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Home My WebLink AboutBLDE-23-003637 ,� Commonwealth of Official Use Only iti.A c, Massachusetts Permit No. BLDE-23-003637 C-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICALI WORK All work to be performed in accordance with the Massachusetts Electrical Co (MEC), 2.00 'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/5/2023 To the Inspector of Wires: City or Town of: YARMOUTH y this application the undersigned gives notice of his or her intention to perform the electrical work described below. "2 �^ ,ocation(Street&Number) 39 WEBBERS PATH Telephone No. owner or Tenant WATKIS YACHA A )wner's Address 39 WEBBERS PATH,WEST YARMOUTH,MA 02673 Yes CI No CI (Check Appropriate Box) s this permit in conjunction with a building permit? Utility Authorization No. 'urpose of Building No.of Meters ixisting Service Amps _ Volts Overhead El Undgrd CI 4ew Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters umber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Storage,gym,&office space. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Ton Heat Pump I Number I Tons 1 KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Local 0 Municipal 0 Other: No.of Dishwashers Space/Area Heating KWConnection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Eauivalent NNo.of No.of Ballasts Data Wiring: Heaters of Water KWSigns ,Pio.of Devices or Eauivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent I 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 ofor r �performance bstant al equivalent The undersigned certifies that such coverage proof of liability insurance including"completed operation"coverage is in force,and has exhibited proof of same to the permit issuingOTHER ❑ (Specify:) CHECK ONE:INSURANCE 0 BOND El I certify,under the pains and penalties of perjury,that the information on this application is true and complete. r LIC.NO.: FIRM NAME: Signature Bus.Tel.No.: Licensee: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: /- Address: .ut my work requires Department of Public Safety"S"License: y �_ *Per M.G.L.c.N UR s. CE 1,AsecVrity fU'✓ 0 owner 0 owner's agent. , OWNER'S INSURANCE WAIVER:I am awarei am the License does the(check one) not have the liability insurance coverage norm signature below,I hereby waive this requirement 75.00 � Owner/Agent PERMIT Telephone No. ;. .. •� Signature V ()PAL- � L. � .n M 0 , 4, . t3 v� 64/01 '6�0N /M9 ti ( : w).// )11.)1,Iv; Official Use Only r ' Of Commonwealth of fi - \ Massachusetts Permit No. BLDE-23-003637 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:1/5/2023 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) 39 WEBBERS PATH -1 �1 V/� U -L/4 33 Owner or Tenant WATKIS YACHA A Telephone No. Owner's Address 39 WEBBERS PATH,WEST YARMOUTH, MA 02673 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 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Storage, gym,&office space. 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- El 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 ❑ Municipal Connection ❑ Other: 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: I 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. i FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 , ,But my signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. �1`- „i;, Owner/Agent ) Signature Telephone No. 'PERMIT $75.00 ' s4 . / t3 (Z. 641t1) inn 9 V PAL L u i/dUbPfroorb-5) Aq A ,/ems .r e>,_z:T- -42,[( w et r RECEIVED .' 14 o Official Use Only JAN 0 4 2023�0 �a sass` �3 -3 -3 7 1/44‘.,B .,'"� /� s Permit No. Di N G DE PA RT M -� " d o ors ervasd f •REVENTION REGULATIONS [ROev. 1�p�� d Fee Checked .� .+; _� - N. (leave blank) 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: of - t7`F — 2,3 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notide of his or her mten'on to perform the electrical work described below. Location(Street&Number).3? � ,„a -S rK,,- 1 ,L) ' /A'/mc,vi,hes ,z74 a 26.?-3 Owner or Tenant p4,9 per- // Telephone No.S -280-( c, Z , 3 Owner's Address 3 9 4✓ei/e,- O G,/cc ig/�7 h A74 D 2-69 3 Is this permit In conjunction with a building per Yes No ❑ (Check Appropriate Box) Purpose of Building 5 rco9L ,f, 1 , D r°t,e- Utility Authorization No. Existing Service Amps / olts Overhead Er Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity $c Location and Nature of Proposed Electrical Work:�'e�ro9C , �� , �/pC. Completion of thefollowinp�table m be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA a No.of Luminaires Swimming Pool Above In- rio.of Emergency Lignttng grad. ❑ gmd. ❑ 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 11.e No.of Ranges No.co/Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number-Tons wKW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Munieip 0 Other Cyonnection No.of Dryers Heating Appliances KW Security f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of 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: 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 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: LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: Address: Alt.Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"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,1 hereby waive this requirement. 1 am the(check one)0 owner 0 owner's agent. Sgnatnre ro �� /< Telephone Nor"Y6g-t_r .44.0 ? I PERMIT FEE:S