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Home My WebLink AboutBLDE-22-000505 \\'< al Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000505 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:7/27/2021 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) 17 ELDRIDGE RD Owner or Tenant PASCALE SEBASTIAN Telephone No. Owner's Address PASCALE PAULINE, 333 ROSEDALE AVE,WHITE PLAINS, NY 10605-5411 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: New residence without 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 Initiating Devices No.of Ranges No.of Air Cond. Ton l 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 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 Eauivalent 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: MICHAEL YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 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: $130.00 2uu9/,,c/z! av RECEIVEC � '► Lo9 I JUL 2 72021 114 BUd41 masa o-___aeaaihueajfe Official Use Only 1 a �, / �[Jsloartnainl:o�girs Serviced Permit No. `��/ �vQ� .k.111.7 ti�'`, ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked • •�+`V [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: '7 7 a/ 54, City or Town of: YARMOUTH To the Inspe for of fres: By this application the undersigned gives notice of his or her intent' n to perform the electri work described below. Location(Street&Number) / 7 E/14)% it 0 f-ti, (7 fetra, -. Owner or Tenant S' j,, rir1..itSyfd l- / Telephone No.33 8-9,467--/,36,4 `„7 k Owner's Address 33'3 o7 -/�� ,tk', /� /� v NS /1 ti°f Is this permit in conjunction with a building permsy. Yes No 0 (Check Appropriate Box) 1Building /�Purpose of /L. J �.J �'/fdv fL, Utility Authorization No. Existing Service Amps.4.N. / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: 10-6e_ //-�c� !/� .j A vs „-- v, Completion of the following table meg be waived by the Invector of Wires. th of No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires Swimming Pool Above o In- No.of Emergency Lighting �rnd. gt nd. ❑ 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 Tota ; Initiating Devices No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat PumpNumber, Tons W No.of Self-Contained Totals:I _KDetection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ Other• No.of Dryers Heating Appliances KW Security Systems:4 No.of Water No.of No.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts 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: 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 cove a is in force,and has exhibited proof of s�e to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) /Jd `tA.{ 7L d „ty/li /0( I certify,under the s and peva!'�of perjury,that the nfor anon on this applicatidir is true and com let FIRM NAME: UA) k(, Z� t p CTL/G� �// LIC.NO.:,.."417 3l y 4 Licensee: r/ �, I v v — Signature f (If applicable,enter"exe t”in the cense lumber line �/ /�*/ LIC.NO.: 3 Address: / a �G'. 72' L. .pt`/ 04eNl/Wit - Tel.No.: Bus.Tel.No.• c- - 07 yD�p *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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 0 owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ 7se-— I