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Home My WebLink AboutBLDE-22-004652 # 21 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004652 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:2/23/2022 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. pyo Location(Street&Number) >r4 21 WOOD RD below. 3. 3'O U IN Owner or Tenant MELLO JEFFREY T TR Telephone No. Owner's Address JEFFREY T MELLO TRUST,21 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 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: Install battery back-up system 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. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons JKW No.of Self-Contained Totals: Detection/Alertine 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 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: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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: $150.00 l tgE C (2,0 Kk) (p s Lt-D) RECE,�1 VED//,,, yyyy�� L.0010101144 � .altA o`n/aaeac1iuesEl4 Official Use Only : . FEB 2 2 91 ....,E.1 .�.S Permit No. �� (o jY , Occupancy and Fee Checked 5 .__O PiRer> tI1:1VENTION REGULATIONS [Re 07] (leave blank) BY _--- 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: 2-17-2022 City or Town of: Yarmoth MA (21) 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) 19 & 21 wood rd bass river 02664 Owner or Tenant Jeffrey T. Mello Telephone No. 7743538044 Owner's Address 21 Wood Rd Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps / Volts Overhead❑ Undgrd® No.of Meters 2 New Service 100 Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install a partial home solar battery backup v-1 Completion of the following table may be waived by the Inspector of Wires. ,,; No.of otal U: No.of Recessed Luminaires No.of CeIL-Sussp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA r:-",, Above In- lvo.of Emergency Lighting ' No.of Luminaires Swimming Pool grad. ❑ grnd. 0 Battery Units ' No.of Receptacle Outlets No.of 011 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. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: _.. . Detection/Ale=evices No.of Dishwashers Space/Area Heating KW Local 0 Cnnection 0 other No.of Dryers Heating'�pplia° KW NSecurity Systems:* oDevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices oruivalent Bathtubs No.of Motors Total HP Telecommunications No.Hydromassage No.of Devices or Equivalent OTHER: Attach additional detail if desirect or as required by the Inspector of Wires. Estimated Value of Electrical Work: 500 (When required by municipal policy.) Work to Start: As soon as possiHespections 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: Owner LIC.NO.: Licensee: Signature_ l f M LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.• Address: 21 Wood Rd Bass River,MA 02664 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 0 owner's agent. Owner/Agent Signature Atif1/ Telephone No. 7743538044 ( PERMIT FEE:$