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Home My WebLink AboutBLDE-23-003171 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003171 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 NEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:12/8/2022 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) 55 CAPT NICKERSON RD Owner or Tenant WILLIAM READE Telephone No. Owner's Address 55 CAPT NICKERSON RD, 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 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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/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 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: Christopher J Adie Licensee: Christopher J Adie Signature LIC.NO.: 2884 J (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:643 S MAIN ST, MANCHESTER NH 031025170 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 6.1 At,d e- I�ZGI�i'i ''CEsVED EGC� erv]ai1 _-nscAt iric� LDEC 08 2C, , ��/ Massachusetts - l.nmmonu.aallh o`///assachusetts Official Use Only I Permit No. t"-�3 J CI BUILDING D...;V'?r,,-.jki .Uetoartm�nl��in Jiwicee By \ / Occupancy and Fee Checked BOARD 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 MEe),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /d- 6'- .7082 City or Town of: YARM O UTH To the Inspector of Wires: By this application the undersigned ves noticenof his or her intention to perform the electrical work described below. Location(Street&Number) $-- `a,a 4fe4 /U:c(c-s On 2Gt Owner or Tenant tnl,//'a,,.t ' /c Telephone No.ads-G k 9-Sal Owner's Address .c"$- &yip;,t Ail c4ctu., /1-( Is this permit in conjunction with a building permit? Yes 0 No j (Check Appropriate Box) Purpose of Building /Grt-d..re, Utility Authorization No. Existing Service tar Amps lba /2,40 Volts Overhead Undgrd❑ No.of Meters New Service Zoo Amps I?' / z Yo Volts Overhead g"-- Und rd O g ❑ No,of Meters Number of Feeders and Ampacity J, Zoo Location and Nature of Proposed Electrical Work: /2ro/,cc, Air/ t at G,w.rrl tf p4,4/ ,1 as,� arts,ol est ' Completion of the followingtabk may be waived by the inspector of Wires, No.of Recessed Luminaires No.of Cell:Sosp.(Paddle)Fans N°'°[ 'total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA tf' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting god. gird. u Battery Units . No.of Receptacle Outlets No.of OB Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices Tht IL? No.of Ranges No.of Air Cond. Tone No.of Alerting Devices No.of Waste DisposersHeat Pump Number.,Togs__KW 'No.of Self-Contained Totals: _ "' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Connection ❑ate, No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Aydromassage 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, Estintated Value of Electrical Work: r2 1-o J (When required by municipal policy.) Work to Start: /2-.:, -Z 2. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no petmit 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 cover is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE[J BOND ❑ OTHER 0 (Specify:) I certify,under the lyins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ..1)r,.. /N , LIC.NO.: a1-4-`1 Licensee: CA,..) ..44e, Signature Q_____/-1 _ LIC.NO.: (If upplicabk, t"hi the license npmber lip')�. . Bus.Tel No. /o J-6E)-Poe—/ Address: 7 L1,2 wI�,_I d Cvr )Alai/ ..7 a yr Alt.TeL No.: Per M.G.L.c.147,s.57-61,security 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 0 owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$