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Home My WebLink AboutBLDE-22-007303 Commonwealth of Official Use Only Ems` Massachusetts Permit No. BLDE-22-007303 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:6/21/2022 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) 14 HOSKING LN Owner or Tenant LADLEY NATHAN W(LIFE EST) Telephone No. Owner's Address LADLEY SHARON L(LIFE EST), 14 HOSKING LN,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 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: Remodel master bathroom. 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 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 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 Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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: $75.00 I is ‘( r ----- Lowe ol�ty�j /f/aaeAaia O�fficiajl Use Only �j 2' / rs Services Permit No. ' - r# `r % Occupancy and Fee Checked �4 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 C,g�(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR PE ALL INFORMATION) Date: ;un o '4 „2 t City or Town of: To the Inspector of Wires: By this application the undersigned giv7,otice of his or tier intention to perform t ie�� wl�r c described below. Location(Street&Number) �!/J �j k Y Owner or Tenant ,/h'I41M ( Lk!lei/ Telephone No. Owner's Address l Is this permit in conjunction with a building perner Yes [l No ❑ (Check Appropriate Box) Purposeof Build' t ' tl S� �'�h't tl �1. /1 Utility Authorization No. Existing Service 'CO Amps f�'j /JCS Volts�Overhead❑ Undgrd❑ No.of Meters l New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and N tare of Proposed lectrieal Work: t O . .• N` Completion of the followinktable may be waived by the Inspector of Wires. No.of Recessed Luminaires Na of Cal Sttsp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Rot Tubs Generators KVA Above In- No.of Lniergency Lighting No.of Luminaires SwimmingPool gam- ❑ grad. ❑ ,Battery Units No.of Receptade Outlets Z. Na of Oil Burners FIRE ALARMS No.of Zones r No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Conti Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW Na of Self-Contained Totals: Dete /Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Conncil,1 ❑ Other Na of Dryers Heating Appliances KW Na o 1 .f , � or Equivalent No.of Water KW Na of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs Na 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: 1 a() — (When required by municipal policy.) Work to Start: 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 a BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: LiC.NO.: Licensee: S' Signatura) 4ilff LIC.NO.:�j p E Address: lice ter r w tl�[I e l f°ills /Ail A Y"l_ (}, KI C (� Bus.Tel.Not/A 7� *Per M.G.L.c. 147 s.57-61workAlt.TeL No. h'J • security requires�k�arlment 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 requiredAbyyllaw. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent Ownt Signature Telephone No. I PERMIT FEE:$ 1