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Home My WebLink AboutBLDE-23-002921 • P4\ Commonwealth of Official Use Only :. Massachusetts Permit No. BLDE-23-002921 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•11/29/2022 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) 8 GILBERT ST Owner or Tenant STEVE ZAIMES Telephone No. Owner's Address MA Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 60 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Public meter/service for septic system servicing units 6&8. 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 KVA No.of Luminaires Swimming Pool gr bovend. ❑ g rnd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices 1 No.of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection 0 Other: 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: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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: THOMAS E CUNNINGHAM Licensee: Thomas E Cunningham Signature LIC.NO.: 8410 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO Box 48, Leicester MA 015240048 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:$50.00 I 1-A 174,(-�zer cck GI 2_0( Commonwea&o`1Vamachue4d14 Official Use Only Pennit No. 23 -Z"l 'mil sparttimnf o`girs Serviced i h f Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(�C)� 27 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ! 7 C/ City or Town of: YARN)OUTH To the Inspector of Wires: By this application the undersigned gives notice o his or her intention to orm the electrical work described below. Location(Street&Number) 'tt, j it,?eke-r j Owner or Tenant SP1- -e e 4 J fri e Telephone No.78/- 3j7-0d 6 7 Owner's Address 5-4144 kr 414C' Is this permit in conjunction with a building permit? Yes [7. ' No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty /41//t L� c&'7c SY(72_-3' Location and Nature of Proposed Electrical Work: V Completion of the following,fable n be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of ml 4, Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs G:1 erators KVA No.of Luminaires Pool swimmingAbove In- ' o.of Emergency Lighting �rnd. ❑ grnd. - Battery Units v No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners '"No.ofDetection and Initiating Devices t 1•1 No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Dlsp rs Heat Pump Number T ,$ KW No.of Sell-Contained Totals: ._.__... .. .____._..M_.-.__...__. Detectlon/AlertintDevices L No.of Dishwash Space/Area Hearin. orol❑ Municipal Connection ❑ No.of Dryers Heating Applia I . s KW Security Systems:* No.of Water ' No.of Devices or Equivalent Heaters , No.of No.of Data Wiring: 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 lectrical Work: �G�.� (When required by municipal policy.) Work to Start: ///,, 9/a 9 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 c�ove�rs is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Lam" BOND 0 OTHER 0 (Specify:) I certify,under the, Gins and penalties of petjury,that the information on this application is true and complete. FIRM NAME: ((//(/i/i i ft��/,f jj9 (fraszig/C/f t LIC.NO.: A-e9/D Licensee: 7f9,0 rvp pha6/ Signature1;1:' /‘'' LIC.NO.:h'7ag°P c' (If applicable,enter" mpt",l'nfhp license► ►rber line. Bus.TeL No.: Address: 3 4 (i, .. -1-f'� YO,(�/6 54. D�!1l y�jt`' /l b *Per M.G.L.c. 147,s.57-61,security work requires Department of Public SafetyAlt.TeL No.: r6-5�3 Gv j 3 Pain► "S"License: 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$