The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005750 Commonwealth of Official Use Only tr ki}19Massachusetts Permit No. BLDE-22-005750 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:4/8/2022 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) 60 SPARROW WAY Owner or Tenant Patrick Shanahan Telephone No. Owner's Address 60 SPARROW WAY,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 Amps Volts Overhead 0 Undgrd 0 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: Replace SEU Cable with SER. 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 Initiating 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 ❑ 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: PAFOF ELECTRIC Licensee: Dominic Gitiiba Signature LIC.NO.: 100030 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 5086670174 Address:6 Pleasant View Road, Spencer MA 01562-2423 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. I PERMIT FEE:$50.00 C)Cl '( 1 � will ern al i RECEIVED / nJ'Aw-iii < s' �.�. APR 0 7 204 o ea&o/Vaeeachudeife Official Use Only .::_ D_____ t— Tt 'J 6 21—&7 `�=1h��_=';'LDING uEPART T c� PCrnutNo. :",.11',..:`s' eP' nl of irs Serviced ' ''' ' BOARD OF FIRE PREVENTION REGULATIONS ( e / 7Occupancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: if2Cf 1 p 4— )\_ . City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned§Kves notice of his or her intention to perform the electrical w�ojk described below. / Location(Street&Number) ( 0 cC-, Ct.Yr " " J, L rMpt,L*& , /14 4— V,Z66 Owner or Tenant PC - i C) ' VA(.V�.f-_ - J Telephone No. r. Owner's Address Co Spckmki wtvi , 6-44 yjk th / A� / c 2$ Is this permit in conJuncZn with a uildi g per�-it_?" J Yes1E No Ir (Check Appropriate Box) Purpose of Building .eSt �l Utility Authorization No. Existing Service Amps ().t1 / '>t(Wolts Overhead IT Undgrd❑ No.of Meters 1 New Service Amps (4-!J/ , O'oits Overhead® Undgrd E] No.of Meters Number of Feeders and Ampacity 1 i Location and Natur:of Proposed Electric•1 Work: P �� itigtj / n ,1 -R # . .l wir - . , AviA �q f �sv� k Ifl. kil su Completion of thefollowingtable md be waived by dee Inspector of Wires. n!f No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans No.ofTotal Transformers KVA Zi No.of Luminaire Outlets No.of Hot Tubs Generators KVA c........? t No.of Luminaires Swimming Pool Above ❑ In- ❑ No.oTEmergency Lighting Kr�_ grnd. Battery Units No.of Receptacle Outlets No.of Oil Burner. -----EIRE ALARMS No.of Zones No.of Switches No.of Gas Burne �n and Devices II r No.of Ranges No.of Air Cond (--) ig Devices No.of Waste Disposers Heat Pump Nu ornet Totals:_ iertin• Devices No.of Dishwashers Space/Area He ✓ unlclpal onnection r-1 other No.of Dryers Heating Appll /stems:* No.of Water KW No.of Devices or Equivalent BalBallast.as DeHeaters Signs Bavices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HPTete....,_�nunications Wiring: 1 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: 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 certify,under the p ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ,�,q-� M/,_ L LIC.NO.: Licensee: lO 0 Q3� 4'7 Signature .:. r 1 L4 LIC.NO.: (!f applicable er"exe t"in 1 e lice a number li e. Address: .? 5 0 1�� .1 D D . 5D� e,�ns.Tel.No.• 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public SgOt+j nse: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does notoh�a th r bility insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/AgentI Signature Telephone No. I PERMIT FEE:$