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Home My WebLink AboutBLDE-22-001151 • E� Commonwealth of Official Use Only or Massachusetts Permit No. BLDE-22-001151 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:8/31/2021 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) 35 BOB-0-LINK LN Owner or Tenant HIRD GRAHAM C JR Telephone No. Owner's Address HIRD NICKI LEE, 29 MONROE RD, ENFIELD, CT 06082-5317 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Washer/dryer circuits. 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 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 Tons No.of Waste Disposers Heat Pump _,-,Number Tons KW No.of Self-Contained Totals: _Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line) Bus.Tel.No.: Address: 18 ANCHOR DR, FORESTDALE MA 026441822 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 letY • Commonwealth of///aasachZw1ett4 • Official Use Only_ _ �_: :pa-rimed of �7 / ® t= _ `� /_Serviced Permit No. 2 �/2 cv = BOARD OF FIRE PREVENTION REGULATIONS [Rev. and Fee Checked o z ° > i c� 1/07] (leave blank) — o - a PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C� 0 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 LLi Q '1. •SE PRINT IN INK OR TYPE ALL INFORMATION) Date: siD a, "°i 15 City or Town of: YAR1VIOUTH To the Inspector of Wires: :'t ii s application the lutdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 3 S e of 0 Le A L Owner or Tenant 6 r ,t N /'---1 /-1; r J Telephone No. Owner's Address S a tv Is this permit in conjunction with a building permit? Yes ❑ No _ (Check Appropriate Baz) Purpose of Building / ) 4 r't Utility Authorization No. Existing Service )DO Amps /,/ 0 / d`10 Volts Overhead [J Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �„_, - c-r// w c f I-jr f- 0. Completion of the following table may be waived by the Inspector of Wires. - No.of Recessed Luminaires No.of CeiL-Busy.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of 1✓mergency Lighting zrnd. ❑ mid. ❑ Battery Units No. of Receptacle Outlets No.of Ott Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number Tons HKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heatin KW' Municipal gL0� Connection No.of Dryers Heating Appliances KW Security Systems:" �j No.of Water No. of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent Attach additional detail ifdesiret4 or as required by the Inspector of Wires. Estimated Value of Electrical Work 1 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule I0,and upon completion. 1. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unle • the licensee provides proof of liability•insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy ge is in force,and has exhibited proof of same to the permit issuing office. . CHECK ONE: INSURANCE BOND ❑ OTHER . I certify, under the pains and penalties o er u that the information on this application is true and complete. P I r35 FIRM NAME: VI 0 ) . 1- i-e-- r )f?t 4_,,L, L L C, - _ 1"ct N I T LIC.NO.: (� 7� S Licensee: g r I �.�-- \� e Signature LIC.NO.:.? 0 (If applicable,enter eze 'in the license�rnber line) ��. Address 1, ��, C� lJ f t OF �o� �Ja Bus.Tel.No.: v�'- t .;_'Y:?1 J Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safe (a Y� Alt Tel.No.: � �py_r -�y "License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverrnally age n — S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner 0 owner's a ent. Owner/Agent 1.11 Signature Telephone No. PERMIT FEE: S