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Home My WebLink AboutBLDE-22-001793 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001793 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:9/29/2021 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) 9 MARYS WAY Owner or Tenant WHITEHOUSE BRADLEY T Telephone No. Owner's Address WHITEHOUSE ROBY G, 9 MARYS WAY, 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: WIRING OF BREEZE WAY&GARAGE. SMOKE & HEAT DETECTORS . 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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 Space/Area Heating KW Local ❑ Municipal ❑ 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 Sins 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: Michael F Simonis Licensee: Michael F Simonis Signature LIC.NO.: 16862 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1488, EAST DENNIS MA 026411488 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: $150.00 �o� Z/2.1 fr 14 /� ��JJ / Official Use Only-?[� ,71 l�omnaonwea[th o`�aeeat�rueff6 Permit No. � ZZ- � t -1'� 1`:` i` f� .2eparimeni el5ire Service-4 t;'. Occupancy and Fee Checked 'y, 4. 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: / g'/o'Z/ City or Town of: /,,z-,,_ 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) 9 /7 ,9-2yS ii--14-7 Owner or Tenant p y Gvh.71e h a✓S C Telephone No. Owner's Address ' _.z_, -, -c- is this permit in conjunction with a building permit? Yes Q No ❑ (Check Appropriate Box) Purpose of Building /t.a- ,r .f- ,% i'c e z,eur4 y Utility Authorization No. Existing Service Amps / Volts Overhead 7 Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and �Nature of Proposed Electrical Work: ,Rd,,,, .r- ,�=. , r/ w. ^--- 22eez w.p-y •a -,4/ ( #..,r. 'e . .4 M /s .-/7' S rr- i e 7/ Sra-:o A-..c 1- f�t,r- ,a.e.—CCrc' S Completion of the following table may be waived by the Inspector of Wires. lit No.of Recessed Luminaires No.of Ceil.-Sus .(Paddle)Fans No.of Total PTransformers KVA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting +t; No.of Luminaires Swimming Poo' grnd. ❑ grnd. ❑‘.Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Z No.of Switches No.of Gas Burners `No. Initiatinnggofon Dete and In Devices Ili 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 po Totals: Detection/Alertin Lo Devices Mun No.of Dishwashers Space/Area Heating KW cal❑ Connection ❑ Otiser No.of DryersHeating Appliances KW 6gecurity Systems:* No.of Devices or Equivalent No.of Water 'No.oT— No.of Data Wiring: Heaters KW • Signs, Ballasts _ No.of Devices or EquivalentNo.Hydromassage Bathtubs INo.of Motors Total HP 1 a er 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: 9 „.2��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 ❑ (Specify:) `T.a-.t'-r-C�/e c- I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: S .r) m r ..S /el e/yic ' v,c LIC.NO.: 4-!lo frE. �, Licensee: G"./�si,/��/S Signature --IBC.NO.:.X'30 -3 ' (If applicable deter' t"in the license ber line.) Bus.Tel.No.:. S'OB-S -26 R7 Address: e:/- K /pe • D ,-,A7/1'A /Ofi` O -'�fC( 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)❑owner 0 owner's agent. Owner/Agent PERMIT FEE: $ / Signature — Telephone No.