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Home My WebLink AboutBLDE-23-003726 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003726 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked J 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:1/10/2023 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) 44 WILD HUNTER RD Owner or Tenant JOHN BARNES Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Ch Appropriate Box) Purpose of Building Utility Authorization No. Q Existing Service Amps Volts Overhead 0 Undgrd e6� s Met New Service Amps Volts Overhead 0 Undgrd`/Vt^h��' Number of Feeders and Ampacity , � Location and Nature of Proposed Electrical Work: Wiring for gas insert. Q �J Completion of the following to ��v i r Spector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total TransformersO KVA No.of Luminaire Outlets No.of Hot Tubs Generators V O KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiation Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tuns 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Univalent 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: John M Pimental Licensee: John M Pimental Signature LIC.NO.: 27968 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:1158 E FALMOUTH HWY,EAST FALMOUTH MA 025365455 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:$75.00 r,-- _, llE`CEIVED^ r_.._._......_._ ..�� Official Usc JAN .':'- ;,; ,t • c� q�� Commonwealth o/Maaaachu .iOnly [ ?x:111 �7 n Permit No. C 7' 7 7 7--(,,7. ;,��;. J ; �CJ�part'msnf o�}uy Serviced ;,�l -N T Occupancy and Fee Checked BUILDING D ,, By: _ :SARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] 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 v ` (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: `rZ 3 — City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice pf his or her intention to perform the electrical work described below. Location(Street&Number) Li L( W 4 I a h.0✓t f-- .r R y A nn (� A G-t/'nrc✓� Po r Owner or Tenant U h/I ( '1:P S Telephone No. v Owner's Address �6 U,�t 1 Is this permit in conjunction with,a building permit? Yes ❑ No (Check Appropriate Box) P Purpose of Building � �{6��y Utility Authorization No. . Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters t Number of Feeders and Ampacity )f--) iQq t Location and Nature of Proposed Electrical Work: 4,,r„('e lei Gt.. rt.6 M = (7� 'r a' krt ti Completion of the followingtable nray be waived by the Inspector of Wires. U., No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of 7 otal �! Transformers KVA Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA r1.\ t" No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 2rnd. grnd. Battery Units �• t 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 11.t No.of Ranges No.of Air Cond. Tons 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 "calMunicipal Connection ❑ abet No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Eguivalent No.of No.of Heaters KW Data Wiring: Signs Ballasts 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: 5 6rY ' (When required by municipal policy.) Work to Start: (—f0" 3-3 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: �,^ n LIC.NO.: Licensee: (Awl 1'tivie:/!" Signature LIC.NO.: Z-2 i/_ (ifapplicable,,,enter'er mpt"in the license tuber line.) Bus.Tel.No. Sul �lrL, c Address: �t , ce. e I vt E. ./N.r iiik Ua 5 g(. /�7Z Alt. *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: L e.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