The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005578 of i\/X Commonwealth of Official Use Only .�, l Massachusetts Permit No. BLDE-22-005578 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:4/1/2022 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) 38 HOLLY LN Owner or Tenant MURPHY JOHN W Telephone No. ,.- cif.G Owner's Address GIRARD KAREN E, 6 FRANKLIN DR,TYNGSBORO, MA 01879 _J✓ 8 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec 1 (31172, Purpose of pBuilding Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel per attached. 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 ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 25 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 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/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ 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 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: William L Wolaszek Licensee: William L Wolaszek Signature LIC.NO.: 28768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:96 CAPTAIN LOTHROP RD, S YARMOUTH MA 026642818 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:$180.00 u 4 7 z2 ' ?(.--� 61411c -(,�.cam-ab* �e&0)(/Z /4�0 � l KIl_ 5i Zit z� W-, -flq) 9 iitta-- ,..,,-„,,,,,, CIC-45<f) RECEIVED MAR 31202L a' M� Commonwealth o f Meutoackudatid Official Use Only R BUILDING utP� I '7. I,t cc�� nn n Permit No. Zz B By {,/1 :.�r .d.lsparimsnl of ire Serviced 4 BOARD OF FIRE PREVENTION REGULATIONS OccupRev. ancy and Fee Checked . 7] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3,3 f/ a-. City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of hisor her intention to perf rm the electrical work described below. Location(Street&Number) 3 S. NO'1 y' L h iC, r hi v LA-, Owner or Tenant 3-61,1,.. ..A4 v r P Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes cSa No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity i Location and Natur of Proposed Electrical Work: (,,, t / /,. r- r IC P. tx D s c f C vkS ,r;, 12- e i�/ Cf se��1;c Ps i t� Pi 9i-9 Completion of the followinVable may be waived by the Inspector of Wires. i.is No.of Recessed Luminaires No.of Ceil.-Susp. No.of Total .! p (Paddle)Fans Transformers KVA 14 No.of Luminaire Outlets No.of Hot Tubs Generators KVA l" No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units No.of Receptacle Outlets �; t�'S No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches `6 No.of Gas Burners 'No.of Detection and t r Initiating Devices No.of Ranges No.of Air Cond. Totaln No.of Alerting Devices No.of Waste Disposers Heat Pump Number[Tons KW No.of Self-Contained Totals:l [ Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW ❑ Municipal Connection ❑ OthILmer No.of Dryers ( Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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 p Iectrica1 Work: y5-013 (When required by municipal policy.) Work to Start: 3h1 J)a- 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 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: �J r'd W (C,S 7-et LIC.NO.: (7S)-2 k 4rS)E" Licensee: ttG c r Signature (If applicable,enter"exempt"in the license number line.) LIC. - Address: Bus.Tel.No.: O!? S6 v &C re, No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.LicT .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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ /ro,CA.)