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Home My WebLink AboutBLDE-21-003986 Commonwealth of Official Use Only Mt. Massachusetts Permit No. BLDE-21-003986 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:1/20/2021 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) 91 WITCHWOOD RD Owner or Tenant CHAPMAN WILLIAM H JR Telephone No. Owner's Address CHAPMAN DEBRA G, 91 WITCHWOOD RD, SOUTH YARMOUTH, MA 02664-2910 O Is this permit in conjunction with a building permit? Yes 0 No 0 (Check 4 ' ;`o s is • /O Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 • r ?j New Service Amps Volts Overhead 0 Undgrd 0 No. ••Num . 4,,b ____ er of of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re-attach service to house. O D Completion of the following table may be waived by l,A . .r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 1 ' Transformers • No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Li!, in grnd. grnd. Battery Units tS No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No f Zo�se No.of Switches No.of Gas Burners No.of Detect'.n a ,/ ..*t" Initiating D.viises '9/lj No.of Ranges No.of Air Cond. Total No.of Alertin l t evi,, • �' Tons �� k No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contain. 0 j>., �� ` Totals: Detection/Alerting 1:;''.4. esC•\, I No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ' •< \ Ot .• Connection ?,N No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent 'i:. 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 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Mark Mclaughlin Licensee: Mark Mclaughlin Signature LIC.NO.: 32422 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 164 SILVER ST, HANOVER MA 023391933 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 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 AComrnonweaLpt o`riladeacbMaeltfe Official Use Only q n !r cc�� cc// Permit No. �! — 9 epariased 01. ire Serviced ?, ®' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. i/07] (leave blank) R. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 11 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: /-/0 -7--1 City or Town of: YAn/+a o t H To the Inspector of Wires: By this application the undersigned gives notice of his or her intention t perfo the electrical work described below. Location(Street&Number) f/ itc_Li wed o !`cX. Owner or Tenant L .. 1 [ C(-410 P-74 n Telephone No. X5' ' 5.6 O 4,5-z.G Owner's Address S r4 e_ Is this permit in conjunction with a build permit? Yes ❑ No Fil (Check Appropriate Box) --? Purpose of Building Re 5 Cle-% "-A. 1 Utility Authorization No. , Existing Service /00 Amps /zt' / Z-40 Volts Overhead Vils Undgrd E No.of Meters / New Service Amps / Volts Overhead 0 Undgrd El No.of Meters JNumber of Feeders and Ampacity 3 /0.4-10 Location and Nature of Proposed Electrical Work: lLe 4. bac W- E (.eco„";c Se cu,C e 4 _ /4-wos e kil Completion of the followingtable may be waived by the Inspector of Wires, '1/4.0 Total ib No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans No.of KVA Transformers KVA , 1. No.of Luminaire Outlets No.of Hot Tubs Generators KVA 47 No.of Luminaires Swimming Pool Above ❑ In- ❑ Bate EmergencyUnitsLighting g sand. sand. Battery Unita 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 1'4..1 No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number.. Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Co nicip� 0 Omer Cyonnection No.of Dryers Heating Appliances KW Securis:* No. f 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 Telecommunications No.of DeviofDevices or Wiring: s Equivalent OTHER: te- 4 Tr4c.hi_ je,u.`e_t ().v 1-0us _ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: S�° (When required by municipal policy.) Work to Start: /-8 -Z/ 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 PSI 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: /i ii K4 P7 Cy //. I � �� LIC.NO.: /-73 Z 4z Z Licensee: M✓A K. M tip 4 J. ,. Signature/�l, �I LIC.NO.: (If applicable,a te�"exem e: 'nKhe license tuber line.) Bus.Tel.No.: 77(4 283 30 S t Address: / 1 S,•h/-e ' S - / A n o uc_ - ,41,1. 0033 9 Alt.Tel.No.:78) 8Z 9 0 9// 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 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: $ s'