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Home My WebLink AboutBLDE-23-001400 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001400 a. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.1/07j 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:9/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her attention to perform the electrical work described below. Location(Street&Number) 86 Old Hyannis Road,Yarmouth Owner or Tenant Tom Penderfast _ Telephone No. Owner's Address 86 OLD HYANNIS ROAD,YARMOUTH PORT,MA 02675 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: Install sub panel&wire exterior kitchen 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 1 Generators KVA No.of Luminaires - Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 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. Total No.of Alerting Devices Toni 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 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: JEFFREY T FOSS Licensee: Jeffrey T Foss Signature LIC.NO.: 36938 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 SULLIVAN RD,W YARMOUTH MA 026733543 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 F� I �' ED w i ( I CA_1� c1C Ct t .. SEP 15 2022 0 nwaahh.o`'Mamachue.tt6• Official Use Only ''" t i!U DI PARTME � 14 -- �2 OPermit No. �� J L+O ` i . 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),5 CM 00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9// City or Town of: YARM O UTH To the Inspector of Wires: By this application the undersigned gives siali9e of bis or her intention to perform the elee al work describe below. Location(Street&Number) 6cvA ,hlwis /jl'iJt �/l/ / till / Owner or Tenant t-'f'l 7 ' TN y / /- % Telephone No. Owner's Address 1 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) l^ Purpose of Building Utility Authorization No. t Existing Service t t Amps /A i,'VV Volts Overhead❑ Undgrd X) No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 1 1 Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: l S�' `1l ;i �l` C vt;'t' tC 0 C-'.r3LC A C '�t//, / 4 yes I--Y--- ---�� 1� Completion of the followinglable my be waived by the Inspector of Wires. l.b No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA C--) No.of Luminaire Outlets No.of Hot Tubs / Generators KVA r‘ t No.of Luminaires • Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting �rnd. grnd. Battery Units No.of Receptacle Outlets k" No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and -- Initiating Devices 1 No.of Ranges Total g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons_ _l KW No.of Self-Contained Totals: [Tons �� .� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municlp Connectial on ❑ �er No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent • No.of No.of Data Wiring: 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 Elec al Work: (Whenrequired bymunicipal lie .� 1 p policy.) Work to Start: � �` Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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 [A BOND ❑ OTHER 0 (Specify:) `i?ytt/Ci�A, 6 C //I- I certify,under the pains and penalties of perjury,that the information on this a plrra o e an complete. FIRM NAME: LIC.NO.: Licensee: Signature �� LIC.NO.: t/C193�(lfapplicable "am) t"iv a l' a umber line.) Bus.Tel.No. Address: r 1 t ' .l it-le,/7 �6 • Alt.Tel.No. *Per M.G. . c. 147,s.57-61,securt work requires Department of ublic 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,1 hereby waive this requirement. I am the(check one)[]owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 5_0 —