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Home My WebLink AboutBLDE-22-006596 r- Commonwealth of Official Use Only �i Massachusetts Permit No. BLDE-22-006596 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;5/17/2022 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) 327 WHITES PATH Owner or Tenant Yardscape Landscaping 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: Install generator 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 1 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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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: John H Brewer Licensee: John H Brewer Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 14092 Address:205 CEDAR ST, W BARNSTABLE MA 026681324 Bus.Tel.No.: *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: $80.00 .14 Concmonweai h o/V1amachueslt6 Official Use Only ' t .1Jepar1m4n1 o Permit No. EZ2 e,c �4, Occupancy and Fee Checked *' BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ;527 MR 12.00 (PLEASE PRINT IN INK OR TYP ALL INFORMATION) Date: CA, -4 i\ City or Town of: 4 A �)o i � To the Insp ctor o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) l t,t//ji 7 Owner or Tenant I �, / Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yeses J No (Check Appropriate Box) Purpose of Building Gov-Z -( (� z`i� J'�✓ (‘, Utility Authorization No. Existing Service.. i .fj Amps /�: "U Volts Overhead E Undgrd[1 No.of Meters New Service Amps / Volts Overhead 0 Undgrd E No.of Meters Number of Feeders and Ampacity - Location and Nature of Proposed Electrical Work: 6. CO E--%-v/ ---A7f--T;oz:, -c Completion of the following table may be waived by the Inspector of Wires. Vt Lb No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of- Total Transformers KVA te Q 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 N No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS !No.of Zones Z No.of Switches No.of Detection and No.of Gas BurnersInitiating Devices Ili No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1 Tons J KW 4No.of Self-Contained Totals: J Detection/Alertingpevices No.of Dishwashers Space/Area HeatingKWMunicipal Local 0 Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No of No.of Devices or Equivalent 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains andpenalties o ry, f perju that the information on this application is true and complete. FIRM NAME: �j �/ � LIC.NO.: Licensee: ,, l.mil> j7. )8r,r- (A L Signature" (If applicable,f n er exempt"iote ljcense number linty) LIC.NO.: j � Address: J✓��U�`: /(/�- / .�rr�.. Qlus.Tel.No �/*Per M.G.L.c. 147,s.57-61,security work requires Depaart enPublict ✓ Alt.Tel.No.: OWNER'S INSURANCE WAIVER: Tam aware that the Safe y�S'License: Lic.No. 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. Owner/Agent Signature Telephone No. I PERMIT FEE:$ --- 0 'I