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Home My WebLink AboutBLDE-22-000914 BLD.10 Commonwealth of Official Use Only - Massachusetts Permit No. BLDE-22-000914 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 thispermit in conjunction with a buildingpermit? Yes 0 No 0 "' , j p (Check ra Purpose of Building Utility Authorization No. (`: �� 4i A Existing Service Amps Volts Overhead 0 Undgrd 0 No.of r�`'�,/ ' cb ' ''•. New Service Amps Volts Overhead 0 Undgrd 0 No.of Meter, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement metering equipm -- ! %/141A Completion ofthe followingtable maybe waived b Ins e or ofWires. P � P No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA 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 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 I* Commonwealth QfMassachusetts Official Use Only "- �. PennitNo.�i22 1 Department of Fire Services i - . Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS LK"' I/W -1 (leavebiank) APPIUCATII{:N FOR PER I'AT TO PERFORM ELECTRICAL ' 'O,', All work to be performed in accordance with the Massachusetts Electrical Code 527 12.00 (Pr,F4.SEPRINT/N.8W OR E AL} R.6tTIOR9 Date: / /7 r City or Town of •e- 7J 0.,, ,� To the actor Wines: By this application the undersigned gives notice of or her intention to perform the electrical work described below. Location(Street&Number): -ifczP I c"C/ . /5(- li/... Owner or Tenant 343 Cl C f S c-S`G'c j 'Ii�G. < i:-V ephone No. Owner's Address -Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building.__ S/ -,"CI-:- Utility Authorization No. Existing Service Amps / Volts € Overhead 0 Undg d 0 No.of Meters New Service Amps / : VoIt Overhead l._t Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Elect C__ - . ' ct ' ' i /77 c Completion-ofthe following table may be waived by the Inspector of Wires. No.of oral No.of Recessed Lumh is res To.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot iiii}s Generators KVA wove in- No.a�mergeacy LOthig No.of Luminaires Swimmin Pool grad. II grad. II Battery Units No.of Receptacle Outlets No.of Oil Burners FM ALARMS iNo.of Zonts Lido.cif Detecthm and No.of Switches No.of Gas Burners miffing Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices . Heat Pump? t one xw rta:ar 3f" No.of Waste Disposers Totals:I"-' Defection/Alerting eunlcs h No.of Dishwashers Space/Area eating KW Local Coaiw"tion EiOther No.of Drrs Bentin sppl'iantes• o sten or Equivalentrrk , No.of Water ICW o.o: —"""-Ro.of Data Wiring: Heaters Signs Ballasts No of Devices or Equivalent "retecommunicatioas Whim: No.Hydromassage Bathtubs No.of Motors TotalB No.of Devices or Equjvaient OTHER: Attach additional detail tfdesired 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 Il.EC 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 ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE Er BOND 0 OTHER 9 (Spear)E Ii isfasteattd cvr�tr�lete. I certifr,under dze pains and pezttltities ofpej wy,Oat infenz iS apP. FIRM NAME:John Brewer Electric rt W �s l4,fi :1 Wee... LIC.NO.:E21-94 Licensee: . 1 S 9'. Signatux .''mod. A..,..,....----,,_h.-. LIC.NO.:A14092 (lfepplicablc enter exempt"in the license number lute) .r-''ems Bus.Tel No.: Address: 73 MI ` 'A e �' 4 OR if:A Alt.Tel.No.:508-367-0167 *PerIvin... c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S DI. ANCE WAI'VER:I am aware that the Licensee does nor hove the liability insurance coverage normally required by la By s' below,I hereby waive this requirement Iam the(check one) Etter 0 owner's agent OwnSignature t Telephone N 3(P7'0) C') PERMITF. 111 > I}L -ift,/' -c av't ,