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Home My WebLink AboutBLDE-22-005773 Commonwealth of Official Use Only enNI Massachusetts Permit No- BLDE-22-005773 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:4/11/2022 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) 47 NAUSET RD Owner or Tenant WARREN RIYA G Telephone No. Owner's Address C/' 7 s : f74 LOWELL ST, DUNSTABLE, MA 01827 Is this permit in conjunc . " a bui dmg fdrmit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd ElNo.of Meters _�_ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service change 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 TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting '�j grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones P No.of Switches No.of Gas Burners No.of Detection and Initiating Devicesrin No.of Ranges No.of Air Cond. Tons Tota No.of Alerting Devices 0 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Enuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs . No.of Devices or Enuivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: NA y g No.of Devices or Eauivalent V 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: PATRICK WEEKS Licensee: PATRICK WEEKS Signature LIC.NO.: 54055 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 BRADFORD ST, PLYMOUTH MA 02360 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 1 tolq(vvrg ommonevealth a+mac, nusett.4 Official Use Only o c� Permit No. - ' .Department oif 3ire�ervicei 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: (j 9 f 0 -1 '2.0 u- City or Town of: a(',�nOt To the Inspector of ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4('( NlAVSe-1— -eciaCl Owner or Tenant f �,L '{� ,q Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No (Check Appropriate Box) Purpose of Building S't r‘,5 I e , l Utility Authorization No. Existing Service j u O Amps 'MO/ (a..61 Volts Overhead l Undgrd n No.of Meters 1 New Service ( 6 b Amps Z-'-{0/ ( ?'O Volts Overhead 2 Undgrd n No.of Meters 1 Number of Feeders and Ampacity 3/ /)0 a. Location and Nature of Proposed Electrical Work: �trek 2(`c,)t 0,0/>4 542 Cv i ct dv►'e A-0 \o ss 0.c. \i o Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL TransformersTot KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. LBattery 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 AlertingDevices Tons 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❑ Maniiecti ❑ Other onnection No.of Dryers Heating Appliances KW 'Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total P Telecommunications Wiring: HP No.of Devices or Equivalent OTHER: ,r1e Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3)G u d (When required by municipal policy.) Work to Start:( Li(02 12021- 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 12 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Patrick Weeks Signature / LIC.NO.:54055 B (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: 508-967-5918(c) Address: 16 Eel River Circle,Plymouth,MA 02360 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)❑owner ❑owner's agent. Owner/Agent 1 _ �_ ___ erg