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Home My WebLink AboutBLDE-23-004192 NeaCommonwealth of Official Use Only AMassachusetts Permit No. BLDE 23-004192 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 INFORMATION) Date:1/30/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfomi the electrical work described below. Location(Street&Number) 131 PLEASANT ST Owner or Tenant COOPER ERICK W Telephone No. Owner's Address P 0 BOX 1048, 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 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Permit to close out expired permits: BLDE-20-004361 &BLDE-21-003235. 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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: 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 kg. No. PERMIT FEE: $50.00 F1) 4a( t1L/ 23 C. -- n cnmmowsatth.nl Vam u�ac�itit tial Use Only Ill" ��(I i 2) '�•-; � c7 � 4_- arlmsni o�Jin Jeniics� Permit No. �3 I1- Occupancy and Fee Checked ;, , BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) s APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK f All work to be performed in accordance with the Massachusetts Electrical Code MEC),5 7 CMR 12.00 k (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I/ .L/ 3 '\ City or Town of: YM2.'s64t( To the I peeto of Wires: vBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street firs Number) I,�I e Li, ittSr S'r2wl'- S.vjt,2i+or//N NOwner or Tenant pZdt!t- 4- Kirrt epo /'---- Telephone No.77Y-3,13-4I a t Owner's Address 13 I P(0 hSA^t l ,cT i S• t',}/z.... f• D 3_4,44. Is this permit in conjunction with b ding permit? Yes No ❑ (Check Appropriate Box) r Purpose of Building aS r a Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters S Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Yl Completion of the following able may be waived by the Inspector of Wires. • No.of Recessed Luminaires No.of Ceil:Sua (Paddle)Fans Na of Total P• Transformers KVA t No.of Luminaire Outlets No.of Hot Tubs Generators KVA A Above In- No.of Emergency Lighting .t No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units ' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones d No.of Switches No.of Gas Burners No.of Deteaction on Devices No.of Ranges No.of Air Cond. Toot No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW.... No.of Self-Contained Po Totals: .... Detection/Alerthnt Devices No.of Dishwashers Space/Area Heating KW Local D M unicip on ❑other No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Whin Y g 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: 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 FL BOND 0 OTHER 0 (Specify:) I certify,under th�e�,°,�ins and penalties of per)ary,that the information on this application is true and complete. e1 FIRM NAME:G-f'i fC l24 O .LNG •� LIC.NO.: I K rryy,Xirr I Licensee: 07+'l i(/NKL trd- Signature��LIC.NO.:ao6S KAt (If applicable, ter'exempt"in the license number tee-) _ y Bus.TeL No: t�' Address: "re,"exempt" 6iosc I,LRti. t 1)ee1n,S// / f Di)-4'Q�III l Alt.TelNo.:foir-2a(f le *Per M.G.L.c.147,s.57-61,security work requires Depal(ment 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. l am the(check one)0 owner 0 owner's agent. Owner/Agent Telephone No. PERMIT FEE:$ • 9 . . n a • I . • • ___..__ _�_ .__:.�___».._ ,. ___. .. _-�.. ._ .- _��.�-__.._ - ._ �_ __. _ter•- .... ...mow_.._ .__ f