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Home My WebLink AboutBlde-21-005132 or `�t1/'l Commonwealth of Official Use Only Ili• l Massachusetts Permit No. BLDE-21-005132 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:3/11/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 115 SOUTH ST Owner or Tenant MOYNIHAN JOHN F Telephone No. Owner's Address MOYNIHAN JOANNE, 35 MINERAL SPRING AVE, LUDLOW, MA 01056 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 switch for light&ductless system for porch. 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 ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 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 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 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: Michael J Leblanc Licensee: Michael J Leblanc Signature LIC.NO.: 17423 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 Westwind Cir, Osterville MA 026551375 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 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: $75.00 L1t (,c 2A14.<< 4 3(( a-- tx Coamwvnweolih o`n/aaeacIui efts ,F..-Official Use Only 2 p. ' Are c� �i Permit No. --c-'� — c 3 Zepartnwni o/ ire Joruices i ,y 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: 03/09/2021 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) 115 South St South Yarmouth Owner or Tenant Tohn Moynihan Telephone No. Owner's Address 35 Mineral Spring Ave Ludlow MA 01 0Sh Is this permit in conjunction with a building permit? Yes ® No 0 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120/ 240 Volts Overhead .11 Undgrd❑ No.of Meters ►. New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add receptacles. switch for light on hem wire ductless unit for existing 3 season porch Completion of thefollowingtable may be waived by the Ins for of Wires. No.of Recessed Luminaires No.of Cell.-Sus .(Paddle)Fans No.or Total p Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ NW.or Emergency Ltgnttng 2 g tzrad. grad. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches 1 No.of Gas Burners No.lnInitiattngon Dete and tt Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons ,KW,_ No.of Self-Contained Dos Totals: .""' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Loeal 0 ConnecUIn 0 of No.of Dryers Heating Appliances KW Security Systems:• No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent mons Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Devic atelss or Emilvalent 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 issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information iii' plication is true and complete. FIRM NAME: Solar Rising LLC LIC.NO.: 821 Al Licensee: Michael LeBlanc Signature/'1/• LIC.NO.: 1 (If applicable.enter"exempt"in the license number lined �� Bus.Tel.No.. ONE-• :4 Address: 759 Fa1mouth_Rd Suite 8 Mas pee MA 02649 Alt.Tel.No.: rL KVIIEIN 5 *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. I PERMIT FEE:$