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Home My WebLink AboutBLDE-21-006027 Commonwealth of fior Official Use Only Massachusetts Permit No. BLDE-21-006027 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:4/20/2021 City or Town of: YARMOUTH To the Inspec r of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described e qs-(/f E2) Location(Street&Number) 50 WILFIN RD Owner or Tenant Sandra Costa 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: Wiring for new bath&laundry area. New bath fan in existing. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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- I: No.of Emergency Lighting g gird. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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 ❑ Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LIC.NO.: 18182 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 WAQUOIT RD, COTUIT MA 026353517 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$100.00 1241_0 q-,14 1/4t( Ju (�onunonuieaft{z o *__ f///aadaclf.� Official Use Only '-1,0 .-L7 1 I _ ' Permit No. �-Q cc77 �_ y eParlmenl o�.jire Serviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '^y��tr [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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:4/19/2021 City or Town of: YARMOUTH To the ires: By this application the undersigned gives notice of his or her intention to perform the electrical work ctor ofdes described below. Location(Street&Number)50 WILFIN RD Owner or Tenant SANDRA COSTA Owner's Address SAME Telephone No. Is this permit in conjunction with a building permit? Yes riallo Purpose of Building RESIDENTIAL ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity 0 Undgrd❑ No.of Meters Location and Nature of Proposed Electrical Work: BATH-LAUNDRY AREA-NEW BATH FAN EXISTING BATH Completion of the followin• table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 No.of Ceil.-Susp. No.of Total Tr(Paddle)Fans Noasformers No.of Luminaire Outlets KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- `o.o mergency ig 1 ng No.of Receptacle Outlets 1 - Batte Units. rnd. !rnd. P 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.o Detection and No.of Ranges Initiatin Devices No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self- ontained No.of Waste Disposers Totals: Detection/Alertin.Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of DryersConnection ❑ r iY 1 HeatingAppliances KW ecurity Systems: PP . No.of Devices or E 1 uivalent No.of Water No.oo.o Heaters ' Si 1 ns BallastsData Wiring: No.Hydromassage Bathtubs No.of Devices or E 1 uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E i uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4500 Work to Start:4/19/2021 (When required by municipal policy.) 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 2 BOND ❑ OTHER I certify,under the pains andpenalties o ❑ (Specify:) fperjury,that the information on this application is true and complete FIRM NAME:TOM SULLIVAN ELECTRIC Licensee: THOMAS SULLIVAN LIC.NO.:A18182 (If applicable,enter "exempt"in the license number line.) Signature THOMAS SULLIVAN LIC.NO.:E31011 Address: 71 WAQUOIT RD COTUIT MA Bus.Tel.No.:508/477/3300 Alt. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: L cl. s08/zao�ssls 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 a:ent. Owner/Agent Signature Telephone No. PERMIT FEE: $