commonwealth of Official Use Only - 'fi Massachusetts Permit No. BLDE-22-000909 .'"®.. 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'8/17/2021 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) 481 BUCK ISLAND RD Owner or Tenant BUCK ISLAND VILLAGE CONDOS Telephone No. Owner's Address C/O BOARD OF TRUSTEES,481 BUCK ISLAND RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Si] Box) Purpose of Building Utility Authorization No `1' Existing Service Amps Volts Overhead 0 Undgrd 0 '., o erg New Service Amps Volts Overhead 0 Undgrd 0 o, egp`t Number of Feeders and Ampacity � d am) <4 Location and Nature of Proposed Electrical Work: Re•lacement meterin. e•uipme _ / Completion of the following table m war,- ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of tal Transformers \�VA 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 Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 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: 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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: $80.00 I Official Uslyt:)9 Commonwealth of Massachusetts :1 PennitNo. `` Department of F e Services I- s Occupancyand Fee Checked uxev. 1/0 _. BOARD OF FIRE PREVENTION REGULATIONS (teaveblank) . APPIICATrN FOR PER, IT TO PERFORM ELECTRICAL i,.V ORK All work to be perforated in accordance withthe Massachusetts Electrical Code(ME 27 MOO (pr.F4.cEPM'?IN INK OR E ALA Rl1IATION) Date: /7 City or Town of: � (.,-�.//`� To the I ector Wines: By this application the undersigned gives notice of ' or her intention to perform the electrical work described below. Location(Street&Number): •(( / Cie /(3 4, Owner or Tenant Cl(j C sz ,t,- f I£ G _ CT-VJ lephone No. Owner's Address-€s this permit in conjunction with a building permit? Yes 0 No 9 (Check Appropriate Box) Purpose of Building /,;.2--„' Utility Authorization No. Existing Service Amps / Volts Overhead 0 IJndgrd 0 No.of Meters New Service Amps 1 , Voit Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Elect /7 �94 C .6=f, - s> =5 7, C/ e -c-- ex9 (1/ LivC71.11Jc Completion of thefollowing table may be waived by the Inspector Wires. No.of alai No.of Recessed Luminaires 1No.of Cell.-Snsp.(Paddle)Fans _raaisformers KVA No.of Luminaire Outlets No.of Hot fibs Generators KVA .above n- No.of inergeaey ad No.of Luminaires Swimming Pool grad. II grad. ❑ Battery Units No.of Receptacle Outlets 1No.of Oil Burners .E ALARMS JNo.of Zones --- fro.of Datecdon and No.of Switches No.of Gas Burners rayinfrog Devices Total No.oil-Ranges No.of Air Cond. Tons No.of Alerting Domes - lea Pump iv cr ons 'BM No.arSc1E-t`sam1 L No.of Waste Disposers I Totals: Detedtioni A , Vices Mantel No.of Dishwashers iSpaceffArea Heatin Local"Connection Other Appliances KW 'Secu SysEems:� No.of Dryers 1'4Fi.4$DEYiC�S or Equivalent No.of Water !No.of No.of Data Wiring;Wiring;Heaters Signs Ballasts No.of Devices or Equivalent 'ref ions Wiring: Ho.Hydromassage Bathtubs No.of Motors TetalHP No.of Devises or Equzralent OTHER: Attach additional detail(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 coverge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE I- BOND 0 OTHER. II (specify) I certify,under die pants and penalties ofpetjuty,t tatte Ittfrntat, is apli� awe and complete. FIRE NAME:John Brewer Electric f= Ji%—. ' t�L.'f xJ ���+..�� l LIC.NO.:E21949 Licensee: f ; ,r�,' Sigtxatnr .--'ff ,-t.,_,,..--- LIC.PIO.:A14092 (yappiftable, enter'exult'!"in the license number line.) - > Bus.Tel.No.: Address: 73 Mi,1.f..la+!-i CF.. s 7 ft .-.1 -...'7,445. iitiq OR tric.1 Alt Tel.No.:508-367-0167 *Per M.G.L. c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INS€ ANCE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by law By below,I hereby waive this requirement I am the(check one) NEi ner 0 owner's agent Owner/fig Signature �-/b� 't.t..4/L—. Telephone No .3(S f ) Ct P :St