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Home My WebLink AboutBLDE-22-000916 BLD.12 Commonwealth of Official Use Only R i.:.. I Massachusetts Permit No. BLDE-22-000916 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 Telepho e N4 (-' Owner's Address C/O BOARD OF TRUSTEES,481 BUCK ISLAND RD,WEST YARMOUTH, M' 0441 c, , Is this permit in conjunction with a building permit? Yes 0 No 0 (. Iri' Ap iit olfc)I,`t' Purpose of Building Utility Authorization No. <II t i^` 6 4 4' 4''f" '"? Existing Service Amps Volts Overhead 0 Undgrd 0 i 10 8f lvlgt l y New Service Amps Volts Overhead 0 Undgrd 0 No.of Mot Number of Feeders and Ampacity / ;'''' � a Location and Nature of Proposed Electrical Work: Replacement metering equipm- ,� yt Completion of the following table may be wa ed . t e Inspector of Wires. 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. Ton l 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 `` - COlnMOI/WA►eS«?ofMassachu Official Use Only ''' Permit wo4 5Z—0 91 r �� DepanrnenrofF Services fl Occupancyand Pee Checked � BOARD OF FIRE PRBVE TION R GULATIONS [lcev. IlU (iea�eblanik) _. APPLICATI•N FOR PERMIT TO PERFORM ELECTRICAL V;O K All work to he perfumed in accordance with the Massachusetts Electrical Code(ME 527 12.00 (PLEASE PRLIVT.Thr INK OR E ALL� RMATloi Date: J /7 / City or Tom of: i��Qy'i',�//7 To the I ctor FYmes- By this application the undersigned gives notice of ' or her intention to perfia„i the electrical work described below. Location(Street&Number): -4443 / C.,C../ A-5 4- Owner or Tenant . (i C/1/4- ` .5G 'i fI Le/1 T ie epbone No- Owner's wner's Address-Is this permit in conjunction with a building permit? Yes 0 No n (Check Appropriate Box) Purpose of Building ./c=,�4/-., 7 ri; Utility Authorization No. Existing Service Amps / Vol& Overhead 0O Undgrd 0 No.of Meters New Service Amps / .. Volts Overhead Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Pro used Elect L ct M-7 >1- "27 t / 7 Completion of the following table may be waived by the Inspector of Wires. 'iio.of Total No.of Recessed Lumhl'aires No.of CeiL-Susp.(Paddle)Fans $ransforme<s 1 JA No.of Luminaire Outlets No.of Hot tills Generators OVA Above in- WO. i mergencyigsrs No.of Luminaires Swimming Pool grad. LI grnd. II Battery Units No.of Receptacle Outlets JNo.of Oil Burners ria ALARMS JNo.of Zones No.of Switches No.of Gas Burnerso.of Detection and g Devices Total No.of Sages No.of Air Cond. Tons No.of Alerting Devices Heft Pump tiumecr Tomas NW ai rr.. Wand - No.of Waste Disposers Totals: Detection/Ales;j=• Devieelf f u lYt No.of Dishwashers Space/Area seating KW ,Local eD Connection Other No.of Dryers Appliances '-'�" "Securelyy Systemoo cee or l€ € Equivalent No.of Water KW No.of No.of Data Wiringg Heaters Signs Ballasts No.of Devices or Peivaient f Devices Telecommunications No.Hydromassage Bathtubs 1 0.of Motors Totals o ai+e s srn, : ol No.:of 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 suck convige is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE ( BOND 9 OTHER 9 (Specify:) I carat:,trader die pains and penalties o.fperjtny,Oat the frzfrr 1s app ratio sfive and complete. FIRM NAME:John Brewer Electric ',�. E bt t 'f�'& 1 n, LC.NO4121949 Licensee: .,, / '4 9' Signature Lie.NO.:A14092 (ifeppticablc enter exempt"in the license n miber lined �_....;< Bus.TeL No.: Address: 73INGALM Cc..---. J .c`!1 .�j�= .17.244.3 4.1 te fI Alt Tel-No.:508-367-0167 *Per M.G.L. c.147,s.57-61,security work requires Department of Public Safely"S"License: Lie.No. OWNER'S CE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by below,I hereby waive this requirement I am the(check one) Eli ner 0 owner's agent. Owner/Agent Signature gi Telephone Nca.-3tp,J'cD) Cr7 PERMITFAA' (jig >3R, 'II/4e.ir e , �fi z