The URL can be used to link to this page

Home My WebLink AboutBLDE-23-001746 ,. .,fir;- Commonwealth of Official Use Only L\i' Massachusetts Permit No. BLDE-23-001746 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:10/3/2022 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) 22 WINTER ST Owner or Tenant BEACH JOHN A Telephone No. Owner's Address BEACH MARY-JANE D, 22 WINTER ST,YARMOUTH PORT, MA 02675-1246 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service,water heater, &split system. 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- ElNo.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 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.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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.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 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $150.00 z 1 k spy r 5Thni ter ck 717(23 Commonwealth o/tYtaiaachuieffi Official Use Onn!J cc'77 Permit No. �� ' ` o Thepartment o/.}ire�ervicea Occupancy and Fee Checked// BOARD OF FIRE PREVENTION REGULATk_ IONS [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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5-•C{4- / 2 v a a, City or Town of: X A(('t du 11 l 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) a s (,i.1 n-k( S 4-(ti.i, 1" Owner or Tenant ''14 h I C a C li Telephone No. 5-06-3G2 20 4"t( Owner's Address a a (,,/,n to S--'ij Is this permit in conjunction with a building permit? Yes ❑ No a (Check Appropriate Box) r Purpose of Building (t 31.)<a 41 a I. Utility Authorization No. Existing Service 106 Amps Po / 2K6 Volts Overhead Undgrd 1 g ❑ No.of Meters New Service au v Amps 110 / ZK 6 Volts Overhead 2 Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Nc( pVtr livt4 e fVt c.(_ t,./ t t1 1-Fca+t an 2 vi/c4-ItsS tytig, Sf1,1 Completion of the following table may,be waived by the Inspector of Wires. No.of Recessed Luminaires No. I , (Paddle) 1 i 1 I o.of Luminaire1 o.of Hot , , 1 rs KVA I , Pool Above , , No.Bat o m Emergency Lighting No.of Receptacle Outlets ' 1 No.of Oil Burners FIRE ALARMS No.of Zones 1 I , , Burners No.of Detection and Initiatin Devices RangesTotal No.of of Air Cond. T No.of Alerting Devices OHS 1 , 11 Pump , , i 1 , 1 •, Detection/Alerting Devices 1 , Space/AreaHeatingKW Municipal Local❑ Connection Other of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent uivalent I 1 , of I Ballasts.of Data Wiring: Heaters '" Signs No.of Devices or Equivalent i , , Bathtubs , I LOII , 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: lei w 6 (When required by municipal policy.) Work to Start: St(1d$?a, 1 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 LT] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 1110 i S Et t Of,Ceti S tArtcA 5- J RC LIC.NO.: a a l t,"41-ft Licensee: /q r\ t-0v Tko r09' Signature 0,2.4,- LIC.NO.: (If applicable, enter "exempt-in the license number line.) Bus.Tel.No.: 7-S3�' 9 3 Address: 7 LC- license 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $