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Home My WebLink AboutBLDE-23-006041 (Bright Steps) o."r 4�\ .� Commonwealth of Official Use Only \\\ Massachusetts Permit No. BLDE-23-006041 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:5/3/2023 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 desc bed below. Location(Street&Number) 714 ROUTE 6A I .-- 1 22, Owner or Tenant BRIGHT STEPS 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: Change receptacles to tamper resistant for code compliance.(Bright Steps, 722-A Rt-6A) 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- I: 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: DAVID R NICOLL Licensee: David R Nicoll Signature LIC.NO.: 37557 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 144 DRIFTWOOD LN, S YARMOUTH MA 026641038 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: $80.00 Commonwealth oil Mdachutattl Official Ur Only Permit No.�� V'.4 i1 " ryepartment litre 3eruel5 t g �' a Occupancy and Fee Checked .,i._ .. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC))27 CMR 12.00 (PLEASE PRINT IN INK OR P ALL INFORMATION) Date: f c City or Town of: M V_C 0 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical w rk described below. Location(Street&Number) 1 D g oi.! ' rc .A- C IVvki N Owner or Tenant E�I G �t STETS, LAN-r.3kV Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No If (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps / Volts Overhead El Undgrd❑ No.of Meters Number of Feeders and Ampacity P Location and Nature of Proposed Electrical Work: C IA & L J S Co ' T^ _�PU& I2 (S CM -CT 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. Totalns No.of Alerting Devices No.of Waste Disposers Heat Pump'.Ntgni�er_j Tons._I 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 No.of Heaters KW No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: 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 c_ov/erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE LJ BOND 0 OTHER ❑ 1 certify, under the mains and penalties of perjuty,that the info ;do on tins applic ' is true and co 1 plete. FIRM NAME: ..J{1/4.4 i I) N tee Li.. Licensee: k I '1 LIC. NO.: .37 S 5 7 ET Signa re LIC.NO.: (If applicable, enter"exempt"in the license'lumber line.). � � p Address: ILO bfl Fr out L M _ � YA U I f L WI Bus.Tel.No.:,�J 8.• 34t{-CA3) Alt.Tel.*Per M.G.L. c. 147, s 57-61,security work requires Department of Public Safety"S"License:_ Lic.No.No.. O�`36b `731 3(all 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 0 owner's agent.