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Home My WebLink AboutBLDE-22-001293 -., '- Commonwealth of Official Use Only 11V 1 Massachusetts Permit No. BLDE-22-001293 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:9/7/2021 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) 21 MERGANSER LN Owner or Tenant BENOIT ROBERT T Telephone No. Owner's Address BENOIT JANE P,21 MERGANSER LN, WEST YARMOUTH, MA 02673 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: Remodel garage into family room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators / KVA AboveIn- No.of E • e'. 7 No.of Luminaires Swimming Pool o o � g`' grnd. grnd. Battery o i No.of Receptacle Outlets 9 No.of Oil Burners FIRE '\` 14.7 4.1p,.>---2-L,_ No.of Switches 5 No.of Gas Burners No.of Detec I a i dle Initiating Devic No.of Ranges No.of Air Cond. Tons No.of Alerting Device Q 0 Total No.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ qg 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: DAVID M HAWKINS Licensee: David M Hawkins Signature LIC.NO.: 31112 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 UNCLE JIMMYS LN,YARMOUTH PORT MA 026752252 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: $75.00 4/, � „ 14 C.ommonwsanh o f raeeacluuseffa qi am n n Permit No. riii.. ksPnE ot glee Services 1;..,--4, Occupancy and Fee Checked ';;;" ,_ BOARD OF FIRE 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 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6111 l ?I City or Town of: a. MO OUT To the Inspector of Wires: By this applicatior*hn*+ndPIC1¢nedd m es notice of his or her intention to perform the electrical work described below. Location(Street&Nu_l___.,?*//, ,DI 672...G,1-0Se-,2,_ L A/ Owner or Tenant 5Arwt; 13E11 D/-J" Telephone No.,cc,T Telephone No. ( 3‘c 636?67 Owner's Address Ai m r ft --ry Sl ). L.ri, 5,-) /`1 n b(� Is this permit in conjunction with a building permit? Yes [ No U (Check Appropriate Box) Purpose of Building GfrAiVrt. 77) 1-,-;107►'j' /Qv`-.-- Utility Authorization N . Existing Service 100 Amps /Z) / ,:a 96 Volts Overhead❑ Undgrd No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity i /OD /9" Location and Nature of Proposed Electrical Work: g c`ny}a5,c) 6./4. V , J+ Jbt59mrll--IR: ?yj Completion of thefollowingtable may be waived by the Inspector of Wires. c No.of Total No.of Recessed Luminaires b No.of Cell.-Soap.(Paddle)Fans Transformers KVA .. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above 0 In- 0 No.of emergency Ligbtfng o g pend. grnd. Battery Units No.of Receptacle Outlets I No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches 5- No.of Gas Burners Na Initiatinnggon Deteand nDevices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Number Tons_ KW”..__Doetecdn/ le Self-Contained evkes No.of Dishwashers Space/Area Heating KW Local 0 Conn 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDevicesor Wiring: _ No.of Devices Equivalent OTHER: Attach additional detail ifdesired,oras required by the Inspector of Wires. Estimated Value of lec 'cal Work: g, o‘x..) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabilityinsurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: ...-- L,... . 4)914,/.) A )JI?/ SignatureXiFelet./ el LIC.NO.: 3///2-, (Ifappticawe,enter 'exempt"in the license number line.) Bus.TeL No. '17 41 Al ni.S Address: 1`/ uNG/N 0--1 T y< LA) Y14121nA110,(),r Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work4quires Department of Public Safety"5"License: Lic.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 ❑owner's agent. Owner/Agent Signature Telephone No. • PERMIT FEE:$