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