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Home My WebLink AboutBlde-22-003462 d• Commonwealth of Official Use Only . Massachusetts Permit No. BLDE-22-003462 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:12/20/2021 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) 82 TAFT RD Owner or Tenant Stephen Feeley Telephone No. Owner's Address 82 TAFT ROAD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 6868027 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&grounding 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 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 Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: John A Myslinski Licensee: John A Myslinski Signature LIC.NO.: 16923 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:24 LANDING DR, CHICOPEE MA 010204298 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:$50.00 , U� fZ/J Le'/t Consmonsudg o`Maaacluustla Official Use Onlyly rr/r/ •i t-� / Permit No. �� ' ✓4'Ko 0 ..i `'i = 2.part�ni.ni o g e Ssrvicsa (: -" Occupancy and Fee Checked j — �= , BOARD OF FIRE PREVENTION REGULATIONS [Rev, l/07] (leave blank) N w; C ,-1-1a. ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 U ! LU ( L IN: .SE PRINT INK OR E ALL INFORMATI ) Date: / ' 2, D ' oz 1 WI `_ City or Town of: � t t rit, U t� r To the Inspector of Wires: CZ � ,i application the undersigned gives notice of j,,is or her 7t1on to perform the electricalbed below. z Tit 7' work described on(Street&Number) � 7— PC( Owner or Tenant S r— G e Telephone No.99L/2 6/.O q- Owner's Address --S'Aime Is this permit in conjuniiiiion with buildingpermit? Yes El No (Check Appropriate Box) Purpose of Building I�&,s f within j* Utility Authorization No. k(4, 7-0 2 9 Existing Service f n Amps O A)I x,ti qfolts Overhead Undgrd 0 No.of Meters New Service ,9 J b Amps I 1 D 121/ 0 Volts Overhead Er Undgrd❑ No.of Meters Number of Feeders and Ampacity Q S ''il Location and Nature of Proposed E Work: 2 00 4-12./)r U P V RA D tE UI°c /j-.015 c2Uvidbide Completion of the followin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Sus (Paddle)Fans No.oof Total � 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 n No.of Switches No.of Gas Burners 'No.of D and Initiattingang 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 P� Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Systems.y Secuo. icea 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 of pD v�or Equlvalent OTHER: Attach additional detail if desiret4 or as required by the Inspector of Wires. Estimated Value of Electrical ork: 3 61 b (When required by municipal policy.) Work to Start:/`.. ( 2/i 2 0 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 cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the and allies of�jury,that the information on this application is true and complete. FIRM NAME: [ PI Lf/ C LIC.NO.: (C V?if Licensee: h !L Signature LIC.NO.: (If applicable ente "exempt" licens number li ) Bus.TeL NO.: 3• ?6'rl 6 Address: L f L yl in/ l r C i i cQ - MA- f)/091) Alt Tel.No.: *Per M.G.L.c. 147,s.57-61,se&u ty work requires s •: '.l edt 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$