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HomeMy WebLinkAboutBLDE-22-004383 /��\ Commonwealth of Official Use Only ifi 1i) Massachusetts Permit No. BLDE-22-004383 9 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/NK OR TYPE ALL INFORMATION) Date:2/8/2022 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) 248 CAMP ST UNIT G3 Owner or Tenant MCCANN DONNA Telephone No. Owner's Address MCCANN ERIC,248 CAMP ST UNIT G3,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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement water heat- 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 ❑ Ian!.-nd. ❑ No.of Emergency Lighting 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. requiredmunicipal Value of Electrical Work: (When b y munici Pl policy.) y') 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:) .•7�}/ 3 jg I certify,under the pains and penalties of perjury,that the information on this application is true and complete. -71(4— t FIRM NAME: Matthew P Dennen Licensee: Matthew P Dennen Signature LIC.NO.: 21609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 88,BUZZARDS BAY MA 025320088 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 0 owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE: $50.00 I Commonwealth o/21aedachujetta Official Use Only c7 2 3j3 )4 � t c� Permit No. Z f— is 2epartment o/.}ire Serviced y Occupancy and Fee Checked �y j` 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 INFORMATION) Date: 2/2/22 City or Town of: WEST 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) 248 CAMP STREET, UNIT G3 Owner or Tenant FOXWOOD CONDOMINIUM Telephone No. Owner's Address 248 CAMP STREET, UNIT A7,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building RESIDENTIAL Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ELECTRICAL HOOK UP OF A WATER HEATER Completion of the following table may be waived by the Inspector of Wires. No. 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 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 Initiiating Devices No.of Ranges No.of Air Cond. Total No.o f AlertingDevices 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 El Municipal Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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: $500.00 (When required by municipal policy.) Work to Start: 2/10/22 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 ® BOND El OTHER El (Specify:) I certify,under the pains and penalties of perjury,that the information on • lication is true and complete. FIRM NAME: Commercial Electrical Solutions Inc. / LIC.NO.: 21609-A Licensee: Matthew Dennen Signature % LIC.NO.: 12687-B (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 508-388-6169 Address: P.O. Box 88 Buzzards Bay, MA 02532 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)El owner El owner's agent. Owner/Agent PERMIT FEE: $ 50.00 Signature Telephone No. wendy@cesinc.biz