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Home My WebLink AboutBLDE-21-005620 ��0 Commonwealth of Ofscial use only . 'AI / Massachusetts Permit No. BLDE-21-005620 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:3/30/2021 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) 45 WIMBLEDON DR Owner or Tenant COLLAMORE MELVIN D Telephone No. Owner's Address COLLAMORE BRENDA C, 11 GALLOWAY RD, CHELMSFORD, MA 01824-2130 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 0 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: Wiring of lower level family room&add smoke detectors. 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 10 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 6 No.of Gas Burners No.of Detection and Initiating 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of 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 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 D` -, 30e, Z /k7 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Marx Jeanty Licensee: Marx Jeanty Signature LIC.NO.: 21116 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 HAZARD ST, BROCKTON MA 023014821 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: $75.00 IP .3/ 0/7.1e& Pe,(tV9 o'J s/►f/� Iii Commenwsaii 0`Maesaciusesat Official Use OnlynlF "iri i) .2spartinsisi 4.7-ire Serviced'� Occupancy anPermit No. d FeeChecked 7�-7---0 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Auk APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 ''wilb(PLEASE PRINT IN INK OR TYPE ALL INFO [3 TION) Date: 3 —1 Z r City or Town of: i.k m h t To the Inspector of Wires: By this application the undersign gives notice of is R.her intention perform electrical work descnWelow. Si Location(Street&Number) 5 iv/y)- i Wei ( -2.6.7-;i9 .1 Owner or Tenant t, ,,f� I/ Ab / hi Telephone No. Owner's Address A-1/1/i -Q Is this permit in conjunction With b, I .,. . , , . Yes V No ❑ (Check Appropriate Box) Purpose of Building ,(,(tel i 4 / U Authorization No. Existing Service 4m olts erhead liEr Undgrd 0 No.of Meters I New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampaeity , es 7it_Aion and� a posed 7Work: Ji i !��: L_.1_ . i I i �_� e• J�� 1 / ll 7 Swr 0 �' s/"' 't- , c rto I Conipletton. thefollowingtable nt• be a • by the Inspector of fres. No.o Todd tb No.of Recessed Luminaires No.of Cell-Soap.(Paddle)Fans Transformers KVA St nNo.of Luminaire Outlets 1 ) No.of Hot Tubs Generators KVA No.of Luminaires 4„, Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Battery Units �1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones *To.of Detection and �- Na of Switches 6 No.of Gas Burners Inidatlnh Devices c. 1 i? No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons____KW No.of Self-Contained Totals: — _ __. Detection/Ak�Devices No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Oma' No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring. Heaters Signs Ballasts Na of Devices orEquivalent • No.Hydromassage Bathtubs No.of Motors Total HP — T No.of Devicesro Eq OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4 Eicz) . when required by municipal policy.) Work to Start 3- I Ss -zi 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 the pains and , of pert srry,that t infonrsmtlon on this application is true and complete. FIRM NAME: . F d/ C i L.. LIC.NO.: -I I I‘;--,- Licensee: L I A if . 0 V 4 Signature LIC.NO.: (If applicable, ter pt" the' e +' ber 1,-1) Bus.TeL No.: Address: d g7-7i -5 A-p- / ♦ 7iciol'K in')i -4X,e' Alt.TeL No.: *Per M.G.L.c. 147,s.57-61, - 'ty work Department of li Safety"S"Licen : Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. y my signature below, ereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ Signature 1 ( _ Telephone No.743/- I 2g/v