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Home My WebLink AboutBLDE-22-004826 Commonwealth of I Official Use Only • - Massachusetts Permit No. BLDE-22-004826 % 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:3/2/2022 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) 108 BRAY FARM RD NORTH Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. '7Lcj'7 3 9 j Dela t`1Y C✓ Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters eift-::Q.be ' New Service 200 Amps Volts Overhead 0 Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Relocate meter main &refeed barns 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 Initiatinu 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 ❑ 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 Eauivalent 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 ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MICHAEL J TOTTEN Licensee: Michael J Totten Signature LIC.NO.: 14044 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:228 STONEY CLIFF RD,CENTERVILLE MA 02632 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: $0.00 �I,e 97v/ e6- Oz ) 4 Cour rcj � c rAI 5 trI7/7_eAat5/12,1i. ve a ---D r nl roe a-etwo ( v2- =q(s:A`' 14 COMMOAW•Stig 4 m7 c � �Officcial Use Only -7 r . � ry''t 1JaParfmanl otJin�iwic� Permit No. C��2--4 C-�LJto Occupancy 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: 30 I Z O)?- City or Town of: .\i 0-- t•,t..'��ti\f or* To the Inspector of Wires: By this application the undersigned gi es notice of his or her intention to perform the electrical work described below. Location(Street&Number) cjj��lo8 7-ziGty frls-o- f�nr,el (\lac-) Owner or Tenant/J(i n n 4 YH-nr'�Dlc ,.i L,,, 'cry (45s,Telephone No. SG R-L8c..t-f 00 Owner's Address Is this permit in conjunction with a building permit? Yes Nr----No ❑ (Check Appropriate Box) Purpose of Building 0'-\0C CI V S-e(' ,ie UtWtyAuthorization No. Existing Service 20t7 Amps (7�j I7y(a Volts Overhead❑ Undgrd No.of Meters New Service 7.()t) Amps (2-z /l O Volts Overhead❑ Undgrd[ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 4De c,c p S e t-u t Le �r) zoo A M e le r /4 , •• I)r PPri sC.,1 A ce-c'��41 b6,-~ts. 01,. bc, +a h.e r,21,c, HCompletion of the followin,table m be waived by the ingeector of Wires. th No.of Recessed Luminaires No.of CellAusp.(Paddle)Fans To'o� "mil Transformers KVA 4:11 No.of Luminaire Outlets No.of Hot Tubs Generators KVA a No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t FBurners Initiatingon No.of Switches No.of Gas No.of Detection and Devices i Li No.of Ranges No.of Air Cond. Tuttisl No.of Alerting Devices n Heat Pump Number Tons KW No.of Self-Contained Na.of Wash Dispose Totals: Detection/Alertiag Devices No.of Dishwashers Space/Area Heating KW Local 0 lionnuoicipil ection Other 0 O C No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel cadons No.of Deivices or Equivalent OTHER: 1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: l t 0°0 (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' urance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perituy,that the information on this application is true and complete. FIRM NAME: JL\i cj ek i D-- '\ c.Q C H 'C (.L f LIC.NO.: 1110t4 4,' Licensee: 0)i e 1„a e i vt Signature l LIC.NO.:Z2S,�1 hE (If applicable,enter"exempt"in the license tWer�rge.) Bus.Tel.No.. 43:2-fI-3- Address: 72-S' C,M 0 ey ('�,('t` ;c1 C¢o 4e t t;,i If )i~14- (146-39- Alt.TeL No.: `i D 5-,,i-8G -3 5-5-0 *Per M.G.L.c.147,s.57-6I,security work requires Department of Putilic 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.