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Home My WebLink AboutBarnstable03_ApplicationtoPerformElectricalWork_20230127_052557.pdf or DO Commonwealth of Official Use Only iIMassachusetts Permit No. BLDE-21-006870 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:5/26/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 61 ELDRIDGE RD Owner or Tenant MOYNIHAN JOHN F II Telephone No. Owner's Address MOYNIHAN ERIN K, 122 GREATON RD,WEST ROXBURY, MA 02132 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: New master bedroom&bathroom.A/C condenser 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. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.No.e Self-Self-Contained Devices Totals: No.of Dishwashers Space/Area Heating KW Local 0 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 Siens 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Sherwood E Lewis Licensee: Sherwood E Lewis Signature LIC.NO.: 11503 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 283,YARMOUTH PORT MA 026750283 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 atra-6/- / 7/2'( �7 �,` 7 I &mm01t ea[ih o`Misuse/mu& Official Use Only .,, .Uspartamani of +e&naked Permit N Occupancy and Fee Checked 0 BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR PE ALL INFORMATION) Date: / G.y2SL Wires: 22I o City or Town of: I�.r/►-„r,.44 To the Inspe6tor of Wires: CO CO By this application the undersigned� !gives notice of h' or her intentionD_ to(perform the el 'cal work described below. Location(Street&Number) u( I E i Jr.. 2 ‹C KJ A J c -41G rM s...4`4 v Owner or Tenant(3G1n 1. i n m 0 h i i A# Telephone No. COwner's Address t It I r.,4 `p n An s4-to)( Iry-. 0 Is this permit in conjunction with a building permit? Yes el No [U (Check Appropriate Box) Purpose of Beilding�f Co" Utility Authorization No. t Existing Service Amps / Volts Overhead❑ U- ndgrd 0 No.of Meters 51 New Service Amps / Volts Overhead 0 U- ndgrd 0 No.of Meters 4t Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Af,1 e iap ftw erJr-"e A 45 .. d -if FA( /ACIc a f A,t,.S<t V. re. Ne cr t1 en Sub' (Anl1' ()/t Vy, V Completion of thefollowingtable may be waived by the I'saecfor of Wires. al th No.of Recessed Luminaires No.of Ceti.-Snip.(Paddle)Fans No.ofotA v Transformers KVA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- Pro.of emergency Lighting and. ❑ fund. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Z• . No.of Switches No.of Gas Burners Ito.oflaasting nd ces o IQ No.of Ranges No.of Air Cond. Toon` No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW _ No.of Self-Contained Totals: Detection/Alertina Devices No.of Dishwashers Space/Area Heating KW Local❑ Monnectioun Von 0Other, C No.of Dryers Heating Applia ncesKW Secuor y y # N of Devices or Equivalent No.of Water No.of No.of Wiring: Heaters KW Sena Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsW Nor of Devicesorr Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of lectrical Work: (When required by municipal policy.) Work to Start: Z 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 ❑ (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:.S4v.-,oL Les i j Signature� LIC.NO.: I I C s 3 (Ifapplkob .enter"exempt"in the license number line) Bus.Tel.No.:So r,2 ko-� T533 Address:-a, �)( (�14 p'Nl l5,/91,4)AA.D 1-G31 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security worktt'equires 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)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$