The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000401 Official Use Only of Massachusetts Permit No. BLDE-23-000401 • 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:7/26/2022 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) 233 PLEASANT ST Owner or Tenant GRIMES THOMAS A Telephone No. Owner's Address C/O STAGER NANCY H&JAMES E, 233 PLEASANT ST, SOUTH YARMOUTH .4,4 + .- Is this permit in conjunction with a building permit? Yes 0 No 0 (C r` k ppropriate Box) �� Purpose of Building Utility Authorization No:.:'-g. / O! O S 2,1 ''7 `,( 6 0 Existing Service Amps p Volts Overhead 0 Undgrd 0 No.of Meters -�f `o collitle New Service 400 Amps Volts Overhead 0 Undgrd 0 -,No.of Meters Number of Feeders and Ampacity "" �/trY(2� Location and Nature of Proposed Electrical Work: New residence with pool Completion of the following table may be waived by the 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 2 KVA 48 No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emergency Lighting grnd. "rnd. Battery Units No.of Receptacle Outlets 80 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 50 No.of Gas Burners 1 No.of Detection and Initiatine Devices No.of Ranges 1 No.of Air Cond. 4 Total 8 No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: • No.of Devices or Eauivalent 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: ANDREW G THOMAS Licensee: ANDREW G THOMAS Signature LIC.NO.: 22152 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 ECHO LN, CHATHAM MA 02633 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) ❑ owner 0 owner's agent. .Owner/Agent Signature Telephone No. 'PERMIT FEE: $265.00 I Ai 4 i IVert12. J/ w ohs 2/7.44,)2tg Re exik 6449/Avo fki-- .eilqinCre/214)14 (.----a-lat_b_E 1 lizlzs op: etuarttoe05.0 (ON 42- 4 C.A Li is Commonwealth.o/Ma.Idachwelld Official Use Only " = j c� Permit No. .3- O a _ I�_ .2 eparlmenl o/]ire�ervicea =`� " BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '� [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: D u l 5 .d (t a 0 d a. City or Town of: -%-framov ill 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) 33 P l e t S a k I) si f t`L I Owner or Tenant N e4 r1 C 5 c,,d ' Iti Stq 5 t I Telephone No. d Owner's Address 3 ) TI e rel.-i J4I-t t I Is this permit in conjunction with a building permit? Yes V No U (Check Appropriate Box) Purpose of Building CtS i t R)-t&i l Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No. of Meters New Service 1400 Amps 140 /a Li0 Volts Overhead I I Undgrd I� g t'1 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: tv ii... 6 LI a S t2 4 hho Completion of the following table may be waived by the 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 a KVA a Li No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets S o No.of Oil Burners FIRE ALARMS No.of Zones No. of Switches 5 0 No.of Gas Burners I No.of Detection and Initiating Devices No.of Ranges I No.of Air Cond. 4 Total $ Tons No.of Alerting Devices No. of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: r f Detection/Alerting Devices No.of Dishwashers I Space/Area Heating KW Local Municipal El ❑ Other Connection No.of Dryers I Heating Appliances KW Security Systems:* No.of Devices or E uivalent No.of Water No.of No.of q Heaters KW Data Wiring: l Signs Ballasts 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: I Jd, 0ao (When required by municipal policy.) Work to Start: '3145 a L.,La J 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE tX1 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: braf Llec.lfiCitl 3 ,0 0 AI Licensee: An 1 It itiar.aJ Signature 12 LIC.NO.: Q d l 54)-A (If applicable, enter "exempt-in the license.number line.) Address: ' rG�a ctn C h ti j I,kA r"�t (��'� Bus. Tel.No.: L i7 -33S-�?9"} *Per M.G.L. c. 147, s. 57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $