The URL can be used to link to this page

Home My WebLink AboutBLDE-23-001698 Commonwealth of Official Use Only till Massachusetts Permit No. BLDE-23-001698 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:9/29/2022 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 electricall work described bel co Location(Street&Number) 7e co / p�-A/tit/1's / -Fi Owner or Tenant SANDEEP SADHU 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 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: Bond &wire 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number _ Tons KW No.Note Self-Self-Contained Devices Totals: No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 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: 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: LAWRENCE R BROWN Licensee: Lawrence R Brown Signature LIC.NO.: 30708 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 LIMERICK CT, CENTERVILLE MA 026322713 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: $135.00 (hkivka C712L r✓MD Le)cP q/'Zq/Zz leg keZI 7 i'li7125 R E_G E..I /// Q Official Use Only nwea th o a��ac ube� �� —(�� i I':__ _ cc77 Permit No. r S E P 2 8 202-ie aritmenI o/.}ire Seruicee 1. Occupancy and Fee Checked Ja RD OF Hit PREVENTION REGULATIONS [Rev. 1/07] (leave blank) �. _� BUILDING DEPARTMENT By APPLIC- 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:S�✓'r A) oZe2 2.?__, City or Town of: jRyyl t,.j -Po A.,r 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) ) R 0 L-t 14yI4A)NI.S -Rd Owner or Tenant ,,,,SA/\V E j) SAT?14 (,( Telephone No. Owner's Address 51 1 e Is this permit in conjunction with a building permit? Yes den No ❑ (Check Appropriate Box) Purpose of Building <70-1)L,- Utility Authorization No. Existing Service I Q (,) Amps jLt.) / 2-$2 Volts Overhead Undgrd n No.of Meters New Service Amps / Volts Overhead ❑ Undgrd n No.of Meters Number of Feeders and Ampacity .,,, ) / 7/_ 4 Location and Nature of Proposed Electrical Work: '1)6Al i ..1. /.0 1 k ?19c Completion of the following table may be waived by the Inspector of Wires. NoTotal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers of KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- k 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 Tota 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 p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal DIDI Other No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDevices orWiring:q al y g No.of Devices Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 0& (When required by municipal policy.) Work to Start:5 i 2? 'inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COERAGE: 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 la BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: t_ii-l�12� RbU /i L/C C. T/ i C////V LIC.NO.: 3o7Ogz Licensee: I iq ( / / Signatur — ah4. G LIC.NO.: (If applicable, nter `ex m "in the license number line.) �Bus.Tel.No.: Address: O 1- /14'1 EA/ C �� C-r` �,PK1 72G/ke..... 4/Pc' Alt.Tel.No.:Ei0 Q)i-3 >6 3 *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 ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.