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Home My WebLink AboutBLDE-22-000003 a Commonwealth of Official Use Only i-.,, Massachusetts Permit No. BLDE-22-000003 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:7/1/2021 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) 60 FRANKLIN ST EXT Owner or Tenant COTELL ROBERT D (EST OF) Telephone No. Owner's Address C/O COTELL DAN, 3069 ENTERPRISE RD, LEXINGTON, NC 27295 Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch ck : • . 'kiip Box) Purpose of Building Utility Authorization N Existing Service 100 Amps Volts Overhead 0 Undgrd I 1. I t• s ap New Service 100 Amps Volts Overhead 0 Undgrd 0 o o, et IL ,Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace service&flood lights. Install receptacle. t4 3 Completion of the following tablery ay r aive' •Z. - ..•ctor oi`r'6`ires,._ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of i tal Transformers � A 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Data Wiring: Heaters 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: (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 H BREWER Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST, W BARNSTABLE MA 026681324 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 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 iN7,4- Ikatu (sue amp eil Ard>6 at) s-1.& GDP SFi rNczci& Official Use Only Commonwealth of Massachusetts permit No. e,e252-' 3 Depatimeni of Fire Selviees Occupancy and Fee Checked �.y' BOARD OF ARE PREVENTION REGULATIONS lxev. PEIpme n bimil:) APPLiCATOOH FOR PIERMET TO PERFORM B 1LIECTROCAL WORK All work to be performed in accordance with the Massachusetts Electrical Co C),527FMR 12.00 (PLEASE PANT ININIi OR TYPE ALL INFORMATION) Date: (j/.) 4 , City or Town of: y,fztG(21 67 To the rasp ctor of'sires: By this application the undersigiedTjeves notice of his or her intention to perform the electrical work described below. Location(Street&Number): '1U Q A,4' 'St ��X- Owner or Tenant C' /4/-��c- / z/r1�P<7 7—G C L Telephone No. Owner's Address CI•is this permit iin conjunction with abuildingpermit? Yes 1J No i beck ApprOpri to Box) Purpose of Building /?/S/.7 c^.i/ ✓C l; Utility Authorization No. / v" Existing Service/c72 .mps / /J olts Overhead I� ) Undgrd 0 No.of Meters I New Service tmps/ 'oils Overhead!3Undgrd(...0 No.of Meters I Number of Feeders and Ampacity 3'U( ) _ Location and Nature of Proposed Elect / -L' A tt --1" F.c.,U S'20 L.•- )I'V-3 f 4 G2(--1 f'fZ.-Vr 4 C' LJ 1 Completion-of thefollmrine leomay be waived by the Ins; `tor of Wires. WO.No.of Recessed Luminaires o.of Ceiil.Susp.(Paddle)Fans Transformers I JA No.of Luinituai,a OutletsNo.of Hot Tabs Generators =OlA Above 'fro.or umergenc• n zg '� 3�rg- No.of Luminaires (Swimming Pool grad. ❑ grnd. Battery Units No.of Receptacle Outlets INo.of OE Burners FDtE ALARMS }No.of Zones No.of Detection and No.of Switches 'No.of Gas Burners vniiiattag Devices Total INo.of Mr Cond. Tons No.of Alerting Devices No.of Ranges ♦ er Tans an oto.arS It{^_mined Hnt Pump�'�d IDetection/Aie ting Devices No.of Waste Disposers Totals:i��-- �- mlunlapal Space/AreaBeating'KW }Local"Connection 0Other • No.of Dishwashers NCW Security Systems:. No.of Dryers =� Apoi'mnces No.of Devices or Equivalent I No.of Data Wiring: Heaters No.of vll :�V IISro.of Signs Ballasts No.of Devices or Equivalent :eaters1 decommunieations Wirmg: No.P?ydrozaassaae Bathtubs INo.of Motors Total€gyp No.of Devices or Equivalent OTHER: Attach additional detail ifdesired or as required fry the Inspector of Wires. Estimated Value of Electrical 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 covey is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 1_12 BOND 0 OTHER II(Specify:) I cent fy,trader die pahts and penalties of pedruy,par the infarszzatl tlziss applications tate Uren;J C.NO.: te. FIRM NAME:John Brewer Electric AI '74vtV -�i`4'cO, 949 n, Signata. J �- % �^ LIC.NO.Al4092 (ILicensee: enter e t" �j Bus.TeL No.: A'ddreess: loll). /I C in the license Afio'line.) •''3..vQt.�J 1l?��r��f/3Jl�.i ✓��-i tom?�%L�` Alt.TeL No.:50&36i-0167 Address:73c.147,s.5 re ;u' 'Per\tiG.L. c.1?7,s_57-S1,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S IN _NCE WAIVER:I am aware that the Licensee does not hove the liability insurance coverago normally required by,w.By a below,I hereby waive this requirement I am the(checkhe one) E`v n l] anent Owner/Agtune t Telephone Nq��l<3)(/IPERMIT FEE: Signature _