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Home My WebLink AboutBlde-22-000249 Commonwealth of Official Use Only 04)4 Massachusetts Permit No. BLDE-22-000249 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•7/15/2021 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) 38 CAPT CROCKER RD Owner or Tenant Toussaint Jean Telephone No. Owner's Address 38 CAPT CROCKER RD, SOUTH YARMOUTH, MA 02664 Cam" Is this permit in conjunction with a building permit? Yes O No ❑ (Chew Box Purpose of Building Utility Authorization No v ",- = f'. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 'o.o ' e ers 7,i((( t. New Service 100 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 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- CINo.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 0 Municipal ❑ 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lloyd R Smith Licensee: Lloyd R Smith Signature LIC.NO.: 15688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 1ST ST, MELROSE MA 021764010 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 61t c, ' (( Z2 rc t-owu080 Waal i 7 Vamackts&u, _ Official-U7se Onl{y1 yj./��f�/ _ c A nt c i Permit No. in aU mn ' 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(M�5 C 1 . (PLEASE PRINT IN INK OR TYPE ALL INFO ON) Date: I - City or Town of: a,`' c, To the Inspector o Wires: By this application the undersigned - es notice of his or her intention to perform the electrical work described below. Location(Street&Number) , C r" - - Owneer or Tenant 1 U-J S 1 n _, Telephone No. S 2�� Owner's Address o(1E ( a ►l/ Is this permit in conjunction a huddliing permit? Yes ❑ No a (Check Appropriate Box) /_ Purpose of Building ( 1 Ut7ity Authorization No. L.. .J= 4 1 Existing Service 1(j C) Amps i?) /2(.4(V ll~s Overhead El No.of Meters 1 New Service 1 6C) Amps f?t /2`- woks Overhead Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I ( CLn p _ ',i�l IC_ ' 'f. Completion of thefollowing table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPeel Above ❑ In- ❑ No.of Emergency Lighting 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 and Initiating Devices No.of Ranges No.of Air Cond. T 'ons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW _No.of Self-Contained Totals: Detection/Alerting Devices Mnuicipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other yy ' No.of Dryers Heating KW -Secu No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Erprmunicationsrivvallent No.Hydromassage Bathtubs No.of Motors Total HP Tri.of Devices or Equivalent OTHER �J am`_=c Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (�� (When required by municipal policy.) �ic Work to Startn Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAA E: 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 pleted 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 and of perjury,that the information on this apprmation is true and complete. FIRM NAME: 1 V int-,pet v 1 -( L, - LIC.NO.: Lam: UG�el h . S(Yl T 11 ' tc.NO.: I (ram (If applicable,enter exempt"in t{{t� license number line.) Sus.Tel.No.: 1 Address: IAI-� J �elt S�'l 1��U M L2-y&c, Alt.TeL No.: L-11-')- CL' *Per M.G.L.c. 147,s. 7-61,security work requires Department of Public Safety"S"License: Lie.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:$