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Home My WebLink AboutBLDE-23-003149 or -:--__ (7/Li Commonwealth of Official Use Only e` Massachusetts Permit No. BLDE-23-003149 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:12/7/2022 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) 6 BELLEVUE AVE Owner or Tenant JOHN RESHETAR Telephone No. Owner's Address 6 BELLEVUE AVE, SOUTH YARMOUTH, MA 02664-3102 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: Service upgrade. 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 1 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: 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 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: PATRICK WEEKS Licensee: PATRICK WEEKS Signature LIC.NO.: 54055 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 BRADFORD ST, PLYMOUTH MA 02360 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: $50.00 &lc tl RECEIVED dmmonweaGth �j / „,, ,, o�///ae®achueaffe Official Use Only ri R`` t cc� Permit No. j �J AM 2sparfms cc��ni of irs Sisrvtcsa eA "'''j' Occupancy and Fee Checked ,w ,; - BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/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: //. ; >`l Zr City or Town of: YARM O UTH To the Inspeczror of Wires: By this application the undersigned gl've notice of his or her intention to perform the electrical work described below. Location(Street&Number) ref t cf0(J.- /-7 J Owner or Tenant ' i-,;./ki 4 5/./ T z__ Telephone No. 6/C,-7f Ci-3 M(( Owner's Address 6 `. 4 Is this permit in conjunction with a buildiin ✓ g permit? Yes ❑ No E (Check Appropriate Box) Purpose of Building,5t •%t ; r.,. , ;_t •utt�c Utility Authorization No. Existing Service /()O Amps /Zv/ Z/O Volts 'dverhead Er Undgrd g E No.of Meters / New Service COO Amps /ZC /2 y0 Volts Overhead Undgrd❑ No.of Meters _i___ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Adirt--g_ A4,1/0 /t.:i-rcgiog- ?AK)E(-- , , P o/1u rte-sion r's F /1*? 70 ci3 ' n Ec.r ,u ` Completion of the following table m be waived by the Inspector of Wires, —J th No.of Recessed Luminaires No.of Cei1:Sus . •of Total / p (Paddle)Fans Transformers CS No.of Luminaire Outlets KVA rzA No.of Hot Tubs Generators KVA Above ❑ In- No.of Emergency Lighting ^t" No.of Luminaires Swimming Pool grid. grnd. ❑ Battery Units :'.k No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS INo.of Zones v. No.of Switches No.of Gas Burners No.of Detection and II! No.of Ranges No. Initiating Devices g of Air Cond. Total Tons No,of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons rKW No.of Self-Contained Totals: "'"..'7 j I Detection/Alertin, Devices No.of Dishwashers Space/Area Heating KW Local 0 hfil nicipal No.of Dryers Heating Appliances KW Security Systems:* ❑ Other No.of Water No.ofNo.of Devices or Equivalent Heaters No. KW °f Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Eq nt uivale Estimated Value of lee ical Work:e C� Attach additional detail if desired,or as required by the Inspector of Wires, Work toStart: e Z (When required by municipal policy.) •Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V RAGE: 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 Er BOND 0 OTHER 0 (Specify:) I certify,under t,�e�ains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME:�' - -1-lack.._.t( )E.e Je.3 ,t,-cTpH.4,9a.> / . r`. 7_-L12I. . LIC.NO.: ,$� pj�B Licensee: LA z Signature(If applicable, er"exempt"in the lie a number l'ne.) LIC.NO.: r j j Address: LJ st f .` rt �,s / 1 r� Bus.Tl.No.:. 'Cif 6 z-Syl �' r t � ;` tt Mt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work quires 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:$ J