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Home My WebLink AboutBLDE-22-000458 or Commonwealth of Official Use Only LIPV Massachusetts Permit No. BLDE-22-000458 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:7/26/2021 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) 74 NOTTINGHAM DR Owner or Tenant DUFFY MICHAEL A Telephone No. Owner's Address DUFFY PATRICIA I, 74 NOTTINGHAM DR,YARMOUTH PORT, MA 02675-1532 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for mini split system 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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: JONATHAN R HALL Licensee: Jonathan R Hall Signature LIC.NO.: 11925 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:263 CAMMETT RD, MARSTONS MLS MA 026481585 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 Commonwealth of Massachusetts l Official Use Ottl _-�, Department of Fires Services Permit No.l� v�� CJ "l'=r� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.9105) (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 A1..L INFORMATION) Date: City or Town of: 1:A0M6J-t) To the Inspector of Wires: I By this application the undersigned gives notice of his or her intention to perform the electrical work described below: Location(Street&Number) 11-1 ,NU 4 VY\D.M q eIVe, Owner or Tenant Ms ke by C t Telephone No.TTG'as 3a 3G Owner's Address "-"?Lk Nv3Nvtq Vv..(ti. pt,\/t Is this permit in conjunctionRith a building permit? Yes❑ No Ey (Check Appropriate Box) Purpose of Building +e-) Utility Authorization No. Existing Services Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I'Ve(A/ MV At' S 0;4- (yA`Q, Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.f o'Transformers RVA No.of Luminaire Outlets No.of Hot TLtis Generators KVA No.of Luminaires Swimming Pool Agradbove EDIn-grtrd. CD Battry EU e�reney Lighting . No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones d No.of Switches No.of Gas Burners No.of Devicesn No.of Ranges No.of Air Cond. T ra 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❑C ecctaP on ::Other No.of Dryers Heating Appliances KWSecurity 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.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent - OTHER: Attached additional detail if desired,or as required by the Inspector of Wires. Estimated Value of ec 'cal Work: (o aQ (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 age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE V 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: Jonathan Hall Electrician LIC.NO.:11925-B Licensee: Jonathan Hall Signature l/ LIC.NO.: (If applicable,enter"exempt"in the license number line.) "� Bus.Tel.No.: 508-280-5113 Address: 263 Cammett Rd Marstons Mills,MA 02648 Alt.Tel.No.: *Security System Contractor License required for this work;if applicable.enter the license number here: 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 n owner's agent Owner/Agent Signature Telephone No. _ PERMIT FEE:$ ') a Email: jon@jhallelectric.com