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Home My WebLink AboutBLDE-23-002134 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002134 �• 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:10/20/2022 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) 2 CHANNEL POINT DR Owner or Tenant JACK SIMMONS Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 8921367 Existing Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 400 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New meter at garage. 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. To 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 ❑ 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: Jonathan R Hall Licensee: Jonathan R Hall Signature LIC.NO.: 11925 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:263 CAMMETT RD, MARSTONS MILLS MA 02648 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 1^7 (v3 (cur 6 J / .- rct 4/ i:A./1lc t ) C[ -3(9 w' 1( �-e Lw _ ..} _ 1 OCT O 1' Commonmealth 0/ aadacLwalla Official Use Only I f �'; cy^ P /� s -23;it 3� • s, �Ue arfinenl o giro roiceA Permit No.V 1`` •- Occupancy and Fee Checked . I BOARD OF FIRE PREVENTION REGULATIONS [Rev.Vol] (leave blank) j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: )G 060 2 • 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) e4 1 P)0 Owner or Tenant �ta)f:C / ,j ttlmah S Telephone No. 77g-W.7_0 3S"S Owner's Address 2 C,n4 I (omI AIs this permit in conjunction with a)hiding permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building �S Utility Authorization No. gG a.Y3‘,,7 Existing Service d fi 0 Amps / Volts Overhead❑ Uodgrd Ef No.of Meters New Service Lipp Amps I Volts Overhead❑ Undgrd KJ No.of Meters ^0, Number of Feeders and Ampacity l. /I Location and Nature of Proposed Electrical Work: A f, /ne cyfgC�, 1 e J vi Completion of the followinEtablem be waived by the Inspector of Wires. `! No.of Recessed Luminaires No.of Cell:Soap.(Paddle)Fans No.or Total Transformers KVA '`1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. . nd. Battery Units No.of Receptacle Outlets No.of Oil 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. Total Tons No.of Alerting Devices No.of Waste Disposers 'Heat Pump I Number Tons 1KW No.of Self-Contained — Totals: _..._ ... .. Detection/Alertln Devlces No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑°Eher on No.of Dryers Heating Appliances KW Security Syystems:* No.of No.of Water , No.of No.of Data WiriDevices or Equivalent 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 if desired,or as required by the Inspector of Wires. Estimated Value of El trical Work: )a.,fit, (When required by municipal policy.) Work to Start: U Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E E: 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 covprage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑ (Specify:) I certify,under the pis and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ' Qe7o.-1LIph /p.11 ja1,4'r/4,1 LIC.NO.: Licensee: .)pywkaL,p,i 1,IR,t) Signature % o LIC.NO.: )) ,5'-i? (If a;applicable,enter"exempt'in the license number line.) Bus.Tel.No.• Sa "iSo-,;(1 3 Address: Alt.Tel.No.: Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does sot 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. I PERMIT FEE:S 75,Ot.)1