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Home My WebLink AboutBLDE-22-006459 Commonwealth of Official Use Only Permit No. BLDE-22-006459 Massachusetts • 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:5/10/2022 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) 699 WILLOW ST Owner or Tenant David Flaherty Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire of cottage,service,&sub panel in shed. 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. TTotal No.of Alerting Devices n 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 ❑ 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: MICHAEL S SOBY Licensee: MICHAEL S SOBY Signature LIC.NO.: 10097 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:66 Lake Dr,Orleans MA 02653 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: $180.00 41(.0- koueeti te- 2.7 vv. , ft624(D D(,L 31,14u_ cpTTA-6 v, 04_06 RECEIVED R E C ESV E D Cor .at ...._ _ ..__�_.� official use only Y 0 9 2022 permit No. 2.Z'�p�-i MA . -,t � � BUILDING D'tFARTVt cyandFeeChecked I -= Y OARD OF FIRE PREVENTIO i�.f:GULAflONS_ ftr..=. 1 7 BUILDING i. :,' `M E t� (leave blank) By. TION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMAT70N) Date: 5/9 Iaa0 City or Town of: l qfM 00 To the Inspector of Wires: 6 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number) (l O q Willow Si-te;e.-- Owner or Tenant ' o%V\d F i a knee'r•}-.' Telephone No.5-1$-e9(05---(aog Owner's Address G 9q u),-(16,,, c,4-,,,,,,,4_ to "`t Is this permit in conjunction with a building permit? Yes 21 No ❑ (Check Appropriate Box) p' Purpose of Building bm/N1 Frt't)t.i Utility Authorization No. CP 1 ea ki Existing Service 140 c)Amps Aid t 2b Volts Overhead g- Uudgrd❑ No.of Meters ) CI New Service ,f�v Amps 7)0 D 7_D Volta Overhead P Undgrd 0 No.of Meters l a�; Number of Faders and Ampadty bLocation and Nature of Proposed Electrical Work: i-, �r. 'I I 11 . _" / tilt r►. _ . li�' %, °r' ' Completion of thefollowingtable may be waived by the Inspector of Wires. Total _ No.of Recessed Luminaires No.of Ceil.-Sap.(Paddle)Fans No.of Transformers KVA '•"° No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.ortmergency Lighting =rnd. Ernd. 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 Total f No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW__ No.of Self-Contained Totals: Detection/Ale .1 . Devices No.of Dishwashers Space/Area Heating KWLocal❑ Mun —KW Connection ❑ Other No.of Dryers Heating Appliances ,y Secallo.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 TelecommunicationsofDevices r q No.of Devices or Equivent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value f Electrical Work: /P,,_ (When required by municipal policy.) Work to Start fait Loth Inspections to berequested 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 Er BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on tris applicadon is true and complete. FIRM NAME: So ."./ pAL V{C/ p ,moi c e. ,Ls /CLIC.No.:tooq-7Q Licensee: Mi Q of•t2.4 Selby Signature' �L2�(... `�c LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:7'i VI-7\L,•09 M;) Address: C h a Up., woe.e. C>c S?e. 4 ,S.OenniS t IW O (o(,p Alt.Tel.No.: *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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I l p•� .