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Home My WebLink AboutBLDE-23-0015438 - ' A � Commonwealth of Official Use Only E1UEk' Massachusetts Permit No. BLDE-23-001538 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:9/23/2022 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) 28 WEST WOODS VILLAGE Owner or Tenant BRENDA DENBY Telephone No. Owner's Address 28 WEST WOODS, YARMOUTH PORT, MA 02675-1462 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: Replace devices&some fixtures. 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 Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons I 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 Siens 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Justin J Fisher Licensee: Justin J Fisher Signature LIC.NO.: 13683 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:38 SADDLEBACK RD, MASHPEE MA 026492539 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: $50.00 R-E C E 1I5I9 \ C.rvi i t Tr7s&ra ii c- -., /..._ _. , ....._ ...._ � SEP 2 2 202 ' ! A�ff :••l `` allh o� t_—. Officinl Use Onl_ ;-•,.Y...t: J I L D I N G D E PA Fa4 aedac imette '�'-" '' _) c7 Permit No. 3 --( 3 S _ .- !r, n t/var'gmtn4 Or..APO Jtrvittd ,;I I� Occupancy and Fee Checked ../ (leave OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Q j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cock, MEC 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q�2.0 'a 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) Z 8 v' eJ"W a..)0 S C (✓ Owner or Tenant I)-e ib`l .I dcL Telephone No. ili Owner's Address Is this permit In conjunction with a building permit? Yes 0 No El (Check Appropriate Box) Purpose of Building Utility Authorization No. --I, Existing Service Amps / Volts Overhead ElUndgrd❑ No.of Meters c„,.., New Service X--- Amps / Volts Overhead❑ Undgrd 0 No.of Meters '— Number of Feeders and Ampadty `< Location and Nature of Proposed Electrical Work: 1Zt P i -ce ►)e vt L PS ,A-N c Sop-, ms L \ Crh-tr t=is, rvvt'J ' Completion of the following table m be waived by the Inspector of Wires. tli No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans No.off Total 'Z.! Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA '4 No.of Luminaires • SwimmingAbove In- No.of Emergency Lighting Pool 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 1 k! No.of Ranges No.Of Alr Cond. Tons No.of Alerting Devices 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❑ Municipal ctio n ❑ Other 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 Telecommunications Wring: No.of Devices or Equivalent OTHER: Attach additional detail ijdesired,or as required by the Inspector of Wires. Estimated Value of lectrical Work: (When required by municipal policy.) Work to Start: Zu _d 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 EZ 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 N E: LIC.NO.: Licensee: u S n ti F L S i'i E.g_, Signature J. f' S t..0-42— LIC.NO.: 1 3 L a 13 (If applicable,enter"exempt"in the license number Iine.) Bus.Tel.No.• c",, ii (.`/r 07l 0 Address:?_94 s "' R P' A.c v/) fr -r , AAA- 0201 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 not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/AgentPERMIT FEE:$ SU — SignaturetuneTelephone No.