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HomeMy WebLinkAboutBLDE-23-000750 Oi/ Commonwealth of Official Use Only Permit Na. BLDE-23-000750 fi_ - Massachusetts l 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:8/15/2022 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) 12 WINDING BROOK RD Owner or Tenant DONOVAN JOHN H Telephone No. Owner's Address DONOVAN MAUREEN P,221 PATRIOT DR, PELHAM, NH 03070 Is this permit in conjunction with a building permit? Yes 0 No 0 (C Sex) Purpose of Building Utility Authorization No • • t Existing Service 100 Amps Volts Overhead 0 Undgrd * New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade conditions at the exterior service. (Per attached) Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Geil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiatine Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerjine Devices 0 Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW LocalConnection Security Systems:* No.of Dryers Heating Appliances ' No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Andrew 0 Whitley LIC.NO.: 18301 Licensee: Andrew 0 Whitley Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. Address: 10 WILLIAMS ST,SALEM NH 030793453 *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 ❑s insurance c overa en ge normally required by law.But my s signature below,I hereby waive this requirement.I am the(check one) - Owner/Agent 'PERMIT FEE: $50.00 Signature Telephone No. 4 £ 9) e2122 ,Kc `'` Commonwealth of Massachusetts Official Use /O�nly 1i ' ' i Permit No 3 rU /5® _ ' Department of Fire Services ". Occupancy and Fee Checked y, �` 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: 8/8/2022 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)12 Winding Brook Road Owner or Tenant John Donovan Telephone No.617-594-0041 Owner's Address 12 Winding Brook Road South Yarmouth MA Is this permit in conjunction with a building permit?Yes No (heck Apgr priate Box) Purpose of Building Singlr Family Home Utility Authorization No. 10010013 Existing Service 100 Amps120/240 Volts Overhead ® Undgrd 0 No.of Meters 1 New Service 100 Amps 120 /240 Volts Overhead ❑X Undgrd ❑ No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:Remove damaged SE cable on line side of meter,install 11/4"PVC conduit from existing T fitting up to new weather head,install clips on new mast,install new#4 copper service feeders from weather head down into line side of exisitng meter socket and terminate Completion of the following table may be waived by the Inspector l of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA Generators KVA No.of Luminaire Outlets No.of Hot Tubs run"' in- No,of Luminaires Swimming Pool No.of Emergency Lightinggrad. ❑ grad. ❑ Battery,Units FIRE ALARMS INo.of Zones No.of Receptacle Outlets No.of Oil Burners No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Heat Pump I Number I ons No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Other No.of Dishwashers Space/Area Heating KW Local❑ ❑ � ,,* Municipal Security Systems:w No.of Dryers Heating Appliances KW No.of Devices or Equivalent no.of wafer Ism No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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:8/18/2022 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 Q BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. LIC.NO.: 18301 A FIRM NAME:Andrew Whitlev Signature 4 ;" — LIC.NO.:50418E Licensee:Andrew Whitlev r� / Bus.Tel.No.:617-828-1201 (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:617-828-1201 Address:_ « » *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety S License: Lic.No. lly OWNER'S INSURANCE WAIVEB�I am aware aive thhat is rcensee equirements Iot have am the the one)insurance❑owner ❑owner's�agent. required by law. By my signature b I pERMIT FEE:$50 Owner/Agent Telephone No. Signature Commonwealth of Official Use Only L_' `t Massachusetts Permit No. BLDE-23-000750 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:8/15/2022 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) 12 WINDING BROOK RD Owner or Tenant DONOVAN JOHN H Owner's Address DONOVAN MAUREEN P, 221 PATRIOT DR, PELHAM, NH 03070` Telephone No. l� y`^ 6 Is this permit in conjunction with a building permit? Yes 0 No 0 I 'r 1•_ Purpose of Building (Chet ��r Existing Service 100 Amps Volts Utility Authorization N UA f3 yy New Service Overhead 0 Undgrd . 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade conditions at the exterior service. (Per attached) 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 •N .of Luminaire Outlets ,Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting gzrnd. 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 Initiative Devices No.of Ranges No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number I Tons KW No.of Self-Contained Totals: l Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Ballasts Data Wiring: S{ens 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: (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 ❑ I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Andrew 0 Whitley Licensee: Andrew 0 Whitley Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 18301 Address: 10 WILLIAMS ST, SALEM NH 030793453 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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