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Home My WebLink AboutBLDE-22-006273 of Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006273 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:5/2/2022 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 el ctrical work described below. Location(Street&Number) 135 WOOD RD d 602- 0 16 (%)444446) Owner or Tenant PARSLOW ELIZABETH A Telephone No. Owner's Address 135 WOOD 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 Amps Volts Overhead 0 Undgrd ❑ 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: Rewire 1st floor bathroom due to water damage. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices TNo.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 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 .Signs No.of Devices or Eauivalent 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: STANLEY D ANDREWS Licensee: Stanley D Andrews Signature LIC.NO.: 15248 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:201 HEAD OF THE BAY RD, BUZZARDS BAY MA 025325640 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 /31 v (g/ 7/14/227/ RECEIVED . tJA. • itaadie Official Use Only % `,PR 2 9 2022 "`e �ec�77?I -ca--4)-1-7_3 ad of gips mud Permit No. CI , P I N G DEPARTMENT Occupancy and Fee Checked PREVENTION REGULATIONS . 1/07] -.__,_,..-�-, [Rev. (leave blank) • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acco d:we with the Massachusetts Electrical Cods MEC).527 CMR 12.00 (0 (PLEASE PRINT IN INK OR TYiPE ALL INFORMATION) Date: iip f ,7) a /1.2�„,2 Z e: City or Town of: I'!4.vrw‘o u d.,L,. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 44) Location(Street&Number) )3 5 t Jocc/it el Owner or Tenant v-cc- ry(/-, Telephone No. Owner's Address 6 c?, I vol e p.evtol&hlC eJ4v.0 ( v% -c y '..L1'41 a_ v../6 g o • Is this permit in conJu coon with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building ID t.- e l/(,>^,t2 Utility Authorization No. Existing Service G 0.0 Amps t 2.0/ Q4O Volts Overhead° Undgrd❑ No.of Meters / N New Service Amps / Volts Overhead.❑ Undgrd ElNo.of Meters N Number of Feeders and Ampae ty --Q Location and Nature of Proposed Electrical Work: 1V.e LA)v 4-e ) F-/oc r/3 "rro'►.- #11•41.*4-tit-P.10 1 e .. VCompletion of the followingtable may be waived by the Incector of Wires. al 141 No.of Recessed Luminaires No.of Cel.-Snap.(Paddle)Fans No. Tot CeTransformers KVA , C No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.or L tin No.of Luminaires swimmingPool ❑ ❑ Units i grad. grad. Battery Units A„ No.of Receptacle Outlets I No.of Oil Burners FIRE ALARMS No.of Zones 't rbetectiaid No.of Switches 3 No.of Gas Burners moo.oI a °Devices W No.of Ranges No.of Mr Cond. Total No.of Alerting Devices o.of Self-Contained No.of Waste Disposers Heat Number Toutotals:_ .. KR' NDettection/AlertI No.of Dishwashers Space/Area Heating KW Local❑ Co 0 Other No.of Dryers Heating Appliances KW Security y # No.of Devises or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices oruivatent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value 9f Work: (When required by municipal policy.) Work to Start:V aq k2 2 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 153 BOND 0 OTHER 0 (Specify:) I certify,ander the pains and of perj ,that the information on this application is true and complete: FIRM NAME: uz 't S 2041 �!e r-4- LIC.NO.: /53 q '-A Licensee: 61 K(, t .. Signature � 1P --� LIC.NO.: (If applicable.enter' owl ivhe license mnnbe irie. �" Bus.Tel.No.: 7J�J-,2/0./ Address: a0 .,..,t err- +ice Re,y ICK vim* al/{'Icz 0-)5- 2-- Alt.TeL No. B- q /177 *Per M.G.L.c. 147,s.57-61,security worl(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 .:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 7S; C N Y9,72_,