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Home My WebLink AboutBLDE-23-004448 Thr Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004448 �-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked £Rev.1/071 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:2/13/2023 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) 25 BROADCAST LN /O 4 Owner or Tenant TOM FOLEY Telephone N V'6 2/ Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A 7.. i OP Purpose of Building Utility Authorization No. /� Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of eterp'/ New Service Amps Volts Overhead El Undgrd 0 No.of Mete/ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade smoke/CO detectors following water damage. *.. ...et 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 IDIn- ❑ No.of Emergency Lighting grnd. grad. 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 0 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 Sims No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP 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 El (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Brad J Campbell Licensee: Brad J Campbell Signature LIC.NO.: 35550 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:347 TURTLEBACK RD,MARSTONS MLS MA 026481128 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) ❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$45.00 R--ECEIVED ' FEB 10 ?�� AA�� f/ _ Cominonwsa[h el Maeeachaedlfd Official Use Only BUILDING DE', - .. 'r.`�• c7 Permit No. "`4 4+8 •1 ''' "I''-'ii `�By' — -�. - F sparfmsnf oi.}irs siwicse II,1 J' 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: Z ' /O. 2-3 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice Ibis or her intention to perform the electrical work described below. Location(Street&Number) 2.. --- rd 4l f l a s l !_/4 6,1 Owner or Tenant 1 o vt E-�1--tom Telephone No. r Owner's Address Is this permit in conjunction with a bding permit? Yes 0 No pr. (Check Appropriate Box) Purpose of Building b C'-J e 1 t" / Utility Authorization No. Existing Service l 0 0 Amps /Z&/L /DVolts Overhead❑ Undgrd pi No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty Location and Nature of Proposed E cal Work: ff is € CiP D ,Senn e /�6 Z 3 r€ ✓ F1 re h P 7 1 P -Fr-e c 2 e t < 7r(641 krtvq l Completion of thejollowin fable my be waived by the/ns�ector of ff'ires,� p1.i No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA -4: No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting irnd. ❑ mod. ❑ Battery Units 's 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 11,1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KVV No.of Self-Contained Totals: "' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ � No.of Dryers Heating Appliances KW Sec Sy stems:* Devices No. or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivacomglent No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devicesoor quivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3C.,0 ` (When required by municipal policy.) Work to Start: 2 '(0' 23 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 issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the alas d penalties of perja that the information on this application is true and complete. FIRM NAME: (7 rod�. ( �rk1(mil C(e& r" iG• LIC.NO.: _ 515-?.) Licensee: S or D1L-1) Signature �1 x�/� LIC.NO.: (If applicable,enter"exempt"in the li arse n berf ire./ V f Bus.Tel.No•: �j G(5 �7 7 C G I ff Address: 3 V.7 7 L,r T Tie cct - irkcv, .o„S t I ills 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. ( PERMIT FEE:$ y,S I C3g-sS-