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Home My WebLink AboutBLDE-23-005386 - Commonwealth of Official Use Only 4. , Massachusetts Permit No. BLDE-23-005386 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:3/30/2023 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) 233 PLEASANT ST Owner or Tenant GRIMES THOMAS A Telephone No. Owner's Address C/O STAGER NANCY H &JAMES E,233 PLEASANT ST, SOUTH YARMOUTH, MA 02664 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire pool house Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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 g bove ❑ grnd. ❑ No.of Emergency Lighting rnd Battery Units No.of Receptacle Outlets 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating 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: 1 2 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 No.of Devices or Equivalent HeatersWater 1 KW No.of No.of Ballasts Data Wiring: 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: ANDREW G THOMAS Licensee: ANDREW G THOMAS Signature LIC.NO.: 22152 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 7 ECHO LN, CHATHAM MA 02633 *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 I -6—Icl)4 � 9( VS Commonwealth of Massachusetts official use Only Permit No.: 4 ": Department of Fire Services Occupancy and Fee Checked: ' BOARD OF FIRE PREVENTION REGULATIONS ,t, :I [Rev. 1/2023 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accotrdance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: `A(ln&rill Date: (hAr ,h 1(1 o0) 3 To the Inspector of Wires:By this applicati& s,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): A 3 3 r I e aTok 4 4 Si Unit No.: Owner or Tenant: 1 V'4'►G 5 S 4 A &t f Email: Owner's Address: 33 Q I G 4sq 4) S Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes E No❑Permit No.: Purpose of Building: •Pens1 HuuS L Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: 107 0 Amps tad /— Volts Overhead❑ Underground 01 No. of Meters: I Description of Proposed Electrical Installation: vat. PO UI HOV7( Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: I , No.of Switches: (, Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: D No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: I KW: No.Transformers: Dotal KVA: Space Heating KW: Heating Equipment KW: No.Motors: I otal HP: Total KW: No.Heat Pumps: I Total KW: Total Tons: a. Fire Alarm System❑ No.of Devices: Swimming Pool:In-Grid.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as re uired by the Inspector of Wires. Estimated Value of Electrical Work: /00 0 (When required by municipal policy) Date Work to Start: A(r.1 t/3(45 Inspections� to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: 1.1.10 rs 4 ek 4 Ct.L elk s t (V l(t t A-1 Vor C-1 ❑LIC.No.: Master/Systems Licensee: Art .C44,/ 1 tl o P 45 LIC.No.: a.) i 5d-A Journeyman Licensee: A-''1ZprA,./ 1 ho t`kS LIC.No.: a I y 1'A Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 7G't10 t a n X ClisallevA /II q Del 417 Email: 14aAes 0taric cowl_ �.e) 6 5(iviv 1. cot, Telephone No.: (,)7- 3,i " a 7 93 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. p Licensee: Ait4ct w 1 o r '` Print Name: A►1 Jai./ I''..'" Cell.No.: (o17�O )5-&JQ 71 INSURANCE COVERAGE: Unless waived by the owner,no permit for the perlhrmance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of sa ne to the permit issuing office. ' t i} CHECK ONE: INSURANCE BOND❑ OTHER❑ Specify: 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: Tel.No.: Signature: Email.: