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Home My WebLink AboutBLDE-22-005263 Commonwealth of Official Use Only ., il%0 Massachusetts Permit No. BLDE-22-005263 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:3/21/2022 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) 15 SWAN LAKE RD Owner or Tenant MURPHY BARBARA J TR Telephone No. Owner's Address THE BARBARA J MURPHY REV TRUST, 15 SWAN LAKE 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 100 Amps 240 Volts Overhead ❑ Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New 100 A Riser and Meter Main Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ Ian,.-nd. ❑ No.of Emergency Lighting grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal El Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: NATHAN A ASHE LIC.NO. 21136 Licensee: Nathan A Ashe Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 166 Hunt Rd, Chelmsford MA 018243747 *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 i Signature Telephone No. I PERMIT FEE:$50.00 0 (5.cof qvve ___ Commonwealth o/f amacLettd Official Use Only - � t Permit No. �— vi 2£3�c _, 3epartment o/.ire Service *FA.'L_ BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 �� )Occupancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MFC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /3 11 I i -- City or Town of: tivviot)-kr‘ To the Inspector of Wires: By this application the undersignees notice of hi or her'ntention to perform the electrical work described below. Location(Street&Number) 15 SI.XU 4 Kai•S Owner or Tenant (be Y& K U1( Telephone No.5) •34S•4' E' Owner's Address 1 CAS t XI Vet Is this permit in conjunction with a building permit? Yes`❑ No ,� (Check Appropriate Box) Purpose of Building �� 11r Utility Authorization No. Existing Service1,I.9O Amps l / Volts Overhead grd 1-1 No.of Meters ' U New Service 1 Ut v Amps I!�/a 40 Volts Overhead Undgrd ❑ No.of Meters X Number of Feeders and Ampacity ILocation and Nature of Proposed Electrical Work: 1.ex.k.) \,00A- r I Svc G+,�c.t me_.-. -m0.,in. Completion of the followin&table may be waived by the Inspector of Wires. Noay No.of Recessed Luminaires No.of Ceil.-Susp. Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El No.of Emergency Lighting grnd. grnd. Battery Units 6 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 Lii Tot 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: 4� No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Valu of rical Work: tA l . o (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"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under t p 'ns and pen hies of perju t.that the infor ation o this applicafion is true and complet. O FIRM NAME: 101(0V1 IA 4- 1 t1bV1 VGS. LIC.NO.: 1 Licensee: Signature LIC.NO.: (If applicable enter "e empt"i the�lic�license nurzber l' e,,,L.. / �y��7 p/^ Bus.Tel.No.: 2'��-35ty Address: U95• rwi s _S/ond/sn Ricci, ,ourl i��n t Ma • O I /p() Alt.Tel.No.: *Per M.G.L. c. 147, 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 Signature Telephone No. PERMIT FEE: $