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Home My WebLink AboutBLDE-23-001536 o• Commonwealth of Official Use Only �1- ;t Massachusetts Permit No. BLDE-23-001536 1 )11 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:9/23/2022 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) 26 NAUSET LN Owner or Tenant DEAN PAUL F Telephone No. Owner's Address P 0 BOX 348, NORTH ATTLEBORO, MA 02761-0348 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: Replacement furnace(Attic) 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 1 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/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 Siens 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: JOSEPH P ROSE Licensee: Joseph P Rose Signature LIC.NO.: 21335 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Beverly Rd,West Yarmouth MA 026733559 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 cam- cci. 10 3 2v Cg • 114 Lo .aii al Maasaelutsetto Official Use Only is spa hE o`.tio,e Serviced Permit No. (�� l !_1/44.,o,).- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [ltev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Coq(MEC),1527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO NATION) Date: 91 e961, City or Town of: lr,.e To the Inspector of Wires: By this application the undersigned gives notice of h' or her intention to perform the electrical work described below. Location(Street&Number) c-n Kl A 4 e7 1 Y5-. t p)• On Owner or Tenant 9tk\ t,..,., Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1,,�$ ‘1.4 (1 5 L 6, In a-EC; 6 t v) Completion of hefotlowingtable be waived by the/ of Wires. L� No.of Recessed Luminaires No.of CelL Transformers KVA iNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesPool Above In- No.or Emergency Luang Swimmingarea. ❑ arnd. ❑ BauerrUnm No.of Receptule Outlets No.of Oil Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners No.IniL f °D evices 11.1 No.of No.of Air Cond. Ton No.of Ton: Alerting Devices ed No.of Waste Disposers Heat Pump Number'Tons I KW _�Detection/Ale t Devkes No.of Dishwashers Space/Area Heating KW 1 0 ManiciV 0 �, Coanedioa No.of Dryers Heating Appliances KW Security Systems:* No.ofDevices or Equivalent No.of Water No.of No.of Data Heaters KW Signs Ballasts No.of Devices or uivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices ohm,igiraent OTHER: Attach additional detail rfdesired or as required by the hsspector of Wires. Estimated Value of Electrical Work: (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 •verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 'Ai BOND 0 OTHER 0 (specify:) I eerie,malty the pains and'ill' ,, of petting,that the infotarsation on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: z IN �� . Signature�lt 17 LIC.NO.: 111 k r"'tt the lime number Ike.). Bus.TeL No.. Q Address: , /e-1- • C`-i "'c *Per M.G.L.c. 147,s.57.51,security work v Alt.TeL No.: ty 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ - . _ .,,M_