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Home My WebLink AboutBLDE-23-000113 or Commonwealth of Official Use Only Massachusetts Pennit No. BLDE-23-000113 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:7/7/2022 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) 51 WOLFSON RD Owner or Tenant SULYMA WILLIAM M TR Telephone No. Owner's Address SULYMA FAMILY TRUST, 51 WOLFSON 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 200 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: Replacement 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. Tan 1 No.of Alerting Devices 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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 Eauivalynt 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: Licensee: Joshua Jones Signature LIC.NO.: 23155 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 Pine Tree Circle,7 Liefs Lane,Sandwich MA 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 7(1,1/t RECEIVED JUL 07 2022 //� yyyy�� Cemoww.a[th o`///aeeacluse tis official Use Only P,U I L D I N e• • .> ENT d).partas.at*Pow Serviced No. /2,� ✓ i) I 13 V/ OccBOARD OF FIRE PREVENTION REGULATIONS and Fee Checked upancy [Rev. 1/07] (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 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/7/2,2- v /72-2- v City or Town of: VaiiricAAA To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1 Location(Street&Number) I L^/'II5.vi ✓c( I Owner or Tenant I l ,tis. Sur L yk-tc.. Telephone No. )77-cYc( Owner's Address .fi! We( ✓d ly Is this permit In conjunction with a building permit? Yes 0 No [ (Check Appropriate Boz) Purpose of Building Utility Authorization No. ` ' Existing Service )CG Amps 1 2o / ).KC Volts Overhead OK- Undgrd❑ No.of Meters I New Service 2e0 Amps i /"400 Volts Overhead[ Undgrd❑ No.of Meters 4_,_ • ' Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: ( p/ c„a vr, to e -i-o /AYYQSt c4,1 06 Completion of thefollowin&table may be waived by the Inspector of Wires. tis No.of Recessed Luminaires No.of Cil. (Paddle)Fans No.of Total -� Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- no.of Emergency Lighting <k No.of Luminaires Swimming Pool grad. ❑ gni. ❑ 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 Z� Initiating Devices 1 i No.of Ranges No.of Air Cond. Total on No.of Alerting Devices tained No.of Waste Disposers Heat Nuomber Tons ..__KW_._. Detection/Al No.of ert Devices No.of Dishwashers Space/Area Heating KW Local 0 Co 0 Older � No.of Dryers Heating Appliances KWSystems:* Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Dunicationsevices or EquivalentNo.Hydromassage Bathtubs No.of Motors Total HP T of or Egquivalent OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electripal Work: ., ;f7CG (When required by municipal policy.) Work to Start: 7/752.. 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 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: Ves-Vre - Flcchi'c LLC- LIC.NO.: .7,15y-,4 Licensee: f o,S In c.ti. C1c•.e5 Signature / LIC.NO.: x.3/5'T-A Of applicable,enter;;exempt"in the license number line.) l�✓ Bus.TeL No.: "-177-V10 Address: !t t,, epic- G;,rcte Se—tofu-rd., ..4,4- 0 2 (-3 c,3 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 ■ owner's :: it. Owner/Agent _ Signature Telephone No. PERMIT FEE:$ J 0.iI Cos