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Home My WebLink AboutBLDE-22-006855 Commonwealth of Official Use Only Ifi` Massachusetts Permit No. BLDE-22-006855 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:5/26/2022 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) 12 JOYCE ST Owner or Tenant THOMPSON WILLIAM E Telephone No. Owner's Address THOMPSON KAREN A, 382 MAIN ST, HOLDEN, MA 01520 ° Is this permit in conjunction with a building permit? Yes 0 No 0 (C I riate Box Purpose of Building Utility Authorization .,, :,. id SS` Existing Service 100 Amps Volts Overhead 0 Undgrd r _ 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 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/Alerting 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 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:) L)V ee teaQ-73 gi I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Francisco A Toste Licensee: Francisco A Toste Signature LIC.NO.: 34419 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:32 FAIRBANKS RD, RAYNHAM MA 027671708 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 Commonwealth o/MaesaciZuaelto Official Use Only 1.—* 1, c� � Permit No. �22--(CieC�. mst= Thepartmenl° /iro Serviceb ~ Occupancy and Fee Checked -I' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 (leave blank) 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 INF RMATION) Date: toAt, 23 20222 City or Town of: IA'N To the Inspector of Wires: By this application the undersigns gives notice o his or her intention to perform the electrical work described below. Location(Street&Number) I 3Dyci Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No g (Check Appropriate Box)Purpose of Building Matra Utility Authorization No. 41 5 2_5 2S Existing Service 100 Amps ILO / /A 0 Volts Overhead ® Undgrd ElNo.of Meters I New Service too Amps /CIO Volts Overhead CA Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Up intik sov ice Completion of the following table may be waived by the Inspector of Wires. No. rano No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above [—I 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 TotNo.of Ranges No.of Air Cond. T ns 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 HeatingKW Local❑ Municipal ❑ Other P Connection _ No.of DryersHeating Appliances KW lecurity 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.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeieorq Wiring: y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 300b.411 (When required by municipal policy.) Work to Start: 5- 2)-24. 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 1K] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: 1 e1'i1Vl 1 A'e Signature r LIC.NO.: E " 441c (If applicable, t r " t" ' t la se u ber la e. Z Bus.Tel.No.: g Address: ��. R.N � m rib/ Alt.Tel.No.: VIU'i'`'N. *Per M.G.L.c. 147,s.57-61,security work requires Depparttrient 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 agent. Owner/Agent PERMIT FEE: $ 50.00 Signature Telephone No.