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Home My WebLink AboutBLDE-23-002744 ..- Commonwealth of Official Use Only ' Massachusetts Permit No. BLDE-23-002744 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:11/17/2022 City or Town of: YARMOUTH To the Inspector of Wires: �j By this application the undersigned gives notice of his or her intention to perform the electrical work describedibelo p 1 [>�f� LIC , Location(Street&Number) 9 ROWLEY LN `G18 Q� �b61--ei3 Owner or Tenant JIM SABEN ` Telephone No. Owner's Address 9 ROWLEY LN,YARMOUTH PORT, MA 02675-2446 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate JAM , t A -t/+'"" Purpose of Building Utility Authorization No. 11191376 r Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters n1 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&miscellaneous work per attached. 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/Alertine 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 ❑ (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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $180.00 f 54zAht& /(e/Z_ (e CJ /i M Official Use Only L nvn.m.onwea[tlt. of i9/at9achu�elE' i �� , j J r. / Permit No, `��/ _'fit_ZI �eparinaent n1 j_ re Snrences I'� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1[Rev. 1/07] (!cave 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 TY ALL INFORMATION) Date: i .�'�j_ (`f___'. f D City or Town of: '^' `'�. To the Inspector of Wires: E A' By this application the undersigned gives tice of his or her intention to perform the electrical work described below. Location (Street&Number) J 0 LE V ( NOV 16 ZQ22 Owner or Tenant v VA t lit "` ` 4 ' Telephone No QalLplaG DEPARTMENT By. ------ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ Nod (Check Appropriatevi e Box) PV CE '( Purpose of Building y Utility Authorization No. 1 c [ Existing Service Lem Amps t yC) /VIC Volts Overhead Undgrd El No.of Meters I New Service ( CD Amps / Volts Overhead If Undgrd ❑ No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: im5` '" ea -- 'DtiV cl(f_-Lis/ -- W-,'(."-- R T r5 / Kt r pas D ' C Oi-lAr i 4-= r v C'v l'"f_ C Ca t ACt 'w:I2€NEW r LTV 3 Cc( (' C Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No, of Ceil.-Susp.(Paddle)Fans Total � Transformers formers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 'Nomrgency Lighting No.of Luminaires Swimming Pool grndAbove ❑ in-ernd Batte.of rs'Emergency 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 Heat Number , Tons. KW No.of Self-Contained _ No. of Waste Disposers Totals: _Detection/Alerting,Devices . No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other .�.� Connection c--) Security Systems:* .: No. of Dryers Heating Appliances KW No.of'Devices or Equivalent No.of Water No. of No. of {Data Wiring: Heaters KW Signs Ballasts I 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 EIectrical 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 iss rig office. _ _ CHECK ONE: INSURANCE g' BOND 0 OTHER ❑ eecify:) i,cz,ty� 1(�r"`r'rt qva- I certify, under the pains and penalties of perjury,that the informs '.n on his ap+ - t- n is r e and complete. ` FIRIviNAME: x� 0.v'i=. Ntcc tL ti -- - LIC.NO.: '37 S_�7 Licensee: "' Signatur 1 04 LIC.NO.: ,. (If applicable, enter"exempt"in the license lumber line.) Bus.Tel.No.: 5t)gr 31q"0 3( Address: 1411 Nit F otoct Lh , _S,Yivottvrk t ilk-- G� WI Alt.Tel.No.: 'S�'3-366-73t3(c€U-) N® *Per M.G.L. c. 147,s 57-61,security work requires Department of Public Safety "S"License: Lic.No. R 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. S