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HomeMy WebLinkAboutBLDE-23-000171 Commonwealth of Official Massachusetts Permit No. BLDE-23-000171 fr;44 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:7/12/2022 City or Town of: YARMOUTH To the Inspector ofWires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 153 WOOD RD Owner or Tenant KINKEAD JEAN Telephone No. Owner's Address 153 WOOD ROAD,SOUTH YARMOUTH,MA 02664 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: Rewire outlet in hive room 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 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:. No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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. �Ir/n2 3!' CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) � I G �S I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: John D Browne Licensee: John D Browne Signature LIC.NO.: 36756 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 519,NORTH TRURO MA 026520519 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 ►. c.B'1'1ry1j eg ��[:ZO A-svt Li/v) NIJ� !` a�g 13 17413(7 `` Cam` r (lR- tolzol-Pfr r C 0,IA5 e roCf ( I L(`S 4- S • RECEPiOED t J U L 11202L omnw vcatg o`1/laeaaclae.dalte Official Use Only - Permit No. ��-� `V ( ��B.=hBUILDING ,.a_ rr rt epartrant oil glee scee BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /// 7,2 City or Town of: YARMOUTH To the Inspect° ofW„res; By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1 S-3 W Kt G c.d Owner or Tenant Q,coll k i t?Kee,d Telephone No. ‘Q`V - 2,R6. g559 Owner's Address Scoh e Is this permit in conjunction with a building permit? Yes ✓P No Purpose of Building K e S i a e� ❑ (Check Appropriate ox) �l6\i Utility Authorization No. /�/M- Existing Service/er Amps j 2 a /2 7e,Volts Overhead Undgrd g ❑ No.of Meters ___1 _ New Service Amps / Volts Overhead Undgrd❑ g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i),,,, "1 'tro Completion of thefollowin&table m be waived by the Inspector of Wires. u� No.of Recessed Luminaires No.of Ceil:Sus . No.of Total p (Paddle)Fans Transformers KVA <<t No.of Luminaire Outlets No,of Hot Tubs Generators KVA r~‘ t No.of Luminaires Swimming Pool Above ❑ In- 'No,of Emergency Lighting - grad. grad. ❑ Battery Units :;,-." No.of Receptacle Outlets No.of Oil Burners •; FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and t~; Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number..1Tons 1 KW No.of Self-Contained 1 Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municip Coaoection 0 Other No.of Dryers Heating Appliances KW Security Systems:* i No.of Water No.of KW No.of Devices or Equivalent HeatersNo.of 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 Ov, t,nt (When required by municipal policy.) Work to Start: 7 - /f_ 7 _ 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 0 OTHER El (Spear) ( 'y f 0 - � (—dbl- ., certify,under the pains and penalties of perjury,that the information on tTtis application is true and complete. FIRM NAME: --- --is(,) 14 p i-,i.1-,c I=/f e_ //, i G, a..A LIC.NO.:jits, Licensee: -D(,„, 13r v L.d a .t Signature '`'l f-sa9u� LIC.NO.:_J 67' 6 t Addressable,enter"exempt"in the license o fber line.) ` l Bus.Tel.No.: 77 y-1a 2 -3-5, 5.... t.'y:, -. G;r-t.-c l2 end 74 v,10 Alt.Tel.No.: •Per M.G.L.c. 1 s.57-61, ecurity work requires 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)0 owner (]owner's agent. Owner/Agent ` Signature Telephone No. PERMIT FEE: $ .(-C