The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007019 u\ D Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-007019 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:6/6/2022 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) 37 THATCHER RD Owner or Tenant CHAMBERS DONALD Telephone No. Owner's Address CHAMBERS TARA C TAGLIANETTI, 13 HOPEDALE ST, HOPEDALE, MA 01747 0 Is this permit in conjunction with a building permit? Yes 0 No ❑ (C 1 - Arl._ / Purpose of Building Utility Authorization Existing Service 100 Amps Volts Overhead 0 Undgrd L • `o.o r eters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade 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. 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 0 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 Stens 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: Robert E Durkin Licensee: Robert E Durkin Signature LIC.NO.: 11487 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1015 RANDOLPH ST, CANTON MA 020211351 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 I RECEIVED 1 JUN 03 2022 /� ��,L[ M/1 P BUILDING DEP T l.ommenweacs.+of//t ac �O-fficial Use-Only er: — r,: :,!/ c� n Permit No. ��Z- C Qt Vi n p +d of i.r&mica Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] l 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 INFORMATION) Date: (Q l3/2 City or Town of: YARMOUTH To the Inspector of Wires: 2 By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location(Street&Number) 37 Ma.-1- c r kb Owner or Tenant 1'cYla1 p N I.v...6e e'3 Telephone No. Owner's Address 13 1+Cftao-1 a Si- Rote-9“.1c , in A Is this permit in conjunction with a building permit? Yes 0 No Check Appropriate Box) r Purpose of Building S e f✓;ce C-1,4incs C Utility Authorization No. 7g LIcv.3o .9 Existing Service I O 0 Amps 12 0 / 2 Y°Volts OverheadY grd ED No.of Meters 1 New Service I OC) Amps 12s /2 yo Volts Overhead UUnd rd g 0 No.of Meters I '"0 Number of Feeders and Ampaedty `) / /UJ c� Location and Nature of Proposed Electrical Work: U Qgr-c, e Sc co c e my Completion of thefolJ table may be waived by the Inspector of Wires. LbNo.of Recessed Lumiartnirea No.of Cil.-Sasp.(Paddle)Fabs No.of Total / Transformers KVA C‘. No.of Luminaire Outlets No.of Hot Tubs GeneratorsKVA -tNo.of Luminaires • 3wimmiag Pool Above ❑ In- ❑ No.of Emergency Lighting jrnd. grand. 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 4. Initiating Devices I LI No.of Ranges No.o Air Cond. Tont ons No.of Alerting Devices No.of Waste Disposers Heat Pump Number TonsW KNo.of Self-Contained Totals: "" Detectiof/Aler•tingDevrces No.of Dishwashers Space/Area Heating KW Lessees❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW of Systems:* Nevices or Equivalent No.of KW No.of W erg No.of Ballasts Data Wiring: _ Signs No.of 1 .• or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel ofDevices or Wiring: Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1500 (When required by municipal policy.) Work to Start 4,A/2 t 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 c,o�v,,�a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE . -. BOND 0 OTHER 0 (Specify:) I certify,under the pains and penaides ofperjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee:1?-0442T 3)%..iflci n Signature LIC.NO.: 11 N$7 0 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 O I S launa0lPh S'r eGvvtut1, elm 02.O2 I Alt.TeL No.: I.1/—&d 3—sQ jj *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$ I