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Home My WebLink AboutBLDE-22-001991 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001991 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:10/7/2021 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. O Location(Street&Number) 991 WEST YARMOUTH RD Owner or Tenant John Arthur Telephone , Owner's Address 991 West Yarmouth Road,West Yarmouth, MA 02673 O Is this permit in conjunction with a building permit? Yes CI No 0 (Check Appr ri�x Purpose of Building Utility Authorization No.OverheadUndgrdNo.ofMet Existing Service AmpsVolts 0 0 C0 New Service Amps Volts Overhead 0Undgrd 0 No. f er t � Number of Feeders and Ampacity V AN Location and Nature of Proposed Electrical Work: Install receptacle under stairs, 10 circuit transfer switch, &r ci jr g.u r ?...) 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 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and ` Initiative Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 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 Slew 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 ❑ (Specify:) I certify,under the pains and penalties ofperjuty,that the information on this application is true and complete. FIRM NAME: MICHAEL J CHASE Licensee: Michael J Chase Signature LIC.NO.: 20654 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 19 MAYFAIR RD, SOUTH DENNIS MA 026602903 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 Camemonweatfk al rr/amasluwlie Official Use Only + ,1 parfna o�c7 Permit No. L�Z2-—l�C 1 a nt .}in Services Occupancy and Fee Checked •t BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) \I `APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 CMR 12.00 8 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0�-��b ,. City or Town of: �2✓hO utl-f To the Insp&tor of Wires: 1NBy this application the undersigned givesp notice of his or herintention to perform the electrical�ic work described below. Location(Street&Number) 1,11 I W.-ST y44447 41( a. Z-i rT r h 11 Owner or Tenant TO I-ltk k 2 T7((iii_ Telephone No.77t{330-a706 NOwner's Address q 511 Mi (22,6 ( 2,--- 51Mt-W /e A-m- d,)-Q71— ,O Is this permit in conjunction with a building permit? Yes 0 Nq (Check Appropriate Box) Purpose of Building l t—u-r4 <- Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters.A, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W i 11t. Melt✓tot( G, 44(khf (,lby' u-04.<- . 5m1.r� a40-. wryk (0,,i fjj'rr Pa.T. 4- Got/ Thie la S.e . w rv74i C f � t iit -G4. Completion of the followingtable may be waived by the Inspector of Wires. LilNo.of Recessed Luminaires No.of Celt-Sump.(Paddle)Fans No.of Total Transformer KVA Ct No.of Luminaire Outlets No.of Hot Tubs Generators KVA a ' No.of Luminaires SwimmingPool Above 1-1 in- ❑ No.of Emergency cy Lighting grod. grad. Battery Units \I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Z. No.of Switches No.of Gas Burners Na of Dete D and initiatinngg Devices I U No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number_Toes._.KW Iii.Totals: DDeet of /A orntitnag ed Devices No.of Dishwashers Space/Area Heating KW Local 0 Coouectloin 0 Other No of Dryers Heating Appliances KW No.Security y f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP Tei No. f Devices Equivident 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: 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,g.--BOND 0 OTHER 0 (Specify:) I certify,under pai nd saki perjury,that the information on this application is true and complete. FIRM NAME:(.t{e L GG. -vt/G.�// LIC.NO.: I ii 5 )A i Licensee: in Z lit(4-1C Signature/d�"' LIC.NO.:7665-'1A (If applicable enter"$$empt"in the license numbs finzL.).)� Bus.Tel.No.• 34X 0/ Address: PO• l�O>. Li q y �•saGcsn i3 elf 601-ore^1111 Alt.TeL No.• -a`ff=3e70 °Per M.G.L.c.147,s.57-61,security work requires Departrr'ient 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 aro the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.