The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005086 si /0\ Commonwealth of Official Use Only . Massachusetts Permit No. BLDE-22-005086 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:3/15/2022 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) 216 HIGGINS CROWELL RD Owner or Tenant NEVES RUYTER Telephone No. Owner's Address 2 SHEFFIELD ROAD,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 5813870 Existing Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tong 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 Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siesta No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: //�'� ) ®y��,RTY rQ/'A r)R.(Lo,'. t. 14ional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: f ` (l]/T (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:) CO S_ 76/ 6 89 I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Arthur L Gendreau Licensee: Arthur L Gendreau Signature LIC.NO.: 21478 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ALICE AVE,WILMINGTON MA 018874578 Alt.TeiTNo.: °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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 � to'(17/�� rA`t'�rs✓ �`U 2t55 jl�l‘� Commonwealth. o/ Maioac4u4sit5 Official Usc Only �-.� ;,�'- i- i cc�� cc77 Permit No. �� -� °= eLJafrartms o�,}ira Sarvics� 1�°:; Occupancy and Fee Checked e_67 r 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: :31 i 11 , City or Town of: (,r^mote4-4 ) To the Inspector of Wires: v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Loca ' n (Street & Number) r .% f t` / / l �c : {�/ d' / p TL '� t " 1 Telephone No. s'z _ l Owner or Tenant Jo Sel /deS eLeS P 3Sf ,9 5- = /.9' �� Owner's Address S i 0 t) Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building R 'S dti Ii CLI Utility Authorization No. $ = / 3 5 '7C' Existing Service OL' Amps i /. ` c Volts Overhead.21 Undgrd No. of Meters ....Z., New Service t D Amps / }/ /1' Volts Overhead 2 Undgrd n No. of Meters 3 Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: S v t C e R zp is t Completion of the following table may be waived by the Inspector of Wires. No.VI of Recessed Luminaires No. of Ceil:Sus . ae Fans No. of Total L f p (Paddle) F Transformers KVA C- No. of Luminaire Outlets No. of Hot Tubs Generators KVA r"\ Above In- No. of Emergency Lighting k No. of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units 1 1 'J No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones it No. of Switches No. of Gas Burners Rio. on and Inittiatiatinngg Devices IQ No. of Ranges No. of Air Cond. Total No. of Alerting Devices g Tons No. of Waste Disposers 'Heat Pump Nurnher . Tons KW 'No. of Self-Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Sec ri of De icmes or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs No. of Motors Total HP No. of Devices or Equivalent OTHER: _ Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: %C9O. (When required by municipal policy.) Work to Start: 3 2 .% Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C VE GE: 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 ir BOND ❑ OTHER ❑ (Specify:) I certify, under theRains and enalties of perjury, that the information on this application is true and complete. FIRM NAME: ftr1fr'IlCf_ - �" L( elect-is( C- A. L-- LIC. NO.: q7 �4 Licensee: �' GeJd1 .Lt_4.t._ Signatur. �l��vt __, ---- LIC. NO.: (If applicable, rrter ''exem t"i the liceni/f/in nu r line.) Bus. Tel. No.;9/ 7 /- 4' 9 y Address: css: /le're. fire . m t-4,it I 4 e)ay 2 Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work require 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 PERMIT FEE: .$ Signature Telephone No.