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Home My WebLink AboutBLDE-22-005948 Commonwealth of ft. Official Use Only °' Massachusetts Permit No. BLDE-22-005948 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:4/18/2022 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) 141 HIGHBANK RD Owner or Tenant Steve Sullo Telephone No. Owner's Address 141 HIGHBANK RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alertinn Devices Space/Area HeatingLocal 0 Municipal No.of Dishwashers P KW Connection ❑ Other: HeatingAppliances KW No.of Dryers PP Security Systems:*No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Roger Poitras LIC.NO.: 14319 Licensee: Roger Poitras Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: PO BOX 176, ROCHESTER MA 027700176 *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 (PERMIT FEE: $75.00 I Signature Telephone No. w i 11 eyn a- 1 1 ;cLr ce Commonwealth, �//� Official Use O .. t C,om.monwealth,o/t//amacLiett.1 l Q } _=*= l cc�� c7 Permit No. 8 2e artment o }ire ServiceJ __"�_= P � Occupancy and Fee Checked -`;"�— BOARD OF FIRE PREVENTION REGULATIONS [Rev. i/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: L/— ti—a d e City or Town of: yA it Nt o L1 i l-I 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) / L/ I Hi ( -1 6 A 4„) /r R 4 , Owner or Tenant S 7 C-V G $ U L L n Telephone No. Owner's Address / 'I/ N /Gm 4 A w I . X Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building R e.St spelkic i' Utility Authorization No. Existing Service /06 Amps /odd I tp 9tVolts Overhead ❑ Undgrd❑ No.of Meters New Service po Amps /Jo /cam Volts Overhead al'..-- Undgrd ❑ No.of Meters / Number of Feeders and Ampacity Wet S a 0 Location and Nature of Proposed Electrical Work: f e AJL" e s e.. k v 7e 1 ad, 6A eak 1/ /4*' - (--- 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 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump Number 'Tons f KW No.of Self-Contained No.of Waste Disposers Totals: r Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection_ ❑ Other i HeatingAppliances KW Security$ stems:* No.of Dryers pp No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs KW Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: 6 O Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: spa O, (When required by municipal policy.) Work to Start: L/_ s-/-)o).) 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 ErBOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury, that the information on this application is true and complete. P. LIC.NO.:/GI 3/ CA FIRM NAME: IC , P L c i!L I C_ L'C) �itJ� /- O ��Z fa i I-4 AS Signature a,,,0-7,.. (2�-- — LIC.NO.:J€13/ ri I Licensee: f►� ✓ 4'I3 7 (If pp Bus.Tel.No.:5-�^7d g' a licable,meter "exempt"in the license number line.) Address: rid, /tea k / 7 6 AO 7 c7e L tie'? Q') —7�ei Alt.Tel.No.: *Per M.G.L. c. 147,s. 57-61,security work requires Department of na have the Public does Safety liabilityLicense: coverage m OWNER'S INSURANCE WAIVER. I am aware that the Licensee required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. I Owner/Agent Telephone No. I PERMIT FEE: $ Signature