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Home My WebLink AboutBLDE-23-002087 Commonwealth of Official Use Only , , Massachusetts Permit No. BLDE 23 002087 *4..'0 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) ])ate;10/19/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perforn'the electri}al work described below. Location(Street&Number) 12 DEBS WAY UNIT 44A , Owner or Tenant DONOHOE JOHN M Telephone No. Owner's Address 12 DEBS WAY UNIT 44A, 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 0 No.of Meters Number of Feeders and Ampacity (4,.... Location and Nature of Proposed Electrical Work: Generator and switch Completion of the following table may be waived by thelnsr 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 1 KVA No.of Luminaires Swimming Pool Above nd. ❑ grnd. ❑ No.of Emergency Lighting ,. C`., Battery Units I ,r s'''. / 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 Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 .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:) .-77 9 c/14 - 0 Lie. ✓� 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $50.00 I (0(5((7-2 - '' Sla;;;1- (afte: T ews 2y .& ier.6- ) ?--k'rl.'1jLi Cif otc.b i g i t't iz9 , 5 ched0, - -- kf r ^7/CT 820�� l.ommonu�aaGth ai �dachusaffeOfficial Use Onlyk4 ;d .G Isparfmsnf o/. isa Jarvics6PCnnit No. ��- L� �( ' 1 f ..OM:RD OF FEE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. ]/07j (leave blank) --- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK u 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: /U - , .4 City or Town of: YARMOUTH -- Location this application the undersigned gives�, ti e of his or her intention to perform the elTo the ect ical work deector of scribed ibed below. Location(Street&Number) 51 ` �, cis) Owner or Tenant � \\Rr hC c 7i Telephone No. �17 � p, Owner's Address / tO Is this permit in conjunction with a building permit? Yes ❑ No EN Purpose of Building Ut CI�; (Check Appropriate Box) v Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 17 No.of Meters New rvice Amps / Volts Overhead •+6 Number of Feeders and Ampacity ❑ Undgrd 0 No.of Meters 4 , Location and Nature of Proposed Electrical Work: v • �cc.tl Corn letion o t/ ollowin table m be waived b I the Ins ector o Wires. NA t.L No.of Recessed Luminaires No.of Ceil:Susp. (Paddle)Fans O.° ota No.of Luminaire Outlets Transformers KVA No,of Hot Tubs Generators KVA No,of Luminaires Swimming Pool ove ❑ n_ o.o roe:gency g mg rnd. d. 0 Bette Units No.of Receptacle Outlets No.of Oil Burners Fw FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o etec on an ----1 IL! No.of Ranges Initiatin Devices No.of Air Cond. Tonotas No.of Alerting Devices No.of Waste Disposers eat ump um er ons Totals: o.o e - onta ne No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local❑ Cun ctpa No.of Dryers Heating Appliances KW ecu ty, ystemson � o.o a er No.of Devices or E uivalent Heaters Kw o.o o•o Data whin: Si ns Ballasts No.of Devices or E uivahnt No.Hydromassage Bathtubs No.of Motors Total HP e ecommun ca ons r ne----- OTHER: No.of Devices or E uivalent (; 0Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: ` - (When required by municipal policy.) 1( ! 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 l BOND 0 OTHER I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 1 ‘ • ,z, 1�Ve.,Ci-t-t C Licensee: LIC.NO: - �' \ t__ t Signature r (If applicable,enter"exempt"in the license number line.) LIC.NO.: .j%/(11-i Address: Bus.Tel.No.: "- �---—� *Per M.G.L.c. 147,s.57-61,security work requires Department of public Safety"S"License: Alt. et•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 one owner below,I hereby waive this requirement. I am the(check Owner/Agentowner's a ent. Signature Telephone No. PERMIT FEE:$