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Home My WebLink AboutBLDE-23-002889 Commonwealth of Official Use Only /-_ Massachusetts Permit No. BLDE-23-002889 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07j 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:11/28/2022 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) 50 OLD MAIN ST Owner or Tenant BEGGS JEFFREY L Telephone No. Owner's Address BEGGS ALBERTA M,14 FORTES WAY,OSTERVILLE,MA 02655 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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 13 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 9 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 K\\ No.of Self-Contained Totals: Detection/Alerting 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 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. CHECK ONE:INSURANCE 0 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:168 CENTER ST,SOUTH DENNIS MA 026603744 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 CCU 2.41 r le.... ........ ,._. __ tp,34 — 3/c:2— V.? g4 Commonwealth o/Maeeachadatte Official Use Only f 1 \�"�/ �.„ �LJs artmsnt o Permit No;� Z k ,I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS tRevc 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: V, Q r 02,0Z, City or Town of: YA R M O U T H To the Inspector of Wires: By this application the undersigned gives notice of is or her intention to pert rm the electrical work described below Location (Str4eet & Number Q 5Q 1 S �a. Yar MOU-�� Owner •or Tenant �� T C�5 Telephone No. Owner's Address A W Is this permit in conjunction with a buildin permit9 Yes No ❑ (Check Appropriate Box) Purpose of Buildin ') f-ApitivUtv E,1 t; Utility Authorization No. Existing Service )00 Amps )daeovoits Overhead I . Undgrd _ No. of Meters C New Service Amps / Volts Overhead El E No. of Meters Number of Feeders and Ampacity NJ1 L cation and N_yture of Proposed Ele al Work: (�'rr,('4 OC da�t4 t0'1 • € s L1 f(na'l I - 64+i)caotil, V`) Completion of the following table m be waived by the Inspector of Wires. tt. No. of Recessed Luminaires 2 No.of Ceil:Susp. (Paddle)Fans TransformersNo l Total (.I KVA r:t No. of Luminaire Outlets No. of Hot Tubs Generators KVA Wit" No. of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting grnd. grnd. Battery Units No. of Receptacle Outlets / 3 No.of Oil Burners FIRE ALARMS No. of Zones �' 'No. of Detection and •- No. of Switches No. of Gas Burners Initiating Devices i t' No. of Ranges No.of Air Cond. TonsTotal 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 ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:1 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: 7O (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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (21 BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the inform on this licatio true and complete. FIRM N LIC. NO.: Licensee: ni� IA) 1 �}�y ,�- 1A-n 1 i _ l 7 / Signatu LIC. NO.: 3 aIX. Q 5 I� (lf applicabl , tier " "in t • ens umber line.) .�r p /;1PrIA, CuI.PQ� 1 n, Bus. Tel. No.• Address: 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ I 1 f a� �.