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Home My WebLink AboutBLDE-23-000783 - r�' Commonwealth of Official Use Only �'w._ i `��` Massachusetts Permit No. BLDE-23-000783 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:8/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce of his or her intention to perform the electrical work described below. Location(Street&Number) 12 BURCH RD Owner or Tenant SCOTT FITZPATRICK Telephone No. Owner's Address 12 BURCH RD,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Installation of fire&security systems. 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 grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 4 No.of Switches No.of Gas Burners No.of Detection and 8 Initiative Devices No.of Ranges No.of Air Cond. .Toot l No.of Alerting Devices 4 No.of Waste Disposers Heat Pump Number Tons 1 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:' 17 No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sfens 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 ❑ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: BRIAN REZENDES Licensee: BRIAN REZENDES Signature LIC.NO.: 22213 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 GOELETTE DR,PLYMOUTH MA 023601228 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) ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$45.00 Rwe,,b, ell<3/vz.-og_ k^04-t. Li(f8/73 l_____, • Cominonumatik of Mas6achu4efs Official Use Only _-`— t c� Permit No. e_s-07 Ea ;nf _ ' .UeParfmanl o }ire�ervrce i i_ ; Occupancy and Fee Checked • '^. _ BOARD OF FIRE PREVENTION REGULATIONS ev. 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: g; 1,1(1 2, City or Town of: ,-;,,,c.,..k14 le,VM.cw--VI To the Inspector of Wires: By this application the undersigned gives notic of his or her intention to perform the electrical work described below. Location(Street&Number) 9, aU 'C;v1 (28.. / Owner or Tenant 5� - •k5 LLK Telephone No. 6( -3,c-7/i(p Owner's Address 12 (5,0_h%-la (.5lc%cAA Rd. �it-(I tIt t NH 03057 Is this permit in conjun,5tiott with abuilding permit? Yes El No 11 (Check Appropriate Box) Purpose of Building J'�de�l tt�� ‘, Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd ❑ No.of Meters New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ��l to Ltd kit I I- :�v Lo„1v.,_41 is‘ .s,-C i.t Y r4 G1vt s`u'it J Completion of the followingtable 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 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS {No.of Zones q No.of Switches No.of Gas Burners 'No.of Detection and o Initiating Devices U No.of Ranges No.of Air Cond. TonsTota 'No. of Alerting Devices 't No.of Waste Disposers Heat Pump Number.'Pons____I?V___ No.of Self-Contained P Totals: Detection/Alerting Devices ipal f5 No.of Dishwashers Space/Area Heating KW Local❑ Connection Other No.of Dryers Heating Appliances r Security My Systems:* No.of Devices or Equivalent 17 No.of Water 'KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No. of Motors • Total HP No.of Devices or Equivalent OTHER: t,�" �l .1x` �Il� VJ4�/Ll� Plryx1 ��'a' �E'�N t 019 5 Attach additional detail if wired,or guired by the Inspector of Wires. Estimated Value of Electrical Work: 12 ct 6•cc (When required by municipal policy.) Work to Start: G 11-1 l-3 3, 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 Z] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: 4 Lf40'7 pi.6.1 F,.16-I-j J O L 4 LIC.NO.: 2.2213-A Licensee: 6,f/At) fef=ZFiJ 7t S Signature '�1. LIC.NO.: 06-,' 233 C. (If applicable,enter"exempt" the license t umb b link) _ Bus.Tel.No.: 60--Ca.,-758 Address: 'J'enter ` ,1 1 a`( -f-+ l .L 1 06Of) Alt.Tel.No.:5/-�•-y,-iiit-bsc't *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 not 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. gi fre P _Telephone No. _ f PgKt111T,h.EE: $15,0 . —T - .8'C.v-"-3 99 s *,'/- /