The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004976 Commonwealth of official Use Only Massachusetts Permit No. BLDE-22-004976 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:3/8/2022 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) 99 BERRY AVE Owner or Tenant James Fochler Telephone No. Owner's Address 99 BERRY AVE,WEST YARMOUTH, MA 02673 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 ❑ 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: Finish work for expired permit taken by others. 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 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors 1 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 perjuty,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: $50.00 I f'v w r RECEIVED \.1, '.. . 0 8 2022 e kh omawnwta � rr/adeadiwelfe OtFal Use Only cc77 � ��,;' u E PA R T M ENT �tparfm.nt o f.tint�irvtcse Permit No. �7 .r; ; - '_ a' "RE PREVENTION REGULATIONS Occupancy and Fee Checked . [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 R 12.00 {PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 a City or Town of: YARMOUTH To the Imp ctor f Wires; By this application the undersigned gives notice of his or her intention to orm the electrical work described below. [.ocation(Street&Number) / n — %-'er Owner or Tenant `//oyyu S' / '7 OL �� Telephone No. t/ �� y�� wner's Address < Is this permit in conjunction with a buildIn permit? Yes No purpose of Building_ �t",-.s�j G✓�z ❑ (Check Appropriate Box) Utility Authorization No. Existing Service /d)J Amps a / y'Volta OverheadC pnd rd ' g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Uadgrd 0 No.of Meters Number of Feeders and Ampadty Vocation and Nature of Proposed Electrical Work: W Com letion o the allow table m be waived b the In for o Wires. ev tio.of Recessed Laminaires No.of Cell-Soap,(Paddle)Fans Transformers °� r Z No.of Luminaire Outlets C1's KVA No.of Hot Tubs Generators KVA - No.of Luminaires Swimming Pool d ee 0 n- Betteo. Units cyLighting ti' o.of Receptacle Outlets d. ❑ ate Units -t. No.of OH Burners FIRE ALARMS No.of Zones ;�- INo.ot3witchea No.of Gaa.Burners 0.o ec on an i 1 r No.of Ranges Total In due Devices No.of Mr Cond. No.of Alerting ' Tons Devices No.of waste eat 'em 'um el: ons on't n. Deposers Totals: .._...,__. _._'...:.'_ 'o.o > o.of Dishwashers ------ DetectioNAlertin Devices Space/Area Heating KW Local❑ 'an )�o.of D era Connection 0 �+' ay Beating Appliances KW u yatema: °'° a r o.o No.of Devices or E uivalent Heaters KW o.o Data Wiring: S ns Ballasts No.ofDevices or uivalent No.Hydromassage Bathtubs No.of Motors Total HP a canal" ua r gg OTHER; No.of Devices or E nivident Estimated Value of Electrical Work: Attach additional detail If desired,or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived b owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I ct#rtljy,under the ns and Ilex o ��•) of the information on this application is true and complete. FIRM NAME: va,v� Tx;En;.o'L- Gfl.+i L,iv� Licensee: ,A LIC.NO.: as 3iL/ al ��r' Signature C (ljapplicable,enter"ex in the I her line. IC.NO.: 4 7 9 �� Address: �f l�,Q��J � �i j,��s� /3r Si to Bus.TeL No.: 22�/—99�/;?yac, *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety S"License: Alt.Tel.No.: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance overage 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. p PERMIT FEE:S