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Home My WebLink AboutBLDE-22-005121 or Commonwealth of Official Use Only AM. Massachusetts Permit No. BLDE-22-005121 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:3/15/2022 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) 10 LINNELL LN Owner or Tenant MONROE MARILYN A (LIFE EST) - Telephone No. Owner's Address 10 LINNELL LN,YARMOUTH PORT,MA 02675 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement water heater 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. TotaloNo.of Alerting Devices 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 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 perjuty,that the information on this application is true and complete. FIRM NAME: Licensee: Jarrad Paskovas Signature LIC.NO.: 57773 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 27 Ferndale Road,Hyannis MA 02601 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 ôL 4 S f---[ ,oo Ewe i l l su.,►-c eA R--FC 'eRVED bq-L, i [ [ MAR 5 2a2 (�.ommotuv a4 eiInkuac Bette OtFcial Use Onl B li 116 I N G LYpuked By i;V. a N T Z t ,,,..}_id _of/g,ps J C� Pcnnit No. �� _ e 47` = •ARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] peeve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI 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:_ City or Town of: YARMOUTH To the Inspector of Wires: LBY this application the undersigned gives notice of his or her intention to perform the electrical work described below. ocation(Street&Number) (0 I,1 11 it_1 I L vi Owner or Tenant CI I l i;I. 1/4' Telephone No.5U&- (Q � ��8�1 Owner's Address L Is this permit in con/unction with a building permit? Yes 0 No ❑ (Check Appropriate Box) purpose of Building PP Utility Authorization No. xisting Service Amps / Volts Overhead INgragnio 0 Undgrd 0 No.of Meters _ Amps / Volts Overhead 0 U6dgrd❑ No.of Meters Number of Feeders and Ampadty London and Nature of Proposed Electrical Work: ►3 C,se »,, l I-1Litk, H1., r Co letion, the ollowtn_ table m, be waived tb No.of Recessed Luminaires No.of `o.o the/n , for o Wires. C�-Soap.(Paddle)Fans Transformers oto ei No.of Luminaire Outlets No.of Hot Tubs ISA 4' No.otLuminaire: Generators KVA Swimming Pool Bye ❑ .0-, ❑ 'o.o 'mergency . i ng �' No.of 1lteoeptaek Outlets No.of OU Burners Bette Unita �'' FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `t o r . 1 L,r I oki:d n Devices Tie.of Ranges No.of Air Conde Tons No.of Alerting Devices - Totals: ..'.um, r ons._ ._ ., 1 t.__.. on a , No.of Waste Dbpoaera No.of Dishwashers K - Deteetion/Alertin Devices Space/Area Heating W Local 'an^ ,a No.of Dryers HConnection ❑ Other Heating Appliances a o iring: Heaters KW 'o.o `o.o KW • No.of n evicea�or ' ,pinion, ,s Ballasts Data ofDe No.Hydromassage Bathtubs No.of Devices or ' i nivalent OTHER No.of Motors Total HP e N of : ns ++ - gg. Devices or ' ,trivalent Estimated Value of IIx ,ice)Work: Attach additional detail IIf desired,or as required by the Inspector policy.) of Wires. INSURANCE C YE GE: Inspections to be requested in accordance with MEC Rule 10, Unless waived by the owner,no eland upon completion. the,licensee provides proof of liabilityNpermit for the performance of electrical work may issue unless 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 la BOND 0 OTHER 0 (Specify:) I certify,under the pains and FIRM NAME: Pena/dey of, Jr ivy,that the injo►pration on this ticalfon is true and complete L (Ificennseeble. . (or r;a -"Zi (!�'✓.,.. Signature LIC.NO.: �} - Address: 'I"it t -1 e" +, l na) LIC.NO.: -c ^� C - d ti h 11 t j�� Bus.TeL No.. c. 'Per c. 147,s.57-61,security work c� G( � S I *Pe M.G.L.M. . INSURANCE WAIVER: requires " •' • - ,f Public SafetyMt.TeL No.: (ern aware ~S"License: Lic.No. reWNEquired by law. Bymysignature that the Licensee does not have the liability insurance coverage normal!— Signature err/Agent gmture below,i hereby waive this requirement. I am the(check one ■ owner , Telephone No. owner's a:ent. PERMIT FEE:.$