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Home My WebLink AboutBLDE-21-005712 \ ''' Commonwealth of Official Use Only nk. Massachusetts Permit No. BLDE-21-005712 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:4/5/2021 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) 98 HEMEON DR Owner or Tenant PATRIE KRISTEN M Owner's Address 42 8TH ST APT#5111, CHARLESTOWN, MA 02129 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate per' Purpose of Building Utility Authorization No. 4707755 t"_ n�q/ Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ Cw" New Service g No.of Meters 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Siens Ballasts No.of Devics or Equivalent No.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: (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, f perjury, J,under the pains and penalties o erry,u that the information on this application is true and complete. FIRM NAME: Joseph L Moniz Licensee: Joseph L Moniz (If applicable,enter"exempt"in the license number line.) Signature Tel. NO.: 14635 Address:33 FRANKLIN ST,SOMERVILLE MA 021453236 Bus.Tel.No.: 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 signature below,I hereby waive this requirement.I am the(check one Owner/Agent ) 0 owner CI owner's agent. Signature Telephone No. PERMIT FEE: $75.00 14 l.onunonwsalth r '' ol igaddacnu gs Official Use Only 'r Permit No, -2�, "97 ( 7��parfnwnl o/ yire&mica, _ - BOARD OF FIRE PREVENTION REGULATIONS Occupancy. 1/0 ] 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),527 CMR 12.00 ,l z ' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' 2 - -/ City or Town of: ->?;/YiOin/4 To the Inspector of Wires: -?- By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1.1 Location(Street&Number) CA2 "hazy&n,,) D.21UL: Owner or Tenant l< R iS/tom /0 /47(ete, Telephone No. N Owner's Address qQ /-J4 O fi UIs this permit in conjunction with a building permit? yes Purpose of Building t-tUr i ❑ No El (Check Appropriate Box) Utility Authorization No. '/70"7 7 S Existing Service j p 0 Amps /20 / 24'1) Volts Overhead Ea Undgrd❑ No.of Meters j 4e5.3 New Service 200 Amps /20 /40 Volts Overhead Q Undgrd❑ No.of Meters Number of Feeders and Ampacity --) , Location and Nature of Proposed Electrical Work: vAl k'Acte j, <717/C/-t/ ,S i.4Cp fl) „20,7 ,t,I ? eu,v Pv[ Pi Re (.,n deft 6i7auv►e( r-n d v' POI( -7) M ei e f SO((co T VI Completion of the followinvable may be waived by the Inspector of Wires. 4 No.of Recessed Luminaires No.of Cell.-Sus . No.ofTotal p (Paddle)Fans Transformers KVA -=�t No.of Luminaire Outlets No.of Hot Tubs ra Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or Emergency Lighting grnd. grad. Battery Units F No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS f No.of Zones YX No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices '` No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers 'Heat PumpI Number I Tons {KW 'No.of Self-Contained 1 Totals: Detection/Alertink )evices No.of Dishwashers Space/Area Heating KW Local❑ Municip'd Connection ❑ wirr No.of Dryers Heating Appliances KW Security Systems:* No.of Water , No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.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: Work to Start: (When required by municipal policy.) .r- -. _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 Gabili _ permit for the performance of electrical work may issue unless undersigned certifies that such coverage is in force,ce andhas luding �exhbitedleted of same to thetion" e or its substantial equivalent. The CHECK ONE: INSURANCEproofpermit issuing office. BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofper)ury,that the information on this application is true and complete. FIRM NAME: L Licensee: epN /yj 0✓/i 7LIC.NO.: /g T (If applicable,enter exempt in the license n tuber line) SignatureTI ' LIC.NO.: Address: /y - _ Bus.Tel.No. *Per M.G.I. 147,s 5 t-a1,security work requires ty„ „License: Lic.No. Ait.Tel.No.:��- . OWNER'S INSURANCE WAIVER: 1 am aware that Department Licensee does not haves he liability insurance coverage n required by law. By my signature below,I hereby waive this requirement. I am the(check one III owner III ornta:e Owner/Agent Signature owner's a:eat. Telephone No. PERMIT FEE:$