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Home My WebLink AboutBLDE-22-006111 . 0 Commonwealth of Official Use Only fLij Massachusetts Permit No. BLDE-22-006111 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:4/25/2022 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) 55 WAMPANOAG RD Owner or Tenant HARVEY BRIAN J Telephone No. Owner's Address HARVEY CAROLE J,70 TOMMY MARKS WAY, SOUTH WEYMOUTH, MA 02190 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: Bedroom addition&master bathroom Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 10 No.of Ceil:Susp.(Paddle)Fans 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 14 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. ,Tl,00ttal 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 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 Siens 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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 eQsUetti- 41247.24 Pal__ 4.7z7/wKg L. Casdac jS Official UseOnly ,► 77- Permit No. V��b I - APR 212021 5.,.s , Occupancy and Fee Checked �,w,� gU�L�`i i45.o . 7 "• - -EVENTION REGULATIONS [Rev. 1/071 (Leave blank) - • A y ATION 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 TYPEALL INFORMATION) Date: jr, 1, 262 2 City or Town of: /04100To the lits ector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. A Location(Street&Number) t !!r b dri 1! k e •. 1, :. N1 ., . , Owner or Tenant c I An 1 air 1. Y Y Telephone No. Owner's Address Is this permit in conjunction with a build' permit? 1 Yes IN„ No ❑ (Check Appropriate Box) Purpose of Building Oil., 1'Rt1/I i INA& Utility Authorization No. Existing Service Amps /2l2t1 VoltsUverhead 23 Undgrd❑ No.of Meters t New Service Amps / Volts Overhead❑ Undgrd D No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 0;111 Et �£elYOOItiL �a d r 4 rcYL `c}.1&Fi itooM _ �C Completion of the follcnvinxtable may be waived by the Inspector of Wires. total No.of Recessed Luminaires /0 No.of Cet1-Susp.(Paddle)Fans No.of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ Ig ❑ a or units Lighting grad. grad. Battery Units No.of Receptacle Outlets /y No.of Oil Burners FIRE ALARMS No.of Zones , ofNo.of Switches )Z Na of Gas Burners Na lnitng and Initiating Devices No.of Ranges No.of Air Cond. T otal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No. Self-Containedotals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Coaaecti'ea 0 Other Na of Dryers Heating Appliances KW SecNa oy f D or Equivalent No.of Water KW Na of No.of Data Wiring:. Heaters Signs Ballasts No.of Devices or EquivalentNo.Hydromassage Bathtubs No.of Motors Total HP T ofd or E'qj ent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6,0,061,O 0 (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE C21 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the infonaati, on ( 1, applic,,Ain is true and complete FIRM NAME: ( r _ // // LIC.NO..: r Licensee )£‘ 41 i 1 f Signatu , . , fj G.LIC.NO.:3 U (If applicably Nin the me / Bus.Tel.No: Address: orini, O . Alt.Tel.No.. *Per M.G.L.c. 147,s.57-61,security work requires ' #; 1 '. 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)❑owner ❑owner's agent. OwneSignature Telephone Na I PERMIT FEE:$