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Home My WebLink AboutBLDE-23-004288 0a. Commonwealth of Official Use Only E ; Massachusetts Permit No. BLDE-23-004288 `� � 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:2/3/2023 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 Is this permit in conjunction with a building permit? Yes 0 No 0 (C I , ppropriate Box Purpose of Building Utility Authorization No • ' s3__ 22 Existing Service Amps Volts Overhead 0 Undgrd 0 ,t..- 'IA New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement service&upgrade. (Provide for"public"meter.) 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 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Siens No.of Devices or Equivalent No.Hydro massage 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: 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I (PERMIT FEE:$100.00 ` `pttcJ S le(z-8(-2,2, i_ . RECEIVE ® �1 / ' �f 'i EB 022023 0 Pa � R6d�h � �cial Use Oily {� ec// {{�� Permit No. ]L3"" l 7--U 46 *' r' u' Occupancy and Fee Checked ,�. -..__ _ki�A t,LI_ _ "REV NTION REGULATIONS (Rev.1/o7j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ,..IN (PLEASE work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ay/3; Y City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned 'v otrce_ofhis or her intention to perform the electrical work described below. Location(Street&Number) ' Owner or Tenant /�,f � Owner's Address `'rJ Telephone No.7{/—34�3 Is this permit in conjunction with a building permit? Yes Er No 0 (Check Appropriate Box)Purpose of Building 6�1 jn Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g 0 No.of Meters -; New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: WiQ 17u? S M/> t- �r71 c/OD ' �tl C�� - 3 ME. t SL�/c.�i� Completion of the following table n► be waived by the Invector of Wires. No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans o.o Total No.of Luminaire Outlets No. KVANo.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above [] In- No.of.Emergency Lighting ' 'i No.of Receptacle Outlets "nor ❑ Batts Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches -1Vo.of Gas Burae `.. 'No.of Detection and IQ No.of Ranges Total Initiating Devices No.of Air Cord. Tons No.of Alerting Devices 'eat .um, _'um,er ons • " 'o.o e on a , No.of Waste Disposers Totals: - Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ 'un , No.of Dryers Connection 0 Othp' tY Heating Appliances KW u ty ystems: o.o a er W No.of Devices or Bivalent Heaters K o.o o.o Data Wiring: S s Ballasts No.of Devices or uivalent • No.Hydromassage Bathtubs No.of Motors Total HP a eeommun a ns g OTHER: No.of Devices or E Bivalent Estimated Value of lec 'cal Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) Work to E C VE Inspections to be requested in accordance with MEC Rule 10,and upon completion. GE: 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"undersigned certifies that such covp ga is in force,and has exhibited proof of same to the permit issuing offrcenivalent. The CHECK ONE: INSURANCE ®" BOND ❑ OTHER I certify,under thepains and 0 (Specify:) G penalties ofperl'ury,that the information on this application is true and complete. FIRM NAME: Licensee: ` I LIC.NO.: 1 (Ifappltcable,enr � �, '�f Signature 7 Address: �� t��i �� m ltn ,,..�� LIC.NO.: �-� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety�r.S„Lic Bus.Tel.No.: Alt.TeL No.: —`"— OWNER'S INSURANCE WAIVER: I sin aware that the Licensee does not have the liability insurance coverage n�" License: Lic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent regtr g rurally Signature � owner I owner's a:ent. Telephone No. PERMIT FEE:$