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Home My WebLink AboutBLDE-22-004724 l Commonwealth of Official Use only : % Massachusetts Permit No. BLDE-22-004724 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:2/25/2022 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) 10 FLUME CT Owner or Tenant William Zmijewski Telephone No. Owner's Address 10 FLUME COURT,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. 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: Remodel basement Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 4 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 22 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 16 No.of Gas Burners No.of Detection and Initiatine 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, 2 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent 1 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 ❑ S eci I certify,under the pains andpenalties o ( p ) ofperjury,that the information on this application is true and complete. FIRM NAME: Sean G Willis Licensee: Sean G Willis Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 10439 Address: 10 SHERRIES LN, EAST SANDWICH MA 025371365 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$75.00 I (Lq'72z cm 6e .72v C 'g� k RECEIVED •: 2 4 2022 mai 4///aeeactuesrtta Official Use Only • • �/ 2— R Permit No. � `"C ' G t A ._ bePatnt 7 �sr+vicse and Fee / A �t.1 IF-E PREVENTION REGULATIONS Occupancy Checked ` [Rev. I/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acco�c e withthe MassachusettsElectrical Cade .527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dttte: es • (��' Z s City or Town of: �'` -„,,,p u j-�)'1 1 By this application the undersigned gives mice of his or her intention to perform t6eectricalrk described below. ,3 Location(Street&Number) /C F7 e Cc r I- �' Owner or Tenant ��_)1 t\ c,�c,�t r J c�,J�L,' Telephone No. 77q-L/06 '3�( Owner's Address 5 AA j ❑Is this permit in conjunction with a building permit? Yes �2 No (Check Appropriate Box) Purpose of Building 5"1:-F 4(z .,---t-f., �� 11'iy Utility Authorization No. Existing Service Zp Asups 'ZO//2'(C'Volts Overhead❑ Uudgrd � No.of Meters f New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampadty 2Q 0 a S Location and Nature of Proposed Electrical Work Z,t,)sY'2 -far -t21,7c 51,e c . ✓ti- re.,.-tocie( wt Completion(Pile be waived by the Inspector of Wires. Lb No.of Recessed Luminaires 1 y No.of Cell.Sasp.(Paddle)Fans �- G KVA ®� No.of Luminaire Outlets 0 y No.of Hot Tubs ..0' Generators KVA e 'i No.of Luminaires Swimming Pool Above n- too.of Emergency Lighting fid. Rrnd. Battery Units No.of Receptacle Outlets �7. No.of Oil Burners C-- FIRE ALARMS JNo.of Zones r No.of Switches /(P No.of Gas Burners 'No.of Detection and I, Initiating Devices No.of Ranges ,er No.of Air Cond. ( Ton: ei No.of Alerting Devices . No.of Waste Disposers ( ge p lN r TT. { . _ tiaoftioSenlACleoiaedDe vices 7..... No.of Dishwashers & Space/Area Heating KW -” Loaterlanii No.of Dryers ,o, Heating Appliances y No.of Water No.of - �� N°fsD�or Equivalent II Heaters 6KW� S �- No.of Data Wig, ns Ballasts e' No.of Devices or Equivalent _ No.Hydromassage Bathtubs „..0".' ,. No.of Motors 1 Total HP 1/3 Tdecommunfcatlona W Na of Dtvitxs or Eq OTHER: of E tri I Work: C ) Attach Onal detail if heel or as required by the Inspector of Wires. to EstimatedSValueart: i( `x (When��by municipal policy.) WorkSURANCE CO RA ZUO?Inspections to be requested in accordance with MEC Rule 10,and upon completion. E: Unless waived by the owner,no permit for the k the licensee provides proof of liability insurance including"completed of electrical work may lent. unless undersigned certifies that such coverage is in force,and has exhibited operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE IN BONDproof of same to the permit issuing office. I certify,nosier the pants and, - 0 OTHER 0 (Specify:) I cRM NAME: , o per}wry,that the Information on akin application is dere and complete .� c ,- G7 rLr;' LIC.NO.:lC_ 3 Licensee: ( -,.. 114:41,7r, � �S ' Licensee: e,enter Signature /' I/�fii/�1/� LIC.NO.: mem t'' the l'erase number line.) Address: %0 ,54 - 1 Adse: .,`' 67z5-7 Bas.Tel.No.. jZ *Per M.G.L.c. 147,s.57-61,security work requires Ale.TCL No.: OWNER'S INSURANCE W t of Public Safety"S"License: Lic.No. RIVER: I am aware that the Licensee does not have the liability insurance coverage normal! required by law. By my signature below,I hereby waive this y Owner/Agent requirement. I am the(check one ■ owner ■ owner's :ent. Signature Telephone No. PERMIT FEE:$ 7 5-----