The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004886 .Atelor Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004886 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:3/4/2022 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) 25 TAM-O-SHANTER WAY Owner or Tenant TABB FIELDING S Telephone No. Owner's Address TABB JUDITH F, 25 TAM-O-SHANTER WAY, SOUTH YARMOUTH, MA 02664 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: Receptacle for fire place blower. 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 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 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 of perjury,that the information on this application is true and complete. FIRM NAME: John M Pimental Licensee: John M Pimental Signature LIC.NO.: 27968 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1158 E FALMOUTH HWY, EAST FALMOUTH MA 025365455 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 MAR 12 E2 n BUILDING 2 pj T Commonwealth'7 �/aeer (� Official Use Only B y ___ '' eparfnsn,t 0/gi —S Permit No. Z/2 Z f�j (j 1 gip.—Simile's — \/` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/07] leave blank 1 APPLICAll ATIION FOR PERMIT TO PERFORM ELECTRICAL W ORK performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMOUTH Date: 3 Z-2 sz- --- To the Inspector of Wires: By this application the undersigned es notice of his or her intention to Location(Street&Number) rW,14-1,y,12- perform the electrical work described below. Owner or Tenant 2 S c w�—0 5 G� (�vner's Address W Telephone No. 3 �.z.,Z.- 3�S Is this permit In conjunction with a building �permit. Yes 0 No 0 (Check Appropriate ppropriate Box)of Building ��( , Utility Authorization No.scis ng Se vice Amps / Volts Overhead 0 Und rd New _ Amps / g ❑ No.of Meters ____ Number of Feeders and Ampadly Volts Overhead❑ Undgrd El o.of Meters _ ',motion and Nature of Proposed Electrical Work: ,rs �C No.of Recessed Luminaires Cotn•!Mon' the ollowin_ table Ns, be waived b the In • torn Wires. Na of Cell-Snap.(pads)Fans 'o.o ota Transformers KVA oi No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool ae 0 n- 0 o.o Units cy ;n : No. � o.of Receptacle Outlets Butte Units g of Oil Burners No.of Switches No.of Zones No.of Gas.Burnero `a o 1 ec i ,n an, i!.r Inidadn Devices No,otAir Cond. Tons No.of Alerting Devices �o.of Waste Disposers eat lToa .'urn er ons • " `o.o o.of Dishwashers Detection/AI On n Space/Area Heating KW u rtin Devices Na of Dryers HeatingA Local 0 Connection 0 Other Appliances ty yatema: `o.o "a er Na of Devices or E nivatent Heaters KW 'o.o `o.o No.H d Heaters ag S 's Ballasts Data Wiring: y e�� No.of MotorsNa of Devices or ,trivalent Tots)HP e ecommunofDe a: ns OTHER: Na Devices or • . gg trivalent Estimated Value of Electrical Work: Attach additional detail Ifdesired,or as Work tot Stag (When required by municipalrequired by the Inspector of Wires. a s- Inspections to be policy.) INSURANCE COVERAGE: Unless waived by the owner,no accordance with MEC Rule 10,and the,licensee ,. upon completion. Provides proof of liability insurance including"completed for pe"coverage or ts substantial equivalent The unlessormance of electrical work may issue undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER I ce'rllfy,und81 the pains and penalties o ❑ (Specify:) FIRM NAME: IPe ury.that the Information on this app/ Qyon Is true and complete: Licensee:S (licenscable ter• Signature LIC.NO.: __ Address: D Pt Irh�eelic a nber line.) LIC.NO.: l� •Per M.G.L.c. 147,s.57-61,security work G Bus.TeL No.• OWNER'S INSURANCE WAIVER: l aam�aware that uires the Licene does not have the liability insurance Alt TeL o.: f Public Safety"S"License: Lic.No. regt}ired bylaw. By my signature below,I hereby waive this requirement. I am the(check onecoverage holly Signature red b eat owner i♦ owner's a:ent. Telephone No. PERMIT FEE:$ Kt