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Home My WebLink AboutBLDE-23-003148 Commonwealth of Official Use Only + Permit No. BLDE-23-003148 �E�,,, Massachusetts 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:12/7/2022 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) 122 EXETER RD Owner or Tenant STEVE BICKERTON Telephon Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate t ox) JKVL.".1'— ` Purpose of Building Utility Authorizatio No. 11321469 (Y V G Existing Service Amps Volts Overhead 0 Undgrd No.of Meters /9,/1/24/ New Service 60 Amps Volts Overhead 0 Undgrd 0 o.of M• • Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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 ❑ ln- ❑ 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. Tonal No.of Alerting Devices o 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 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 hi 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: William F Dougherty Licensee: William F Dougherty Signature LIC.NO.: 13932 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 LOWELL DR,ORLEANS MA 026534841 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 RECEIVED — � DEC 0 710 1 � 0' ry� / T;�1., _ �+a[th o////adeachaaalld �Officcial Use Out ;.,''' �,,ILDING DE PA Ft I(tto�Nt.+I �c'7i ��i Permit No -Z-7— .1� ' i:.:-. _Zei;i rGhanl o/Jiro Jamie., A „If- Occupancy and Fee Checked 5:: 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(M/EC), 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /2- 7 ZUZZ 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) ]2.1 lxl{-er rd. Owner or Tenant 5 eti . 11(..b2t-h-0t Telephone No. W Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No.113 Z,I G 9 Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters f.+seNewService i 0 Amps 24o/IZo Volts Overhead Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: CO 4Ntp Q(tefl c 6 'temp rtiCe. 0Vr} r ,� v5 Completion of the followin&(able no be waived by the Inspector of Wires. 1SUs! No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 7 otal Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA d'- No.of Luminaires Swimming Pool Abovegrad. gr n d. ❑❑ in- No.ofBattery EmergencyUnits Lighting . Zzi No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones r No.of SwitchesNo.of Detection and { _ No.of Gas Burners Initiating Devices Tota IQNo.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons K_W No.of Self-Contained Totals: -.._ _............-.........- Detection/Alertimz Devices No.of Dishwashers Space/Area Heating KW Local D CoMuninnectiocrpa ❑Other n No.of Dryers Heating Appliances KW Security Systems:* No.of No.of Water s KW No.of No.of Data Wiringvices or Equivalent HeatSigns 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 Elec ical Work: .4rerd'o71 (When required by municipal policy.) Work to Start: '7 2.07-2, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C E 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 IA BOND ❑ OTHER 0(Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: /4"A444,F.rdilikd � Signature LIC.NO.: C93'Z 8 p (If applicable.enter"e empt 1m�fr�e Ice enumber inc.) Bus.Tel.No.•771/-?�-d7p I Address: 6 64tve!( tvnke T/1?59 gulr3 Alt.Tel.No.: Per M.G.L.e.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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$