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Home My WebLink AboutBLDE-23-004337 Commonwealth of Official Use Only A Massachusetts Permit No. BLDE-23-004337 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 (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMAT/ON) Date:2/6/2023 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) 329 ROUTE 6A Owner or Tenant FIRST CONGREG CHURCH OF YARMTH Telephone No. Owner's Address ROUTE 6A, YARMOUTH PORT, MA 02675 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for"Sorting Room"off thrift shop. 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 5 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Siens 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: JEFFREY T FOSS Licensee: Jeffrey T Foss Signature LIC.NO.: 36938 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 SULLIVAN RD,W YARMOUTH MA 026733543 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,1 hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $100.00 I K(g 49/23 kE aoc 2(/tl (z3 ee � RECE IVEI) FEB 06 2023 1 �_ ._ DING DEP ARTM- T I 1_ IL A! •alth of ti/aeaachae•ila Official Use Only ccyy, cc77 �i Permit No. t�"T3 37 2epakoteni o`Jin&puke• BOARD OF FIRE PREVENTION REGULATIONS [ReOv. 1//07] 0..„nd .blank) \\\ (leave bledc) - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL2,QD WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEf),5 O�/ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,�— b 4/J` City or Town of: YARMOUTH To the Inspector of res: • By this application the undersigned gives -'- of his or intention to pert the electrical work descry Irv. ^ Location(Street&N ber) �' t ��(//j•/ Owner or Tenant i ST Ira n/llf� ( �f//1tt/�' Telephone No. Owner's Address • Is this permit In conjunction with a building permit? Yea 0 No E (Check Appropriate Box) Purpose of Building qq lUttility Authorization No. Existing Service (( Amps /fG/ 2 B C,Volts Overhead . Undgrd❑ No.of Meters _` New Service Amps / Vohs Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty \`...7 ' Location and Nature of Proposed Electrical Works ( v, •c sdi-ld&V �4")C (0/' i' , _ Completion o the ollowin&table nary be waived by the Inspector of Wires. W No.of Recessed Luminaires No.of Cell.-Slap.(Paddle)Fans No•of I oral Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting 4 No.of Luminaires - Swimming Pool grad. ❑ grad. ❑ Battery Units y g g . No.of Receptacle Outlets )' No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches j No.of Gas Burners No.of Detection and { Initiating Devices I i1 No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Resit Pump Number_Tons_,.,._KW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑Munonaectloicipal o 0 Other C No.of Dryers Heating Appliances KWSecurity Systems:* No.of No.of Water , Heaters Signs Ballasts No.of No.of Data Wiringvices or Equivalent Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W1rin No.of Devices or Equivalent OTHER: Attach additional detail If desired,or as required by the Inspector of Wires. Estimated Value o E Zcael Work: (When required by municipal policy.) Work to Stan: T ? Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C G :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 emtit issuin offs / CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) (_/l ,,mot'i e-- (ovr Vi•� I certify,under the pains and penalties ofpedury,that the lnformadan on Mil �t�` 44v" FIRM NAM : n 6 but and complete.' Licensee: i — LIC.NO.: Sigua 7 - � LIC.NO.: ..4� Address: "sum r / J(`/IeK ` ddplica s s apt" in` ( �1r 4 Oj Bus.Tel.No.- f// •Per M.G.L.c.147,s.57-61,secure work requires Deperhnent of Public Safety"S''t se: Alt.Lic.No. TeL •• 7'!�",47 C f� 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/Agent owner's a ell. Signature Telephone No. PERMIT FEE:$