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Home My WebLink AboutBLDE-22-000913 BLD. 9 Commonwealth of Official Use Only �;. 4 ; Massachusetts Permit No. BLDE-22-000913 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 026 : ,;%•), Is this permit in conjunction with a building permit? Yes 0 No 0 (Che vs ppri e'x e Purpose of Building Utility Authorization No. �6. Existing Service Amps Volts Overhead 0 Undgrd 0 No ; °ik New Service Amps Volts Overhead 0 Undgrd 0 No.o1 YVge i ' (' i Number of Feeders and Ampacity .,f Location and Nature of Proposed Electrical Work: Replacement metering equipmen r 54/ ��'/ Completion of the following table may e v e7 the t r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of otal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 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. To No.of Alerting Devices 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 Devices or Equivalent No.of Water 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.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 Only Commonwealth of MaSsachrs PeicQ. 022_-- Department of Fire Services rif Occupancyand Fee Checked { z,,; • BOARD OF FIRE PREVENTION REGULATIONS Lltev. lttT j (leave blank) APPUUCATII I N FOR P `;,v T T. PERFORM ELECTRICAL ' 'ORK All work to be performed in accordance wwiththe Massachusetts Electrical Code(ME 527 12.00 (PLEASE PRINT ININK OR E IJ RiVATIOA9 Date: / l 7 " City or Town of: �4?c7(J /7 To the ector Wires: By this application the undersigned eves notice of As or her intention to perform the electrical work described below. Location(Street&Number): -( 1 (4-"C/C A3 tic Owner or Tenant :,e3 V C f C /cSTL --jj V i L.,/'(G ,f— (2::/-,e lephone No. Owner's Address T—t �—t .:t5 this permit in conjunction with a build,'ag permit? Yes 3! No Lt (Check Appropriate Box) Purpose of Building Rc=1 , 7 r-.0.0 C'°I'' Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd E3 No.of Meters New Service Amps / 4 Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proceed EIect C . ' =/ '/'1 C �`� � U/ Completion of the following table may be waived by the Inspector of Wires. i�o.of otat No.of Recessed Lumbiaires iio.of CeiL-Susp.(Paddle)Fans Transformers I A No.of Luminaire gets No.of Hot hits Generators KVA above in- No.of Enie e No.of Luminaires Swimming Pool urnd. mod. II Battery Units No.of Receptacle Outlets No.of Oil Burners FIRS.ALARMS INo.of Zows o.of Detection and No.of Switches No.of Gas Burners Initialing Devices otai No.of RAvires No.of Air Cond. Tons No.of Alern: Devices • Hest Pump tiusollar Tons = ..."T'7 .. No.of Waste Disposers Totals: =Del n/Aler g 1 i ees- municipal No.of Dishwashers Space/Area Resting KW Local Caution 13Other No.of Dryers Heating Appliances KW Beal ri_q,Systems:§ o.of Devices or Equivalent No.of Water KW No.or 0.of Data Wiring: Heaters Sans Ballasts No.of Devices or Equivalent 'i rue ommuaicattens Wiring: No.Hydromassage Bathtubs No.of Motors Toutl HP No.of Devices or E.gutvalent OTHER: Attach additional detail fdesired or as required by the Inspector of)mars. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start Inspections to be requested in accordance with 14EC 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 is in force,and has waited proof of same to the permit issuing office. CHECK ONE:INSURANCE 5 BOND II OTHER 0 (Speci ) is true and comp fete. f= '' I certify,under dzepains and penalties ofpermy,t)Cat the lrifr nzati, iattp FIRM NAME:John Brewer Electric E a 4141/'f;l _ A #dO• LIC.i E-94 Licensee: t•` ,�. '' Signatur I's ,,-,,,'r---�,_ LIC.NO.:A14092 (lfappiteable enter acempi"in the license number line) -r.._- >4. Bus.Tel.No.: Address: 73 M ALRA Ca �1L _O` a` . ° , I 5. tsp Alt.Tel.No.:548-367-0167 *Per M.GL.. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S IN CE WAIVER:I am aware that the Licensee does not hove the liability insurance coverage normally required by .By s' below,I hereby waive this requirement I am the(check one) Ev ner ]owner's agent. Owner/ at irre t I Telephone HO 3(P/<i C'he .�T FEE: