The URL can be used to link to this page

Home My WebLink AboutBLDE-23-005768 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005768 °"° 0 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:4/15/2023 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) 4 MARSH POINT Owner or Tenant JAMES MORRIS Telephone l o- - Owner's Address 4 MARSH POINT, YARMOUTH PORT, MA 02675 6 s. Is this permit in conjunction with a building permit? Yes 0 No 0 (C r'ck Appropriate Box) Purpose of Building Utility Authorization N . 12535178 .-- - jul--- 1:1 �� Existing Service 100 Amps Volts Overhead 0 Undgrd ■ No.of Meter / New Service 200 Amps Volts Overhead 0 Undgrd fI No.o ters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 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 0 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 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: Licensee: Austin Duty Signature LIC.NO.: 56947 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 7742682344 Address: 10 Mercury Drive, South Yarmouth MA 02664 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 j Ji ..-- 14 Commonwsa[th o`/I/addaeh""041 Official Use Only W ...1.„ c-� Permit No. [x 3 ,S .7 X • _ • _ �spartmsnl o f Jn.e Services BOARD OF FIRE PREVENTION REGULATIONS [Rev Oc.c 1/07]upancy and Fee Checked(leave blank) `) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12.00 - (PLEASE PRINT L/IN INK OR TYPE ALL INFORMATION) Date: 11 S/23 City or Town of: \fu r mOU r To the Inspector of Wires: i• By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) a Ni ut'S h 9 0 n t- 3 Owner or Tenant m pmctS Telephone No. -‹ Owner's Address T;Al AIctCSh Q (\4- ,, 1yaf oo Li cor4- /I/1 f)- 1 02 67c Is this permit in conju ction with a building permit? Yes ❑ No It (Check Appro iate Box) i Purpose of Building ewe ) I 1 p Utility Authorization No. 1 12.L j S 17 �� Existing Service i 00 Amps /' / ZLOVNts Overhead ElUndgrd ETA No.of Meters New Service 200 Amps i/0/'UJOV.lta Overhead❑ Undgrd �:d No.of Meters I -►- Number of Feeders and Ampacity u Location and Nature of Proposed Electrical Work: } e. X,\-"red p —LI T .'sery c.Q i-0 200 P erv,,c f Completion of thefollowing table may be waived by the Inspector of Wires. tab No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Na.ot Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ 'No.or Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Na.of Gas Burners No.of Detection and Initiating Devices `-` No.of Ranges No.of Air Cond. Tunsl No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW 1No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munonnicipalecctio n ❑ Omer C _ No.of Dryers Heating Appliances KW See o Systems:* f 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 Electrical Work: $to 61 S- (When required by municipal policy.) Work to Start: i-I/)S7 Z 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Cal BOND 0 OTHER 0 (Specify;) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: hlIt `441 6A--( Signature � ,�`J� LIC.NO.:SGA Li-7- P> (If applicable,enter"exempt"in the license number lie.) "'''�� 7 d'S ,jnf4 O /-,3 Bus.Tel.No.. 77y-777�jrj`t Address: -7 q �r�rq Wit/ 8uL Z arc gel j Y/.► i 2 J Alt.Tel.No.: *Per M.G.L.c. 147,s.57-6f,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$