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Home My WebLink AboutBLDE-21-001682 /` ' Commonwealth of Official Use Only t„ Massachusetts Permit No. BLDE-21-001682 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev.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:10/2/2020 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) 130 CROWELL RD Owner or Tenant TEXEIRA JOSEPH P Telephone No. Owner's Address TEXEIRA PATRICIA,301 WILLOWGATE RISE, HOLLISTON, MA 01746 Is this permit in conjunction with a building permit? Yes 0 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for kitchen,bath rooms,bed room, &sitting area. Completion of the following table may be waived by the Inspector of Wires. No.of Total 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 grna e ❑ grnd. ❑ No.of Battery Emergency Lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices Space/Area HeatingKW Local 0 Municipal No.of Dishwashers P Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Data of DWirvices or Equivalent Heaters Signs Ballasts No.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs 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: MICHAEL YOUNG LIC.NO.: 22314 Licensee: MICHAEL YOUNG Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 *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. I Owner/Agent 'PERMIT FEE: $75.00 Signature Telephone No. (6,(-fro ri- ci\ix 03(71 K-2. (/2 k) -cn c.-- c J' (24 c .//r /2J1 . ..-,..,-..- . i SZ'S COMMOSWINtia 4 ma...1.4,4li, official Use Only ", 1.,. , Permit No. (.":;. L(-((.0 e7... . wr - 25apartmant.ni,„sa„....., - ,.. ... ,, , \ i ' Occupancy and Fee checked ' - BOARD OF FIRE PREVENTION REGULATIONS . 1/07) 1/444, leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ; All work to be performed in accordance with the Massachusetts Electrical Code(M'EC)7527'fit 12.00 1 (PLEASE PRINT IN INK OR TYPE ALL7ORM4T1019 Date: City or Town of: Alatiff /4.7?/1.0,(,/21-1 To the Inspector of Wires: By this application the undersigned gives notice of his or her intentiofi to perform the electrical work described below. Location(Street&Number) /:Ye, l.flid i<Jzie,c, /ee A ) l/fac,4,e,,,„,J;--7-1 Owner or Tenant ....laj EN, / 7-6-KL,-,04,4 SePhone No.,leik- 9,42 -4.1Z.R ,„.. , * Owner's Address ...76/ 1,./,IL&A.,/ 6-74.0-1 iiv/f/5 7"zoL; /04 0/ 7 y(::' Is this permit in conjunction with a building permit? Yes ig-----No 0 (Check Appropriate Box) • Purpose of Building ifefil,,d 4....,5Z Utility Authorization No. Existing Service 2,..(C,. Amps 4,20 1 a yc Volts Overhead ED Undgrd ta No.of Meters /9 73 -,4 New Service Amps / Volts Overhead 0 Undgrd I:1 No.of Meters ‘ 1 al Number of Feeders and Ampacity 1 - t--) 0 Location and Nature of Proposed Electrical Work: 1"...),./7/..A ,i(orat‘,./ 4/.., Xi ,. 1 t ni () A 44 , $//r7,---J___ _0-- —_,„ Completion of thefollowing table . be waived, the 1 , Iit.1 i,w ...„,,s.,== i tl.1 No.of Recessed Luminaires No.of Ceil.-Soap.(Paddk)Fens 'Transformers KVA --1 1 rn KVA l -- -----1 C-( 4ZN No.of Luminaire Outlets No.of Hot Tubs Generators 4,4 Above In- No.of tmergency Lighting L.,—------- 4; No.of Luminaires Swimming P°61 land. 0 on& C] Battery Units •",:,.? No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No.of Detection and No.of Switches Na.of Gas Burners Initiating Devices Total 1)..! No.of Ranges No.of Air Cond. TODS No.of Alerting Devices Mat Pump .Number Toss -1t7y., .. No.of Self-Contained No.of tiVaste DiSpOSerS Totals: - -- ' - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Local El c umiak 0 Other 0 11 No.of Dryers Heating Appliances ICW Security Systems?' No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: ICW Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wising: No.of Devices or Equivalent OTHER: Attach additional detail(desires(or as required by the Inspector of Wires. Estimated Value of El cal Work: (When required by municipal policy.) Work to Start: / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability'1 rance including"completed operation"coverage or its substantial equivalent. The dersigned certifies that such coy., ,, is in force,and has exhibited proof ofkanae to the permit issuing office, K ONE: INSURANCE 11! BOND 0 OTHER E] (Specify:) 0 t-i//;L:f 61,4)-ei L. ii2 426 . I ,under the pains andtpenahies of perjttrh that the Information on this application is true and compete .4 --"k° C) NAME: itiAll;-• ftle-ithriv (. ZtiViroivereitc .2.--;&#( Lic.No.:2.2 3(6/ /1 c?. . c.), — see: - iv6.- S1gnature.-----7 , LIC.NO.:-.?7,1 9 e z 0 lice' b ,enter"AteiPPI...."i the hcfnse' 'amber hue' 4., " ''' Bus.Tel.No.z.22. 1- Ig2U-:_4i "cre.0 /$1 Wililri 7ZAZ Le/ le.15/W/4;77 4A ,e,26.Y Alt Tel.No.: 4 .G.L.c. 147,s.57-61,security work requires Department of Public Safety"S”License: Lic.No. • R'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 0 c: --" r by law. By my signature below,I hereby waive this requirement. I am the(check one)CI owner 0 owner's agent. - -srgiature Telephone No. PERMIT FEE:$