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Home My WebLink AboutBLDE-22-004994 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004994 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:3/9/2022 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) 40 CHANDLER GRAY RD Owner or Tenant Elaine Aquilino Telephone No. Owner's Address 40 CHANDLER GRAY RD,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 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: Replacement panel in basement. 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 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 Siens No.of Devices or Eauivalent 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: Jonathan R Hall Licensee: Jonathan R Hall Signature LIC.NO.: 11925 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:263 CAMMETT RD, MARSTONS MILLS MA 02648 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 bq- (Itilt) LL �R ()8 2022 \. V ',, v NA 1 NMENT 4 '' v - _ d•nunotuveak o`r//addaduddetid Official Use Only e oi gips Serviced Permit No. r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07]\1/4„. (leave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC,527 CMR 12.00 rPLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: Date: — a 1Z py this application the undersigned givYARMhOUHis or her ention to To the Inspector of Wires: ation(Street&Number) 0perform the electrical work described below. Owner or Tenant ci I ar y 0 Owner's Address Telephone No. 7d l 212 12Aef Is this permit In conjunction th a building permit? yes ❑ No l purpose of Building u (Check Appropriate Box) Utility Authorization No. !listing Service Amps / Volts Overhead ❑ New ServiceServiceUndgrd❑ No.of Meters Amps / Volts Overhead 0 Undgrd Und — Number of Feeders and Ampadty g ❑ No.of Meters Location and ature of Proposed lectrical Work: e 1. Com letlon o the ollowln table m be waived b the/ No.of Recessed Luminaires for o Wires. ,t Na of Cell-Seep.(Paddle)Fans o.° ota No,of Luminahe push isTransformers KVA Na of Hot Tubs Generators KVA cx A' hio.of Luminaires Swimming Pool d e ❑ n- o.o mergency ng No.of Receptacle Outlets � ❑ Beek", Units 1: No.of Oil Barnes FIRE ALARMS No.of Zones No.of Switches No.of Gas.Burners No.o ec lit t 2 i Pea of Ranges Initlatie Devices No.of Air Coed. ° Tons No.of Alerting Devices No.of Waste Disposers 'eaTota y um,~er oos .� !. _ 'o.o on n , — Detection/Alert's Devices Na of Dishwashers Space/Area Heating KW Local 0 'un�a Na of Dryers Heating Appliances Cyyaottneenection 0 r o.o Heaters KW o.o o.o KW No. f Devices or E musters S s Ballasts Data Wiring: De Bathtubs of Devices or uivalent No.of Motors Total HP a ecommun na � g OTHER:N Hydromaesage Bathte Na of Devices or uivalent Attach additional detail tf desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: y o& (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV RAGE: 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 covFage is in force,and has exhibited proof of same to the CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) permit issuing office. I certify,under the pains and penalties o FIRM NAME: f pedury.that the information on this application is true and complete. Licensee:— ' Signature LIC.NO.: (lfapplicoble,enter esempt"in th !ic a number line.) LIC.NO.: I Icj, Address: Bus.TeL No.: •P�M.G.L.c. 147,s.57-61,security work requires DepartmentAlt.TeL No.: OWNER'S INSURANCE WAIVER: I am aware that h nsee does ve the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one • owner III owner's a:ent. SOwg nernar//A ent Telephone No. PERMIT FEE 5