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Home My WebLink AboutBLDE-23-0049698 Commonwealth of Official Use Only ft.. 1 Massachusetts Permit No. BLDE-23-004968 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:3/9/2023 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) 97 SOUTH SEA AVE Owner or Tenant BRADY JOHN E Telephone No. Owner's Address BRADY JANET W, 28 ELMBROOK RD, BEDFORD, MA 01730 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A.pprbpr Ate Box)' Purpose of Building Utility Authorization No. ` t " rP f Existing Service Amps Volts Overhead 0 Undgrd 0 No.gf4VIeters ) > New Service Amps Volts Overhead 0 Undgrd 0 No:of NI'eters' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Split system Completion of the following table may be waived by tlte7nspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers :1KVA 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. 1 Ton l No.of Alerting Devices 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: Charles K Swanson Licensee: Charles K Swanson Signature LIC.NO.: 12895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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 � (commonwealth o/ �a��achudett� Official Use �Only � NPerm` v c c� E�/ — 4 1 co g it No. Thepartment oi�ire Seruicei =_4_ i Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) y+'�j`y/,�c ' 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: 3/3/23 City or Town of: YarreusAfrk 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) q17 50 sea_ Ave t W. x0.Cmou Owner or Tenant 30km ibrac ,`i Telephone No. 1gi - y 54— Tido • Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 171 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 2a° Amps __� / _Volts Overhead n Undgrd n No. of. Meters 8 New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters y Number of Feeders and Ampacity f 1 .� Location and Nature of Proposed Electrical Work: W tc 4l oc Mtni sew. stjs.vem o P2 Completion of the following table may be waived by the Inspector of Wires. d No. of Total No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans Transformers KVA v No. of Luminaire Outlets No. of Hot Tubs Generators KVA d Above In- No. of Emergency Lighting No. of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units i 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: 1 Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs INo. of Motors Total HP 'Telecommunications Dei Wiring: fI No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: t100 (When required by municipal policy.) Work to Start: 313123 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 [I BOND El OTHER ❑ S eci ( P fY ) I certify, under the pains and penalties of perjuty, that the information on this application is true and complete. FIRM NAME: 'p*Q1e5 pep,, ' J E Ceoli� ' LIC. NO.: Licensee: C,ho,XAeS Y... 5W ,,oc Signature IC. NO.: 12tg5 iA (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 5*8` i5- 3ag3 Address: 2/R `Qi'MOtk . t 4k,a CtP.Z\iS 0 21.001 Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, secure work requires Department of Public Safety "S" License: Lic. No. security q P 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 PERMIT FEE: $ Signature Telephone No.