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Home My WebLink AboutBLDE-22-003234 Commonwealth of Official Use Only CI* Massachusetts Permit No. BLDE-22-003234 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:12/7/2021 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) 26 MINDEN LN Owner or Tenant Ralph Lavrola Telephone No. Owner's Address 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 ❑ 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: Final inspection for expired permit.(E21-2134) 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 0 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. Tootal No.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 ❑ 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 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: Licensee: Gray Anthony Signature LIC.NO.: 56744 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:34 Alexander Place, Scituate Ma 02066 Alt.Tel.No.: 8574177426 *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: $180.00 RECEIVED rCEIVED DEC C42021 C a 1011 Official Use only ,� •i Permit No��2--3"Z--.3qd �jPARTMENT DING DEPARTM , Occupancy and Fee Checked r REVENTION REGULATIO v. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK k 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: I d 1 7/2 1 1 City or Town of: Yu,r o 4ti 1' 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) D(p /til ,'vl I p-ri i-u _ Owner or Tenant ?fit 1 P►'1 t%rt v f OIG. Telephone No. 7 KI 8- 0 95-� Owner's Address t� Is this permit in conjunction with a building permit? Yes e No 0 (Check Appropriate Box) jPurpose of Building Ave /11 - Utility Authorization No./1/4 Existing Service 200 Amps o / . 'I Volts Overhead Er Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ,_ Number of Feeders and Ampadty Location and Nature of Electrical Work: Proposed ; I I� ,�.� 6,,,,,,,,„..,,-/- B x�.✓r� , �`9 [��i ,, 5(viZC. 6)r&Ail S�(,i--' �� i JJeeei P - / r'✓1 See C- c i1 (G-2.1— 2i,3`t) irA .,,:f Completion of thefollowingtable may be waived by the Inffrector of Wires. Total WTranoKVA No.of Recessed Luminaires 10 No.of Cell.-Susp.(Paddle)Fans No. f sformers KVA No.of Luminaire Outlets ;,' No.of Hot Tubs Generators KVA 4- No.of Luminaires 0 Swimming Pool Above ❑ In- ❑ Bat or Emerg'Units Lighting a� grod. mid. Battery Units No.of Receptacle Outlets 1 A 0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches ` L9 No.of Gas Burners No.of Detection nd (� Initiating Devices To 1 i s No.of Ranges / No.of Air Cond. 1 Tones No.of Alerting Devices No.of Waste Disposers That TI p Number..Tons _KW NDeo.t of�Self-Contained m rtiig No.of Dishwashers 1 Space/Area Heating KW 0 Co nneiectlon 0 Other on No.of Dryers / Heating Appliances KW Security Systems:* Na of Devices or Equivalent No.of Water , ' No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or ulivalent unications No.Hydromassage Bathtubs No.of Motors Total HP � No. f or�nt OTHER: Attach additional detail fdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: /u ,0 0 U (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 0 BOND 0 OTHER 0 (Specify:) I certlft,under the pains and penalties of peojury,that the information on this application it true and complete FIRM NAME: 6.1 el A I\+1 l9 rt� LIC.NO.:$ 7 y e� Licensee: J Signature ti,--,_ r LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: (5-7 -I-ill- 74;o Address: Alt.TeL No.: *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/Agentlep $ / O,2 SignatureLureTelephone No. PERMIT FEE: