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Home My WebLink AboutBLDE-22-007122 Official Use Only Commonwealth of Permit No. BLDE-22-007122 Massachusetts '' " BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.U07] 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:6/8/2022 T City or Town of: YARMOUTH o the Inspector or Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 56 KEEL CAPE DR Owner or Tenant TONER DONALD D Telephone No. Owner's Address TONER JANET M, 70 DINIZ DR, RAYNHAM, MA 02767 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: 50 Amp line for EV Charging system. Completion of the.followirng table may he waived by the Inspector of Wires. No.of Total No.of"Recessed Luminaires No.of Ceil. Susp.(Paddlc)Fans Transformers KVA No.of Luminance Outlets No.of Hot Tubs Generators KVA Swimming=Pool ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd.Above grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners 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/Alerting Devices 0 Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW LocalConnection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail it.desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: S (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 perjuiy,that the information on this application is true and complete. FIRM NAME: COTTI JOHNSON HVAC LIC.NO.: 22630 Licensee: Jason Mienscow Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 36 Torrey Road, Cumberland RI 02864 *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 no the(check one) 0 owner 0 owner's agent. Owner/Agent PERMIT FEE: $50.00 Signature Telephone No. !far Porilxi af3/P - (4Eb. WW ( 72/' 1 . . Comnwnwsaa of Kimackiaseh Official Use Only ►p lr� c� Permit No. �Z"�—7 1 5 Fm 2eparti sent el giro Serviced _ _ = = ' Occupancy and Fee Checked -�— BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK JAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 c (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: G/3/Q0 , O City or Town of: 'C,c j\-h To the Inspector of Wires: 'c By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 56lice,ex Gore.'ix- Owner or Tenant Qipr\ 1—pr ex- Telephone No. ]7/}-zq-6 Owner's Address oIs this permit in conjunction with a building permit? Yes ElNo 14 (Check Appropriate Box) Purpose of Building `Ne3 cke y ctl Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters C New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1r1S l`\ SOQv-y.1p C..Cai%‘-- co c \.V tsnot e NC CArfl eSCIcoc ?rOrfC./1-to l 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 l 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 Switches No.of Gas Burners No.of Detection and Initiating Devices Tota 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/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal U Other P Connectionyy No.of Dryers Heating Appliances KW Security No. f Devices or Equivalent No.of Water , No.of No.ofK Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Nat tow.(,t (When required by municipal policy.) Work to Start: G/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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Cotti Johnson LIC.NO.:22630-A Licensee: Jason Mienscow Signature/�� LIC.NO.:12025-B (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:774-501-3041 Address: 30 Waverly Street,Taunton,MA.02780 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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE: $a1/4),OI) Signature Telephone No. —WS \ow.'