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Home My WebLink AboutBLDE-23-004132 Commonwealth of Official Use Only (�_ ,: Massachusetts Permit No. BLDE-23-004132 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:1/26/2023 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) 55 LAKEFIELD RD Owner or Tenant VIERA ANDREW S Telephone No. Owner's Address VIERA SUZY M, 55 LAKEFIELD ROAD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 93f1 7. :' -17.`�,l Existing Service 100 Amps Volts Overhead 0 Undgrd 0 14, o.o 11ete New Service 200 Amps Volts Overhead 0 Undgrd 0 ,,S).</trft Number of Feeders and Ampacity �.. Location and Nature of Proposed Electrical Work: Upgrade service and refeed existing panel. /4/7 ��.' 0 Completion of the following table may be wai •, ry// /ffector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of '�/Wal Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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. 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DAVID R NICOLL Licensee: David R Nicoll Signature LIC.NO.: 37557 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 144 DRIFTWOOD LN, S YARMOUTH MA 026641038 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 - - Caen osonwaald /Muactim¢th �.Offficial Use Only �7 Permit No. 2-3 'f ,3 i- -"iii • 1Jspariensnt of,Jera.Servieee i'f :1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1. IRev.I/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 1Lj,INFORMATION) Date: 3-/SN ?S,o>3 City or Town of: 7AD/ tfVM To the Inspector of Wires: By this application the undersigned gives notice Lade-CPI his or her intention to performr^ the electrical work described below. Location(Street&Number) [�5 5 EL Ill J b Owner or Tenant Ai 0 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)ia Purpose of Building Utility Authorization No. ✓v 3 0-7 1 Existing Service id v Amps to°/a Volts Overhead d Undgrd❑ No.of Meters t New Service e > Amps 1 040 Volts Overhead It Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: s Ertvt( C"t�/�3 CT� C.IOr(SCt�Cr FANrEt. . 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 Abo e ❑ la- ❑ No.of Emergency Lighting r:ma. 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. Total No.of Alerting Devices No.of Waste Disposers Heat Pump.Ngrnbgr_ _Togs_ _..KW__No.of Self-Contained Totals: Detection/Alerting Devices . No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water No.of No.of Data Wiring: Heaters KW 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 Electrical Work: (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 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 isstiing office. CHECK ONE: INSURANCE 51 BOND 0 OTHER pecify:) 1n i�sl.l 5t c,pti� _Nt4' I certify,under the pkins and penalties of pedury,that the info lication' true and complete. - - FIRM NAME: —,i) Itlten_11.,-- - LIC.NO.:-315_57_e_ Licensee: Sign LIC.NO.: (If applicable enter"exempt"in the license pumber line.) Bus.Tel.No.: SQg 39'f4:113I Address: 144 bit'FTtNnaO L SNA/own& tVtk OUVI Alt.Tel.No.:So$-360'13(3(ciu) *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 ❑owner's agent. Owner/Agent 1 Signature Telephone No. 1 PERMIT FEE:S