The URL can be used to link to this page

Home My WebLink AboutBLDE-22-002082 Commonwealth of Official Use Only E V, • Massachusetts Permit No. BLDE-22-002082 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:10/12/2021 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) 49 WHITES PATH Owner or Tenant MAHONEY JOHN T III TR Telephone No. Owner's Address WOODBINE GROUP RLTY TRUST, 100 PEARL STREET, BRIDGEWATER, MA 02324 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 for sign. 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 Initiating 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 0 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 Signs 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: William L Wolaszek Licensee: William L Wolaszek Signature LIC.NO.: 28768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:96 CAPTAIN LOTHROP RD, S YARMOUTH MA 026642818 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: $100.00 g ;CEIVED [OCT12 2011, /� AA`` �j� Commonwsa&of Mamachudsiia Official Use Only BUILDING DE ,I - C/ �s a.it. /c� Permit No. EliZ—�0 ay. ni of.}int trvicsd t Occupancy and Fee Checked '1,,, 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 Code(MEC), 27 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0 /of /`a.j City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives noticeof Iqs or her intention to Location(Street&Number) L/' W ih 3 ° the electrical work described below. --pc Owner or Tenant "—C. i' V i e' .A-' :11 ci; VS Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes SI No ❑ (Check Appropriate Purpose of Building Box) Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: ° Completion of thefollowing table may be waived by the Inspector of Wires. el No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total :t No.of Lumiaaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting'2 No.of Receptacle Outlets end' �°d• ❑ Battery Units No.of Oil Burners FIRE ALARMS lNo.of Zones No.of Switches No.of Gas Burners No.of Detection and I;,r No.of RangesInitiating Devices No.of Air Cond. Total No.of Alerting Devices Heat PumpTons Na of Waste Disposers Number Tons I KW No.of Self-Contained Totals: '" ." 1 „Detection/Alerting Devices No.of Dishwashers Space/Area Heating ICW �0 Municipal No.of Dryers 1 Connection 0 tY Heating Appliances KW Security Systems: No.of Water KW No. No.of Devices or Equivalent of Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent Na Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: �f G I (When required by municipal policy.) Work to Start: /V 1�1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liabilitypermit for the performance of electrical work may issue unless undersigned certifies that such coverage s in force,and has exhibitedproof of same to thecompleted operation" e or its substantiala equivalent. The CHECK ONE: INSURANCEpermit issuing office. 0 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties perjury,that the Information on this application is true and complete FIRM NAME: Lit 1)`c t,,,, V)p ICJ Z42 k / Licensee: IA.Ilk 1%., \�� LIC.NO.:�� VJt�I�5 20�' Signature LIC.NO.: (Ifapplicable,enter" pt"in the license number line.) Address: 01 C '��' r 6 Bus.Tel No.:_ a 6 ct rg *Per M.G.L.c. 147 s.5 -61 security ork requires Department of Public Safety"S"License: Alt.Lic.No. TeL �� 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 owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 4