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Home My WebLink AboutBLDE-22-006284 '0. Commonwealth of Official Use Only rL�,R','�\ ' Massachusetts Permit No. BLDE-22-006284 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:5/2/2022 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) 57 PHEASANT COVE CIR Owner or Tenant LYNN GARY D Telephone No. Owner's Address LYNN SUSAN T,22 ROOSEVELT ST, GLEN HEAD, NY 11545 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: Wiring for sunroom Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grnd.Above ❑ ❑ No.of Emergency Lighting rnd. Battery Units No.of Receptacle Outlets 4 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 Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 ofperjury,that the information on this application is true and complete. FIRM NAME: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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 ace,vt- 43 t-z7,- e- -J. r,„„),,,, 47..„,/,S� .-- ammonwealti el yy� ///amac ,.lfe Official Use Only apartment e tins S Permit No. 2Z—(oZ g 4 BOARD OF FIRE PREVENTION REGULATIONS 1.05+ [Rev c ' 1/07] and Fee Checked (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: m a &, 1Z City or Town of: \'a il'�U I r�-h To the Insp/tor of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 57 .--ph f,(r5 A n r Coi; Owner or Tenant k L �' Telephone No. Owner's Address 2.' . (rI n W y! Is this permit in conjunction with a build' Yes 123 No �] f Buhfdiag �`)n t-AM t ( (Check Appropriate Box) Purpose o Y I, t 1 Utility Authorization No. Existing Service '-j Amps /20 /2 q0 Volts Overhead❑ Und grd El. 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: i'r i OA} �c�/1Tt ool�. Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Spsp.(Paddle)Fans No.of Total � Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grad.Above ❑ In-j ❑ Nis. Lighting tery Units No.of Receptacle Outlets 11 Na of 07 Burners FIRE ALARMS 'Na of Zones No.of Switches No.of Gas Burners Na of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heath Number j('`� l o.of Self-Contained Alerting Devi No.of Dishwashers Space/Area Heating KW Local❑C iciP# 0 Other No.of Dryers Heating Appliances KW 4 Security Systems:* No.of Water Na of No.of D or Equivalent Heaters KW No. ila�sts Data Wiring: No.of Devices or Equiyalent No.Hydromassage Bathtubs No.of MotorsTelecomm unications OTHER: TotalHP No.of Equivalent ate' Attach additional detail if desired,or as required by the Ins Estimated Value Electrical Work: 1 7 (When required of Work to Startby municipal policy.) 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 CHECK ONE: INSURANCE proof of same to the permit issuing office. BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this FIRM NAME: application is true and complete. Licensees i LIC.NO.: (Ifapplicabl ter' t"in t` • number I' Signature LIC.NO.• Address: Bus.Tel.No: , *Per M.G.L.c. 147,s.57-61,security work requ' oic Saety Ale.Tel.No: OWNER'S INSURANCE WAIVER: I am aware Licensee does not have the Li ab l eni a Lin.No. required by law. By my signature below,I hereby waive this requirement insurance coverage normally signature No. �cement I am the(check one owner owner's a ent Telephone No. PERMIT FEE:$