The URL can be used to link to this page

Home My WebLink AboutBLDE-22-006562 Commonwealth of Official Use Only ii. , Massachusetts Permit No. BLDE-22-006562 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:5/16/2022 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) 121 CAMP ST UNIT 85 Owner or Tenant MULCUNRY RICHARD F JR Telephone No. Owner's Address MULCUNRY SUSAN A, 12 BOXWOOD RD, FARMINGTON, CT 06032 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: Install generator 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 1 KVA 18 No.of Luminaires Swimming Pool Above 0 In- ElNo.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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 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: DYLAN W ARSENAULT Licensee: Dylan W Arsenault Signature LIC.NO.: 53495 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2900 CRANBERRY HWY,LOT 25,EAST WAREHAM MA 025381321 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: $75.00 iTk/ ‘LSP-1(7127/re Commonwealth of 1riaaaacn e `r Ned Official Use Only «- �� 1' 2 epartment o/.}ire Serviced /Permit No �Z� Id C/ Occupancy and Fee Checked < BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) g APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: p$f\i 1 Zsl 7 , p City or Town of: '�oj i , To the Inspector of Wires: 2 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. rC) Location(Street&Number) I L 1 (7,a M f S A-rge j- 010 li 4 9S Owner or Tenant R:au,I) M n J1 Cu �l Telephone No. • Owner's Address g c NE. is this permit in conjunction with a building permit? Yes — No [4 (Check Appropriate Box) Purpose of Building CI nol T ipn', �,,,,Q�, Utility Authorization No. Existing Service too Amps 110 /2110I Volts Overhead Undgrd_ No.of Meters I New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity —gi Location and Nature of Proposed Electrical Work: u + .r/a k G - rd4 f leA(r,.,r la100 A - LutviK,i vtt 5' o- - {-renck;,.t� 1, <0. 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 Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number J Tons [KW No.of Self-Contained Totals: i Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local L. Municipal Connection � °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts 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: a, Sad (When required by municipal policy.) Work to Start: UVcIJ.f cz-L 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: D'fqn 4( S P na cl i j P:3 e. N+'Ga 1 LIC.NO.: Licensee: a/Mn itiMenw u I t Signatur 4,41..14-Roamick LIC.NO.•531195-9 (If applicable, enter "exempt"in the license number line.) Address: /06�/11�},SST (,f fa(�7a1+7I/1��} D�5 7�j Bus.Tel.No.:5:4 89-8 jq *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety Alt.Tel.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:$