The URL can be used to link to this page

Home My WebLink AboutBLDE-23-001797 - • Commonwealth of Official Use Only shoik �` Massachusetts Permit No. BLDE-23-001797 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:10/5/2022 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) 152 ROUTE 6A Owner or Tenant JASON BELL Telephone No. Owner's Address 152 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 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: Lights& receptacles in accessory building. 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 12 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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/Alerting 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 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: Brandon J Cook Licensee: Brandon J Cook Signature LIC.NO.: 21761 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ANGELOS WAY, MASHPEE MA 026493063 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 Via,x11,4 1 eqi eti;2, - 01\0 .3=4)G. pegiu,7- 16 S/9-660 Aid/ r iritn Cu It1 (5( RECEIVED ACT 04 2022� C',mmana,n o/ Vaaaachhaaew official Use Only r1 ' :;-`W cc77 nc'� Permit No.�23.,i,�� I ,a,�"ter.;DEPARTMENT iiepartmeni„ i,.Serviced ' II-7(°- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. (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: iOi'I/22 City or Town of: —YARMOUTH To the Inspector of Wires: By this application the undersigned siv�ear�notice-of his or her intention to perform the electrical work described below. Location(Street&Number) 7 2. c2,\ G H Owner or Tenant �'a5on �jq\) Telephone No. 774-73e 1327 i Owner's Address Is this permit In conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building A((,e-1-'30 qA-A d;v,r,� Utility Authorization No. Existing Service Amps / Voltsol Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical ork: j /, hts / Up/ i 1 G(f esSw_ Completmn of the following fable m�be waived by the Inspector of Wires. W No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.or 9 oral Transformers KVA nNo.of Luminaire Outlets J Z No.of Hot Tubs Generators KVA d;' Na.of Luminaires /Z • SwimmingPool Above ❑ in- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets z b No.of OB Burners FIRE ALARMS No.of Zones No.of Switches / No.of Gas Burners No.of Detection and r Initiating Devices 1 1! No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Munonnectiicipaonl E Other C No.of Dryers Heating Appliances KVV Security Systems:. No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters 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: C..."-� (When required by municipal policy.) Work to Start: /t)I'i Al- 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❑ BOND❑ OTHER❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this applfcatlon is true and complete. FIRM NAME: ( )rk c,.r'J Xan ere c i Gt 6-Lk. . LIC.NO.:z l 7(/•A Licensee: (G A Cork_ Signature a 2 LIC.NO.:i44'/Z 5 (If applicable.ante apt"in the license number line.) �6� Bus.Tel No: /-W�L f Address. 6 gr.RJw, any Mas�p MA Alt.Tel.No.: 'Per M.G.G.c.147, 57-61,security work requites Ddpariment 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 Signature Telephone No. PERMIT FEE:$