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Home My WebLink AboutBLDE-22-000912 BLD. 8 Commonwealth of Official Use Only 0Massachusetts Permit No. BLDE-22-000912 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 ID Is this permit in conjunction with a building permit? Yes 0 No (Check Ap aer' to Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ of r New Service Amps Volts Overhead 0 Undgrd 0 r i` Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement metering equipm: T. e ./ Completion of the following table 46 wa t s for of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of V.,71,.‹.<>N tal Transformers //// A No.of Luminaire Outlets No.of Hot Tubs GeneratorsA No.of Luminaires Swimming Pool Above nd. ❑ Irnd. ❑ No.of Emergency Lighting 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 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 0 (Specify:) I certify,under the pains and penalties ofperjury,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 I Use Commonwealth of Massachusetts Official,Z Only '� PennitNo. -4 . Departmeniof��Services r _ Occupancy and Pee Checked '-i. BOARD OF FIRE PREVENTION REGULATIONS [KeV. IItr/J (leave APPLICATION FOR PERT TO PERFORM ELECTRICAL 'r^v ARK All work to be performed in accordance with the Massachusetts Electrical Code(ME _527 12.00 _ (Pr RASRPRLNT1NJNK OR E 4TJ.WORN/AT/OM Date: 17 r' City or Town o ��1�. �C 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): -4' 7 C-/c/<c S 11 Owner or Tenant ` Li(f AS'G'q j vri 46-1 G. f�; CQ-V,1- ephnne No. Owner's Address -Is this permit in conjunction with a building permit? Yes 0 No El (Check Appropriate Box) Purpose of Building R .�--v-y®(`� Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of P osed Elect . t C"'t',�'l't✓y"--- / f ' Completion of the following table may be waived by the Inspector of Wires go.or Drat No.of Recessed Lumina res )No.of CeiL-Susp.(Paddle)Fans Transformers KVA No..of Luminaire Outlets No.of Hot Tubs Generators kVA Above r..1 in- No.of Emergency u No.of Luminaires Swimming Pool. �rnd. grnd. LI Battery Units No.of Receptacle Outlets JNo.of Oil Burners FUZE ALARMS 'No.of Zones No.of Deb:caw and No.of Switches No.of Gas Burners =nirng Devices Totat No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Hit Pump Nudge Tons h No ac No..of s otls: s, n Alc e No.of Dishwashers Space/Area Heating KW Local Conr+ on Other • No.of 9 ryers Heating Appliances KW Security Systems:* No.of-Devices or Equivalent No.of Watert get or o.of bate ice: Heaters I t o.Signs Ballasts No.of Devices or Equivalent No.H ci oniass Batihtubs No.of Motors Total t etecaramf ns f E y " �• � No.of Devices or Equivalent 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 cove ige is in force,and has exhibited proof of same to the permit issuing office. CHECIL ONE:INSURANCE F' BOND 0 OTHER 0 (Specify* I certify,under the paha and penalties ofper urj,#zat the itzfinwzat is appi ogre and complete. FIRM NAME:John Brewer Electric ' W ' � � n,WM LIC,NO 1949 Licensee: f fi.'74 Slgnatttr `� .t.--t..�.-.--�. LIC.NO.:A14092 /lfapplicable enter ere mpi"in the license number line.) - —:--- Bus.Tel.No.: Address: 73 ivTi i. A C f " =r'7.z 0 . ' .'? ik 4 An: f trir.liZI Alt Tel.No.:50&3677-4167 *Per MI. c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S IN t'ICE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by .By below,I hereby waive this requirement I am the(check one) Ev ner 0 owner's agent. Owner/ t -�y Signature t?' Telephone No (UY(J i/.:/ IPERAIIT F :S > f e ,erix r s r,-7, Clf,rr