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Home My WebLink AboutBLDE-23-000640 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000640 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:8/8/2022 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) 300 BUCK ISLAND RD UNIT 20 Owner or Tenant HANK HENDERSON Telephone No. Owner's Address 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 ❑ 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: Replacement furnace.(UNIT#20-D) 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 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: PATRICK WEEKS LIC.NO.: 54055 Licensee: PATRICK WEEKS Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 BRADFORD ST, PLYMOUTH MA 02360 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: $50.00 RECEIVED 1k....._ CC 0 8_�._.zOZL o n.waa& addachadatld Official Use Only vt 1Y _ u -2 Permit No:e._c-.-3�6 ,h, r 'G DEPA— RT MENT 1 lvartnunt of Jim,Jtrvicsd j(_ Jw. Occupancy and Fee Checked 0,~ 130 : s E-1 E 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(MEC),527 CMIt 12.00 t (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /T,Z L City or Town of: YARMOUTH To the Inspector of Wires: ` By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location(Street&Number) C K> Ls;y 4 MO 72-,> L.,..,./t 7 r2,("! 'i a Owner or Tenant .'4,uw :p kitmEJ,i .jcjt)Deg,s0jU Telephone No. l ,‘ Owner's Address 4W'u . !,°( .) Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building 124..51 OF�,7t 41. v< Utility Authorization No. \,) Existing Service Amps / Volts Overhead❑ Undgrd g n No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 0 Location and Nature of Proposed Electrical Work: ccdf t.t _cot R► '•, ce' P,vAct_ i •` LAc c pjf ter- m, No ' Completion of the following table m sp�sector of Wires. t1 No.of Recessed Luminaires No.of Ce1il.-Sasp.(Paddle)Fans No.off be waived by the In Total cv Transformers KVA Norrz‘ .of Luminaire Outlets No.of Hot Tubs Generators KVA mot: No.of Luminaires • SwimmingPool Above In- No.of emergency Lighting fund. ❑ gmd. ❑ Battery Units 7 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones c� No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 115 No.of Ranges No.off'Mr Cond. Tons 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 HeatingKW Municipal P Local❑ Connection ❑ OWe• No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters 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 E ectrical Work:. /C?C t'' _ (When required by municipal policy.) Work to Start: , '2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C 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"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: ,r w-i c.lc.._ ... i j_ks e.-�4-c7 1 t lAid C... LIC.NO.: J' /- Licensee: t-• ' ►fL is K_- (,t)C F i -` Signature LIC.NO.:•5c9055 (lfapplicable,ewer"exempt"in the license number line.) Address: r-I":{c,° '�1 D , 3 t= %Z D, A . -Z<; r+,u Bus.TeL No.. d'8 96 �)1 g T �/C (;� 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,I hereby waive this requirement. I am the(check one)[]owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$