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Home My WebLink AboutBLDE-23-004754 op 44. Commonwealth of Official Use Only E` Massachusetts Permit No. BLDE-23-004754 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:2/28/2023 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 cleciripal work d Litt C.escribedbelow. Location(Street&Number) 237 GREAT WESTERN RD 14-S ( J Owner or Tenant I IEfEN1R Telephone No. Owner's Address 1t1Tt#;Mr4028$4 L fJ� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 121'07161 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service Completion of the following table may be waived by the Inspector o/Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Totat• 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 Initiating 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/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: Bruce F Long Licensee: Bruce F Long Signature LIC.NO.: 21358 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:427 E COUNTY RD, RUTLAND MA 015432039 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 Commonwealth.o`llladdachindatld Official Use Only ��[,ty� " �{ c� c7 Permit No. e-Z-3-47'' 1 1'}-st. 5 2eparfinent of Jiro Sewield a- Occupancy and Fee Checked y .4 BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) O 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 'ORMATION) _ Date: ji:23/ot 3 City or Town of: SUGLti% fl i1- To the Inspector of Wires: By this application the undersigned gives notice bbff his1or her intentionto perform work described below. Location(Street&Number)A5/7 O{�o Oe rjr Lt n m'JD '/ /r Telephone No. 77y"'�3 q'y ia� Owner or Tenant LSI 1I �`/"��-�t Y)I /`Owner's Address 0�� ( '?a webkc/2 ridIt+ik_ �G-�'1.A(LC�{� Mj. Oa(0107Is this permit in conjunction withJalbuilding_permit? Yes No (Check Appropriate Box) Purpose of Building � ,S1Cl�k. 1•a_ Utility Authorfzatlon No. I pt.I D 7 t / Existing Service j00 Amps 17f)107Y2)Volts Overhead Undgrd❑ No.of Meters / aNew Servic@ 0,00 Amps /.4()/a°tD Volts Overhead® Undgrd❑ No.of Meters Number of Feeders and Ampacity I� Location and Nature of Proposed Electrical Work: -9 () J`i°j"vie. ttiog a_ Completion of the fotlowing,table m be waivvedd by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Stu (Paddle)Fans No.n� KVA sP• Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool grad ❑ 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 andInitiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Dbpoxr �Tuta p Number Tons KW No.of Self-Contained Deter ion/AlertinDevices M li No.of Dishwashers 1-"alSpace/Area Heating KW 1-"al❑Comnecuniction 0 Other. Heating Appliances KW Security Systems:" No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: ma�yy Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ..bOC) (When required by municipal policy.) Work to Start t9Oa3 inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: 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 Ettj BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of p�`e-rjury,that the Information on this application is true and complete. FIRM NAME:_,I- l�C7T �IfP.2hlC. LTC.NO.: �I Signature LiC.NO.: Licensee: /f-- (Ifapplicable enter fiem t"in the Ice u berline.) �y��l��/'7`-' Bus.Tel.No.• - -.D P ) Address: 7 C. ��a Alt.Tel.No. •°Per M.G.L.c.147,s.5757-6�ty 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• Telephone No. I PERMIT FEE:$ Signature__ ,