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Home My WebLink AboutBLDE-22-001992 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001992 a--' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07i 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. Location(Street&Number) 2 PEACE LN Owner or Tenant WRINN JAMES E Telephone No. O Owner's Address WRINN MARY M,2 PEACE LN, SOUTH YARMOUTH, MA 02664 w Is this permit in conjunction with a building permit.' Yes 0 No 0 el pp i :ox) Purpose of Building Utility Authorization Existing Service Amps Volts Overhead ❑ Undgrd 0 Akh, !• New Service Amps Volts Overhead 0 Undgrd 0 4 .li Number of Feeders and Ampacity 18.*? Location and Nature of Proposed Electrical Work: Rewire old sun room. Completion of the following tab e�� Oa • a 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. grad. 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 apitiatine 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 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: Peter J Nelson Licensee: Peter J Nelson Signature LIC.NO.: 23572 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 131 PLEASANT LAKE AVE, HARWICH MA 026452521 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 crdstic4 /CN C. RECEIVED SEP 2 0 2021 .§: , C mmomueaUh !t� /rrlandachudettd B ciYrWtse 9RIYA R 1 M ENT Permit No .k:',1 spartmeni of Jiro Serviced . 2Z—tQeCZ,11Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.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: S ji,..)K,a.4.7 r a G.I City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or h intention to perform the electrical work described below. Location(Street&Number) /3G'B C /4../1/e Owner or Tenant /Telephone No. Owner's Address '�.��.s a -1/ /I A Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate pox) L—' Purpose of Building /eS/®4a>/y/1C, Utility Authorization No. 4///) Existing Servtce406 Amps /7L/,2c.c.* Volts Overhead Er---Undgrd❑ No.of Meters / New Service N/IS Amps / Volts Overhead E Undgrd❑ No.of Meters _/2_.,,,t -O.Awn 1Loo-yn.i %-Cze :. L 6 d Akt'e.o a e, Location and Nature of Proposed Electrical Work: - re Completion of the followin&table m be'valved by the Inspector of(fires. ii, No.of Recessed Luminaires No.of Cell:Susp.(Paddle)FansNo.o Total "' Transformers KVA 'Z; No.of Luminaire Outlets No.of Hot Tubs Generators KVA 'i No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting tired. Krnd. 0 Battery Units 7 No.of Receptacle Outlets No.of OB Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and ,; Initiating Devices No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump I Number,Tons, IKW No.of Self-Contained Totals: ..l_..... . .... �� _ Detention/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑M CI�� Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWData Wiring: Na.of 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 ifdesired,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 0 BOND❑ OTHER❑ (Specify:) Z`i b_I 433 I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: pC:rG L p/ �So it. Signature -.�i (If applicable,enter"exempt"in the license number line.) LIC.NO.a'�1 3 S `Z Address: Bus.Tel.No.• "Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does riot have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$