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BLDE-22-002852 ;„`' Commonwealth of Oiiifficial Use Only titli Massachusetts Permit No. BLDE-22-002852 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:11/17/2021 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 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Add receptacle to kitchen, add sub panel, recessed lights, &connect dishwasher. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 1 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ 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 Euuivalent 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: 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: $75.00 ( -1.ft-- It( ( OA Y6 GO) 41evgttg0 P,voeins tPI ( ( 2Kg . + _ E C E 1 D i i NOV 16 2021 aa!! y� t \ Y Commonwealth.o/ti/addac�iudsitd Official Use Only BIPLDi ` yr i:. T (��_ u"'K 1lrt, � c� cc77 Seri/Ulm ' a ",' Occupancy and Fee Checked .. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK `j All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATRW) Date: fJ /( a/ City or Town of: YARMOUTH To the Inspec r of Tres: ti By this application the undersigned gives notice of his or her intention to perform the electrical ork described below. Location(Street&Number) 7(o 5du ikt trAenv Didi .5-'A./77 ii4 ,., dJ T7-v Owner or Tenant T G Tele hone No. 77V,9��-.-7*ac, Owner's Address / ht� I L/ f e?i /t W �t Is this permit in conjunction with a buildin ermit? Yes " g P ❑ No (C eck Appropriate Box) E Purpose of Building Utility Authorization No. j ' Amps A�/�Q Volts Overhead E�Undgrd❑ No.of Meters New Service Amps Number of Feeders and Am / Volts Overhead❑ Undgrd ❑ No.of Meters pacity _I Existing Service,U9 tLocation and Nature of Proposed Electrical Work: • ,.Y j, 1 V \ri, A11 AJ 5',S Lcl.�l.2.s� �I n if ex./ I Completion of thefollo nkrtable may be waived by the Inspector of Wires. G!,: No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total o Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting uncle and. Battery Units E;' 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. Tons 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❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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 insurance including"completyd operation"coverage or its substantial equivalent. The undersigned certifies that such covers force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND 0 OTHER 0 (Specify:) Di. 4.1.( -7 6'it-i-ei( /�ar I certify,under the ains and ena/ties of perjury,tat the information on this applicatfe�r is true and complete./ FIRM NAME:Jra v 6 e y� 1 r C LIC.NO.: .?,3 Licensee: / .�; ij f• A es- Signature LIC.NO.: J77 f' 6 (if applicable,en r" empt"in the icensr number line. Bus.Tel.No.• 77y '-'0 ar:tr40 Address: /S itAi ?/� iv S I`-Y1 �Q *Per M.G. c. 147,s 57-61,security work requires Department of Public Safety"S"License: Alt.Lic.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 agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 7.•— I