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Home My WebLink AboutBLDE-21-007524 Official Use Only \�lACommonwealth of -: °° Massachusetts Permit No. BLDE-21-007524 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:6/27/2021 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 eectncal work described below. Location(Street&Number) 222 PAWKANNAWKUT DR Owner or Tenant Bernard McFarland Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (C Purpose of Building f Utility Authorization N i ,x _> 1► Existing Service Amps Volts Overhead 0 Undgrd 0 x . x New Service e�2StatlQa� 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 17 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 2 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 2 Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Data Wiring: 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: 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 S eci I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: Ashley S Wipfler Licensee: Ashley S Wipfler Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 14257 Address: 193 GORWIN DR, HOLLISTON MA 017461532 Bus.Tel.No.: *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 signature below,I hereby waive this requirement.I am the(check one Owner/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE:$75.00 0 ee(30(7,1 Ire -7 1 / kg- ..... _ ,.. , - ci. Usly nwath el lilamach4441$ aie On "\--1— 1 ( f-r<"' Permit No. .1 — .4.,i I ...1 4 : '3, j spartmani 4.7.1,,.girmiesd I ' 'I T Occupancy and Fee Checked •----BGACLOF E 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),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL!NFORAMITON) Date: G i ii/7-/ 0 City or Town of.:53vik VA rrvi otP14-t 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,..D.2. 9,,,,,,,k,„.,.,, at wk ii.l. Dr, -j Owner or Tenant ?•w...,r19‘ftv-ti M c F 0 rIAA d Telephone No. Co 0— ... 5— 9Yz.j ' Owner's Address ¶/i 0)(6 a 0/ 11 A N 4.4..-dit 4 orbs rilv4 . 0Z 9'11.- 0 rn Is this permit in conjunction with a building permit? Yes No L__J (Check Appropriate Box) Purpose of Building Utility Authotization No. 60 2_7_.0 to Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters -NI t'• ... New Service -22)0 Amps t f...4.)/2.&to Volts Overhead gi Undgrd 0 No.of Meters A___ Number of Feeders and Ampacity tLocation and Nature of Proposed Electrical Work: R edi a vA 4iii kr} Completion of the followjntabJe ntay be waived by the Insimctor of Wires. No.of Total tit No.of Recessed Luminaires I—I No.of CeiL-Susp.(Paddle)Fans ce i Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA K•A., ._, Above r-1 In- I-, 14o.of Lighting 4- No.of 141111/111Lireg I(0 Swimming Pool VIA " grad. " Battery Units No.of Receptacle Outlets iR 0 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Detection and -',.. No.®t Switches .7..2, No.of Gas Burners Initiating Devices ..,, '-.- No.of Ranges I No.of Air Cont Total Tons No.of Alerting Devices Heat Pump Number 1 Toga_l_ICW___ 'No.of Self-Contained No.of Waste Disposers Totals:j r Detection/Alerting Devices No.of Dishwashers a, Space/Area Heating KW 'meal 0 cMOnonleiPainedion 0 Other No.of Dryers .2- Heating APplianees KW No.of Lset=or E,oivalent 'o. , "ater O."o o KW , 0-0 Data Wiring: Heaters S 4,S Ballasts No.of Devices or ' ,nivalent No.Hydromassage Bothtubs No.of Motors Total HP e mown , a. , . " 7 : No.of Devices or ' ,ale nt OTHER: Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: i13:j21)r).to (When required by municipal policy.) Work to Start: 6 i -1_I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C YE GE: 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 f21... BOND 0 OTHER [3 (Specify:) I certifr,under the pains and penal ofpaysity,that the infOrauttion on this application is true and caprice. FIRM NAME: 5 --t-e" 1..4dAl 5444-tvc ' ...LIC.NO.:jr Licensee:.....ettizt24: Signatu LIC.NO.: (If qpplicable,enter"exempt."in the license number litre.) TeL No.: Address: _ mt. *perM.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 bylaw. By my signature below,I hereby waive this requirement. I am the(check one III owner at owner's a'cut. Owner/Agent Signature .__._. Telephone No. PERMIT FEE:$ _____ ____ __ ___ _______