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Home My WebLink AboutBLDE-22-000910 BLD. 6 Commonwealth of Official Use Only i Massachusetts Permit No. BLDE-22-000910 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 0 (Checkriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No-; �. New Service Amps Volts Overhead 0 Undgrd a Number of Feeders and Ampacity �a �fhb Location and Nature of Proposed Electrical Work: Replacement metering equipm `../1 Completion of the following table b ire ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal Transformers y b.> .r, TVA No.of Luminaire Outlets No.of Hot Tubs Generators "`7+CC'...J`/! 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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 14092 Address:205 CEDAR ST, W BARNSTABLE MA 026681324 Bus.Tel.No.: *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 .ems Commonwealth ofMassachulselts Fuse Only �' - PennitNo. rd-rik?_ Depa>^ttner o F� Se ices '1 Occupancyand Fee Checked BOARD OF FIRE PREVENTION REGULATIONS IKev. ilU (leave blank) - APPL CAT I J FOR PERMIT T I PE FO" .J ELECTRICAL ;' ORK All work to be performed in accordance with the Massachusetts Electzical Code(ME 527 12.00 (PL S'EPRLNTINDa'OR Trr L_4L�LWORffATIOR) Date: /7 City or Town of 0 i.,.// To the ector Wires: By this application the undersigned gives notice of ' or her intention to perform the electrical work described below. Location(Street&Number): - '" / C-'UC ,C.S F Owner or Tenant :• 3 Li C f /is vc4.7. 1c 5 C<T lephsone No. Owner's Address -� -Isthis permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building �c-=t.S/.<---- (`?' Utility Authorization No. Existing Service Amps I Volts € ver head 0 Undgrd 0 No.of Meters New Service Amps / < Volts Overhead E Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Pro used Elect e_ 2 Cc�.`--1'7t .. v , l c /t f l�\ Cf S v� T U/ f,-iJ (� Completion-of thefallowing table may be waived by the Inspector((Wirers go.Of Mg No.of Recessed Luminaires INc.of CeiL-Susp.(Paddle)Fans Transformers KVA No..of Lurroaaaire On-lets INo.of Hot this Generators K VA bbve in- bi or et eac;i- No.of Luminaires Swimming Pool grad. El grad. II Battery Units No.of Receptacle Outlet No.of Oil Burners spna ALARMS JNo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initialing Devices total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Ilea',„p: .,,pr puts I V .-rifSclisishustt - -. No.of Waste Disposers Totals: Detection/Ales*__: Devices Mould,, No.of Dishwashers Space/Area Heating Local"Con 'tIon "Other -No.of Dryers Heating Appliances KW Security Systems:* or Eqpt No.of Water iWW No.of No.of Data Wirinir Heaters Signs Ballasts No.of Devices or Equivalent No.Hydr orris asss�age Bathtubs 1No.of MotorsTotal !etaCO No.ofDevice�.1► Eq of Devices or s�.qavaleat: OTHER: Attach additional detail ifdesfred 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 hi 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 covevige is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE F: BOND 0 OTHER 9 (Specif* I cent!,under dze pains atrdpenalries ofperjuy,Onthe hzzfitmz this app8 cacadon save and Arleta FIRM NAME:John BrewerElectric I % ?i4/'• 4 14, (. i LIC.NO E1949 Licensee: ` .i' mod'S4 Signatur {:•�'ift.i--14,.-t...- --- LIC.NO.:A14092 &applicable. enter erennpi"in the license number line} ..---"""�-*" Bus.Tel.No.: Address: 73 2+6.14/R Cr:. .fit c7.462eg4 , ! `` gig: fit'':J Alt Tel.No.:508-367-0167 *Per M.G.L. c.147,s.57-61,security work requires Department of Public Safety"S"License: Lis.No. OWNER'S DI CE WAIVE :I am aware that the Licensee does not have the liability insurance coverage normally required by 's. below,'hereby waive this requirement Tam the(check one) Ei ner El owner's agent. Owner/Agent / -y Signature g' AA.�f/U— Telephone Na3(PI�J C P ' ze (jig 1 >(et,%--kzeifat7' .. Q" -