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Home My WebLink AboutBLDE-22-001600 Commonwealth of Official Use Only Massachusetts Pennit No. BLDE-22-001600 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•9/21/2021 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) 39 HOOVER RD J N I r J r c_U-it4 Owner or Tenant Telephone No. Owner's Address 39 HOOVER RD, WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 6665160 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: Upgrade service metering. 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. 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 0 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 Signs 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: Joshua B Dejoie Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ( RECEvED • SEP 2 02021 1 p +� t. / Official Use Only J ILuIN, UEPARl t4 sa ° aeaac adafta rr ' ,•- '•, �. n Permit No, � 2_'t 4 C>O ■ * ' sparbmsni of giro Serviced 1 i "j' Occupancy and Fee Checked ,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank) a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c 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: `a,O'-3.1 i City or Town of: YARMOUTH To the Inspector of Wires: ,.1... By this application the undersigned gives notice of his or\her intention to perform the electrical work described below. d Location(Street&Number) 3`� Hdo v' x f Owner or Tenant Jr n c. Kc och4 Telephone No. rl 8 1381 Oa f Gil Owner's Address '3°' t*oou t'‘ a Is this permit in conjunction with a building permit? Yes 0 No 53 (Check Appropriate Box) ' Purpose of Building D t)C\\t r\ Utility Authorization No. CZ, Service Amps Volts Overhead❑ Undgrd 0 No.of Meters .t New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters o Number of Feeders and Ampadty 0b5\too 1-7 Location and Nature of Proposed Electrical Work: R Z �.c Q M e,�cr t a � ekcr up If- .. � .. (Nekec 140,4\- cede �c1s.N: Pa��, NQ.e . b.JCc-sz)Q,e1 askjl c4,1` in is c 4,A(.0 ok.Cp eak vt Completion of thefollowig table may be waived by the Inspector of Wires. W 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 Swimmin pool Above In- No.of Ii mergency Lighting g Qrnd. ❑ grad ❑ 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 + 111 No.of Ranges No.of Air Cond. Tonsi No.of Alerting Devices No.of Waste Disposers Heat Pump Number'Tons KW_ No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ other Connection No.of Dryers Heating Appliances KW Security 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: I DO 0 (When required by municipal policy.) Work to Start: 9' -)A 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 roN BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties o perjury,that the information on this application is true and complete. FIRM NAME: 1- 05hl1t~ DZ.-Jo ie.. ]"-`C .CA ck .(\ LIC.NO.: 531`11D Licensee: N.V cti D(.3p;R..._. Signatur`�%�_ LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: 2?14 '`] 61183 Address: 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$