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Home My WebLink AboutBLDE-22-004717 Commonwealth of Official Use Only , Massachusetts Permit No. BLDE-22-004717 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:2/25/2022 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) 48 PAYSON PATH Owner or Tenant Mark Braueman Telephone No. Owner's Address 48 PAYSON PATH,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (C ) Purpose of Building Utility Authorization Existing Service 100 Amps Volts Overhead 0 Undgrd t •o.o 'eters New Service 200 Amps Volts Overhead 0 Undgrd ❑ 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 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. TotaloNo.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 ❑ 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 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: Robert J Conlon Licensee: Robert J Conlon Signature LIC.NO.: 11017 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 MULBERRY LN, BRIDGEWATER MA 023243599 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 OZA31iiT7 _ iu ,_ a 1/ emit) / CerfiB-fd� e CE :; EiVED D �j 6 /r�J',�i--na_ 1. nweal co////amac elfe Official Use Only i' 7 ."B 2 4 2022 cc77 Permit No. ------.2.52.--47/7 _ r.. v epartment o�.}ire Serviced -,..41-1—'10 j _ '_ Occupancy and Fee Checked '-€1,7l �ie1NG FI E PREVENTION REGULATIONS [Rev. 1/07] (leaveblank) 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 AL NFORMATION) Date: a^,,l [ -t2p1 City or Town of: 111ea itA.0. w To the Inspector of Wires: V By this application the undersigned gives • ce of his or her intent to a orm the electrical work described below. Location(Street&Number) * 'A* (i1A) / cjOwner or Tenant r A.A 1 — 4 Ai Telephone NoSG( r f 7 7C5 Owner's Address L(e , (4.-Np� Is this permit in conjunction with a building permit? Yes ❑ No IL/1-Check Appropriate Box) c. Purpose of Building ee 5t7c•-•tri v`-le'A e Utility Authorization No.7 8-77 / n Existing Service PO Amps /10 1 Q Volts Overhead Undgrd❑ No.of Meters New Service ;O Amps 00 / 0 Volts Overhead Undgrd ❑ No.of Meters \) Number of Feeders and Ampacity dCe 4-71,1 , - LLocation and Nature of Proposed Electrical Work: .5 .L,Le. e (>I G,cit, po —d-(/(/4-f2'te) Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- Li No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No.Initiatinnggon Deteand InDevices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW SecNo :* of Devicess or Equivalent No.of WaterKms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Wiring: No.Hydromassage No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:-3 600, Cit (When required by municipal policy.) Work to Start: 4 .2--,?..5----6712..... 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under t 'p,ins and penalti f perlu ,hat the inform,down this application is true and complete. /� FIRM NAME: off ecr1 C 7N(C'Ct i Ye-- (-)i-e----L�IP , J LIC.NO.: 0L.7 Licensee: a _ Signature �1 v _ LIC.NO.: ,f` (If applicable,anter` m ' ua the license numberline.) Q �,/,�$us.Tel.No.• L.2 __,'� eCYC Address: '�r—/'\L >� &1C J' ! ''L / Alt.Tel.No.: *Per M.G.L.c. 147,s.561,security work requires Department of Public Safety"S"License: Lic.No. �Q q P ` 1 7 6 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 agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.