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Home My WebLink AboutBLDE-22-006693 r 1'3 Commonwealth of Official Use Only ram' � Massachusetts Permit No. BLDE-22-006693 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:5/19/2022 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) 76 SOUTH SHORE DR Owner or Tenant JOYCE MARTIN J TRS Telephone No. Owner's Address JOYCE ELIZABETH TRS, 135 ACADEMY AVE,WEYMOUTH, MA 02188-4203 Is this permit in conjunction with a building permit? Yes ❑ 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: Water heater&mini split system. 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 rnd. 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. 1 Tot l 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 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 Eauivalent 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: MICHAEL YOUNG . Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 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 £ tSc 1-2726,- RECEIVED L ''''' MAY 18 202� y�j / l o as o f//Iaeeachudatte Official Use Onl u~ __ cc�� nn zZln µ,•;:.:rr;LDINC� DEPART Fi• fount o .}i.�aJiwase - �� — — Occupancy and Fee Checked .',,_,,,t� :• ' ' • • ' 'REVENTION REGULATIONS [Rev. 1/07] O (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �� City or Town of: YARMOUTH To the Inspect r of Tres: By this application the undersigned gives notice of his or her in ention to erform the electrical work described below. Location(Street&Number) 7 S-d„JGi S Aei j/E NOwner or Tenant /21 7;5 �r� Telephone No. r7-9V --�99 174 Owner's Address 74 c. T4 S12®ice g/ ilif ` Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) 1Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ dgrd ❑ No.of Meters New Service 6,2° Amps 72.'" /..iVG Volts Overhead Undgrd❑ No.of Meters / Number of Feeders and Ampacity �`— Location and Nature of Proposed Electrical Work: f�.�/R0 Iu ,�l1 a4 AI,Iv, 5,4 I-- ,� ',iv r Completion of thefollowing fable m In be waived by the ector of Wires. tit No.of Recessed Luminaires No.of Cell.-Sas No.of Total n,! p.(Paddle)Fans Transformers KVA _ '=t No.of Luminaire Outlets No.of Hot Tubs Generators KVA r '` 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 INo.of Zones No.of Switches No.of Gas Burners No.of Detection and 11 No.of Ran es Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers HeatTump i Number[Tons 1KW No.ofSerf-Contained Totals:I "" Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts 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: 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 i• urance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE /R BOND 0 OTHER 0 (Specify:) I certify,under the a s and enaltiufperfury�that the i�n rmatlon on this application is true and complete. FIRM NAME: u>J rs C j"ZCG LO L LIC.NO.: ,1 fy of Licensee: ",/e fi-t-z_ ]/dv�.� - Signature % .,.,. 2 / LIC.NO.: 7 99'I (Ifapplicable,enter"exemp "in he i ense nu ber line.) Address: O�P �4 i�r Z /ALt2 �s Bus.Tel.No. 7 — $c -d t/U[o *Per M.G.L.c. 147,s.57'-6�,security work requires Department of Public Safety"S"License: Alt.LiTe.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)[]owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I