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Home My WebLink AboutBLDE-22-000339 ��.- � Commonwealth of Official Use Only f�;,�rR'�', \ ' Massachusetts Permit No. BLDE-22-000339 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:7/20/2021 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 describe below. Location(Street&Number) 57 GENERAL LAWRENCE RD ISl API `--i-j Owner or Tenant Flitl=b9alitil Telephone No. . Owner's Address 61aRIGL 57 GENERAL LAWRENCE RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Ap pria e Box) Purpose of Building Utility Authorization No. C i e/0 9 n 6 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters 73y�-yl/ Number of Feeders and Ampacity D _ _l Location and Nature of Proposed Electrical Work: Garage addition&grounding. a)I Completion of the foil , • •. ne r of Wires. No.of Recessed Luminaires No.o Total No.of Ceil.-Susp.(Paddle)Fans Transform O No.of Luminaire Outlets No.of Hot Tubs Generators ir) OP No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lig 'at!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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 Signs No.of Devices or Euuivalent 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:) q8-361e-4('69 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Matthew P Dennen Licensee: Matthew P Dennen Signature LIC.NO.: 21609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 88, BUZZARDS BAY MA 025320088 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 E:$50.00 I a, A,AAothveem 2/}2/34 M 14 Comnonwea!#o`Made/awaits /Offi._-cial Use Only r{ 1a '� � c7 Permit No. L ✓ Q3J as - 2)spartmenl o`}ire—cervices i' ' '+ Occupancy and Fee Checked 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),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1- Kt-Z.d02 k City or Town of: 5oti, Yesrt ..nas}1n To the Inspector of Wires: LJ By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 31 aQrtara\ .t..)ce ncQ t.01. So,i4I StfOrtvlot1441 Owner or Tenant 1,"1 .; 'BIN A-fV P.t`b eLtlielephone No. J Owner's Address ,' Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building :den0•:n1 Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (sail rake), i 4,:)"i / C-i co veld ine Cu4tr' t. kCompletion of due.joilewin&table may be waived by the Ingsector of Wires. No.of Total No.of Recessed Luminaires No.of GR.-Sly.(Paddle)Fans Transformers KVA cZt No.of Luminaire Outlets No.of Hot Tubs Generators KVA No. LuminairesP� A In- Na of Emergency Lglat►ng Swimming ,erns. ❑ grad. ❑ Battery Unit: No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones °- No.of S No.of Gas Burners No.Iof nitialing IV No.of Ranges No.of Air Card. T otal No.of Alerting Devices No.of Waste Disposers Totals: Tons - 'No.of Self-Contained Totals: Detectiora/Aler!i!mpevices No.of Dishwashers Space/Area Heating KW Local 0 0 Other DryersHeating Appliances KW :* No.ofNo.yof Devices or Equivalent No.of Water KW No.of No.of Data wirinv Heaters Signs &Masts No.of Devic er e' ail + t .o No.Hydromassage Bathtubs No.of Motors Total HP TeI N , ofDor f , , - t OTHER: Attach a thtional detail If desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 300,0 n (When required by municipal policy.) Work to Start •1-20-ZoL( 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 cov s in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Iler BOND ❑ OTHER 0 (Specify:) I cep*,a under the pains and penaltks of perjary,that the Infirmatlon on this true and complete. FIRM NAME: C.OtrltrC.i4 E'(o C{-r�d:ak S oku 4-:014 S LIC.NO.: '�1 b 11 tw C 9 Licensee: RO-WAS►A) terinerl Signature __._.__ LK:NO.: Of aPPlicablerrierin the license mnnber line.) Address: .��I ,p �� Bus.TeL No.;Verb•S�g•61 A. Y. Alt.Tel.No.. 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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)0 owner 0 owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$