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Home My WebLink AboutBlde-22-004716 Commonwealth of Official Use Only `� ► Massachusetts Permit No. BLDE-22-004716 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:2/25/2022 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) 56 CAPT LOTHROP RD Owner or Tenant Diane Hastings Telephone No. Owner's Address 56 CAPT LATHROP RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace 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- ❑ 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 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 ❑ 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: JOSHUA B DEJOIE Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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: $50.00 accv �(4 uo 1 ( Ca Le ra-:_,� REEIVED g 14 [ FEB 4 2022 LommonavattA_o amarluseeth Official use only J L ' R` ., BUILDING ARTMENT Z e` � e lire sevicee Permit No2 � l Occupancy OF FIRE PREVENTION REGULATIONS 7J and Fee Checked BOARD [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Q Al)work to be performed in accords q ith �iaasachuseas Electrical Code(MEC),527 CMR 12.00 I PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: Date: a,-a -a.� YARMOUTH To the Inspector of Wires: U py this application the undersigned gives notice of his or her intention to Locat on(Street&Number) perform the electrical work described below. N Owner or Tenant { Q o II 1 Owner's Addresselephone No. 0$']r] 1721$ y ac n 'Jr Co,. R. Ia this permit In conjunction th a building permit? Yes 0 No purpose of Building n W �_1 n A � (Check Appropriate Box) J � Utility Authorization No. !� !listing Service LP Amps / Volts Overhead 0 Und rd 6 Nam,Service O�— g 0 No.of Meters _ -1-- Amps / Volts Overhead❑ Uad d b Number of Feeders and Ampacity g' ❑ No.of Meters location and Nature of Proposed Electrical Work: Re_ •1tn_e, f Qp A e. 2c LC Completion the ollowi table m be waived the I for o Wires. ota tb No.of Recessed Luminaires No.of C o.o �'�sP•(Paddle)Fans Transformers No.of Lumhiah�e Outlets No.of Hot Tubs KVA •�' No.of Luminaires Generators KVA Swimming Pool o,ne Unrgeacy ng Ave ❑ n- �` No.of Receptacle Outlets d• ❑ Bette Units •.; No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners a o 11 r No.of Ranges Initiagp Devices No.of Air Cond. v. Tons No.of Alerting Devices No.of Waste DLposera - To am .,uin,e_r ens '..."M.. 'o.o on a No.of Dishwashers -_.. Detection/Alertin. Devices Space/Area Heating KW 'un No.of Dryers Heating Local❑ Connectba ❑ Other o.o Appliances , h, yy Heaters KW O.• O.o No.of Devices'or aiValelit S s Bests Data Wiring: No.of No.Hydromassage Bathtubs No.of Motors a ecommD or viva: Total HP ns g OTHER: No.of Devices or uiva7ent Attach additional detail tf desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: a by p y a (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 the, licensee provides proof of liability « permit for the performance of electrical work may issue unless insurance including completed operation"coverage or its substantial undersigned certifies that such coverage is in force,and has exhibited proof of same to the equivalent The CHECK ONE: INSURANCE 0 BOND 0 OTHERpermit issuing office. I cerdjy,under the pains and0 (Specify:) FIRM NAME: 7 offr Ma •that the hejortnodon on this application is true and complete. Vc'iCiai. Licensee: -S0 5�f1.I ea b LIC.NO.: _ arapplicable,enter exempt'in the license number line.) Signature Address: LIC.NO.: 5 31 yv_ *Per M.G.L.c. 147,s.57-61, Bus.TeL No.• a 3 OWNER'S INSURANCE WAIVER:irk requires Department of Public SafetyMt.TeL No.: IVER: I am aware that the Licensee does not hve the liability insurance No. red law. By my signature below,I hereby waive this requirement. I am the(check one owner required byOwner/Agent �' cc coverage n— o ` Telephone No. II owner's a:out. PERMIT FEE:$ o