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Home My WebLink AboutBLDE-22-001849 :.. Commonwealth of Official Use Only ;` Massachusetts Permit No. BLDE-22-001849 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:10/1/2021 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 ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 5996925 Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service for new residence. 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 Tons 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 ❑ 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:) 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: $50.00 Sea-Vic l Did ki /0 M. 19t.g 194 hn61/w4tt C b L,NA, A4r �.'Z`' Seitvic /o�iy/t e' /d/Y/j e. .%)CrArt /01y ir/:iG RECEIVED I, : 1► OCTOC 1T 0 1 202� m ,nu ea[h o/Maddachudetid Official Use Only e�'. "'fryING DEP c�'77 Serviced PermitNo"ZZ!c& t -,r1;,., ARTME s•artinsnl o� }ira Jarvresd , — Occupancy and Fee Checked BOARD OF F ' PREVENTION REGULATIONS [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),5 7 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / / py City or Town of: YARMOUTH To the Inspect r of fires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) / ; GAL /),C 7)fr/ ,Q� 5,1-„ vim?, ,,„7---A...._ Owner or Tenant £(?,,4 Sr:7,-,,.) QiekS(Vie[;-.-- Telephone No. 5 jj= f 2)-/37 A V+ Owner's Address 7 3.J A-,S•o b, it n_� 6e/ ; -4.-- / rvS /U• / . Is this permit in conjunction with a building permit?"" Yes No �f ❑ (Check Appropriate Box _ Purpose of Building ,/(",.6. ,- S 7 of a Utility Authorization No. 57 &f c Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service a ex) Amps /o2u/o?v/o Volts Overhead 0------Undgrd El No.of Meters Number of Feeders and Ampacity ' Location and Nature of Proposed Electrical Work: /},-G4..,J SE Xti/ c_e 1 Completion of the followin&table m-be waived by the Inspector of Wires, tl; No.of Recessed Laminaires No.of Cell:Sns No.of 'I otal r?9 p.(Paddle)Fans Transformers KVA C.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ram`, No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. rnd. ❑ Battery Units ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and - r Initiating Devices _ Tota No.of Ranges No.of Air Cond. onsl No.of Alerting Devices No.of Waste Disposers Heat Pump l Number Tons 1 KW 'No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal El �er Connection No.of Dryers Heating Appliances KW Security Systems:* 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 covers sin force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) iJw/e ' 4 a 1/U.J,L I certify,under the1p ins and penaltie of perjury,that the,information on this applicatio true and complete. /�� FIRM NAME: hv;-'t ei7/64-e. 61fi, .��vC- LIC.NO.: 62,2 3/ Licensee: f/d 4 Z t • ,,,t/li Signature 7 a,f applicable,enter"exenrp in the icense number line.) IC.NO.: / Address: ,/ (,4,L-5 7�Alj<- 4.1 /7i iv 3r1�1� Bus.Tel.No.. - _ //G5� *Per M.G.L.c. 147,s.57-61,securitywork requires De artment of Public Safety"S"License: Alt.Lie.No. Y p 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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 1