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HomeMy WebLinkAboutBLDE-22-006994 ((? Commonwealth of Official Use Only NIMassachusetts Permit No. BLDE-22-006994 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 Codc (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/3/2022 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) 123 WITCHWOOD RD Owner or Tenant Paul Carmillo Telephone No. Owner's Address 123 WITCHWOOD RD, SOUTH YARMOUTH, MA 02664 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 0 No.of Meters New Service . 200 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 grn . 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. 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 ❑ 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 Signs 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: JOSHUA B DEJOIE Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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 _ Com.\\ kp( \t `Jrcc. \o� RECEIVED V -\\N0.4._Vs r I JUN 021g2Conunotuveak o/flaeaaclruaalla Official use Only a..`.. Permit No. BUILLtiI G , tiNT aparttnrno` tins Serviced By _ • .r .- _ — A BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1ro7] Fee Checked (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 ININK OR TYPE ALL INFORMATIOM Date: 6-4-02a. City or Town of: YARMOUTH To the Inspector of Wires: ,� By this application the undersigns notice ofhis or her intenti to perform the electrical work described below. .-t- Location(Street&Number) a ;.4 G\1 0O&Owner or Tenant pew C �- 1y1 i( p Telephone No. 7e1 5511 3 6 4 3 J Owner's Address (1'?? U%''010 GC c. K N. cP Is this permit in conjunction a building permit? Yes ❑ No El (Check Purpose g ���� ` Appropriate Box) frnt: of Building ilUtility Authorization No. Existing Service 10D Amps / Volts Overhead❑ Undgrd❑ No.of Meters .1 • New Service aco Amps / Volts Overhead 0 Undgrd 0 No.of Meters 1 Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Rep lac. tw 5ec°cot to i�{. D-(x)pt S ec.0 ice, i r)1e-tJ bcRt-nvekcc etc,z(N Completion of thefollowinktabk ntw be waived by the Inspector of Wires. 1.6 No.of Recessed Luminaires No.of CelL-Snap.(Paddle)Fans To.of TVA r✓ Transformers KVA KN. No.of Luminaire Outsets No.of Hot Tubs Generators KVA �k No.of Luminaires • Swhnming PoolAbove ❑ In- ❑ Ivo.of Emergency Lighting land. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones , No.of Switches No.o[Gaa Burners No.of Detection and Initiating Devices IL! No.of Ranges No.ol Air Cond. Tont No.of Alerting Devices No.of Waste Disposers Heat Pump Aumber Vons [KW ‘No.of Self-Contained Totals: I `— Detection/Al�Devices No.of Dishwashers Space/Area Heating KW L l 0 Mnm 0 Other Connection . No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of BNo.of allasts Data Wiring: Signs No.of Device or Egnivalent No.Hydromassage Bathtubs No.of Motors Total HP TeIN of cesoonrsEEquiv:;ent OTHER: twat Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 ID 0 b (When required by municipal policy.) Work to Start to -3!aa 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 (A BOND 0 OTHER 0 (Specify:) I certify,under ths-i�°ins and pe ofpeH+r',that the informoslon on this application is true and complete. FIRM NAME: -Jet:A\ 'D L Jo i C E tot- ct at\ LIC.NO.: Licensee: -5\•iOc.. DC o;C Signature LIC.NO.: `to- S Of applicable,enter"exempt"in.the license number line.) Bus.Tel.No.• 3 Address: 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)0 owner ❑owner's agent. Owner/AgeSignature Telephone No. I PERMIT FEE:$ I