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Home My WebLink AboutBLDE-22-006797 y Commonwealth of Official Use Only , '7.LIU 4\ Massachusetts Permit No. BLDE-22-006797 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:5/24/2022 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) 56 SOUTH SHORE DR Owner or Tenant Marty Joyce 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: Rewire living room&add receptacles in existing bedrooms. 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: MICHAEL YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 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 &X)Q4{ 5 27(2 _..\ RECEIVED v MAY 2 3 2022 4 .�, A� y�yj�/j // 'i»*E» _ C° nu.Ratth o`)//addachuds(Id Official Use Only :-,„^e,�'/i[DING Di PART ~NT ' �7 n Permit No (='L }�1:w'a- trfsnf oi,}ira Jarvicsd Ns' %'' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 1 .00 \� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) �� City or Town of: YARMOUTHDate: `5"! ,- 3 ,02 By this application the undersigned Ives noti _ of his orher 7ion toporm the elTo the ectrical wo deector of W sribed below. > if' Owner or Tenant '�i Owner's Address Telephone No. o2 y0t Is this permit in conjunction with a building permit? YesPurpose of Building ° 0 (Check Appropriate Box) UtWtyhorization No. C Existing Service Amps /7)/ a5Va Volts Overhead,LF'�,/ Undgrd❑ No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd❑ No.of Meters I Location and Nature of Proposed Electrical Work: va Com letion o the ollowin table m be waived b the In ector o Wires. No.of Recessed Luminaires No.of Ceil.-Sus . o.o p (Paddle)Fans Transformers ota �t No.of Luminalre Outlets No.of Hot Tubs KVA `� Generators KVA A'.. No.of Luminaires Swimming Pool Ve n- o.o mergency g m rod. ❑ nd. 0 Batte Units g ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones µti No,of Switches No.of Gas Burners o.o etec on an i No.of Ranges Initiatin Devices Tons No.of Air Cond. ota No.of Alerting Devices eat ump um er ons o.o e onta ne No.of Waste Disposers Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ un c p No.of Dryers Connection ❑ Other �Y Heating Appliances KW ecu ty ystems: o.oWater No.of Devices or E uivalent Heaters ' °•° °•° Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons r g OTHER: No.of Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waive the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability in ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER I rertlfy,under the pa sand penal ,: o 0 (Specify:) I cRM NAME: f perf yty,that the In rn:atl,n on this application is true and complete. t,� L 60 ,4e77 Licensee: , j � ` ,�4 V L LIC.NO.:_. s�j(� Licenlicable,enter"xem. Signature i —=L- in the >c ns ,er line.) — LIC.NO.: Address: ,, 1.� -- Bus.TeL No *Per M.G.L.c. 147,s.57-61,security w��requires Department of Public Safety �� k�p " .!�' Alt.Tel.No.• OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage ormally required by law. By my signature below,I hereby waive this requirement. I am the(check one ■ owner ■ owner's a,ent. Owner/Agent Signature Telephone No. PERMIT FEE:$