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Home My WebLink AboutBLDE-22-003197 \ `� Commonwealth of Official Use Only ,-'attiu Massachusetts Permit No. BLDE-22-003197 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:12/6/2021 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) 34 WILLIAMS RD Owner or Tenant Jason Bassett Telephone No. Owner's Address 34 WILLIAMS 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 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: Whole house remodel. 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 24 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 40 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 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 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. �g// 1 J7 f 7/w7 6 FIRM NAME: James F Roussel Licensee: James F Roussel Signature LIC.NO.: 10387 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 WINTHROP ST, KINGSTON MA 023641219 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERI MIT FEE:$75.00 " , �(--.(1 Of phbRs* a0lr4 .�...� Permit No. Cii.;2- C Cri l tI C.'r— tt-'-'----ic:•1-:'';' r A Occupancy and Fee Checked LL z j : ' BOARD OF FIRE PREVENTION REGULATIONS c [Rev. 1/07] (leave blank) i Af' A " PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CMR 12.00 L fi(PL A E PRINT IN INK OR TYPE ALL INFORMATION) Date: / ,�� `� 1-°' Cityor Town of: ': !t'� U;JT yl To the Inspector of Wires: �m lii..application the undersig�d gives notice of his or her intention w perform the electrical work described below. Locatlbn(Street&Number) 3 ! W/ I I t fi M S 6? Owner or Tenant /)S p Ai T3 S S ( C/9 /3 A S S e 7`T Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate x) Purpose of Building a St le Al i c" Utility Authorization No. /' Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (Av h d(e Magee_ c/a:' e_ 02.eN,-„,:f e/ �t ii<:t/ t D" s.4/, az i q 114 G?" s i a 817 f r,- ) Li viA-5 62.E Completion of the foilowing table may be ib Lived by the Inspector of Wires. KVA Total No.of Recessed Luminaires No.of Ced.-Sasp.(Paddle)Fans Trans Ts formers KVA No.of Luminaire Outlets a ( No.of Hot Tubs Generators KVA No.of Luminaires S Pool Above In- No.of Emergency Lighting mug �d ❑ mod. ❑ Battery Units No.of Receptade Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches go No.of Gas Burners Toter Na o n and Initiating Devices No.of Ranges 1 No.of Air Cond. Tons ( No.of Alerting Devices No.of Waste Disposers HeatP Number Tons KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers i Space/A Heating KW Local❑ launningPit 0 Other No.of Dryers Heating Appliances KW Security Systems:* Equivalent No,of De ��ices or No.of Water KW No.of No.of Data Wiring: u Heaters Signs Ballasts No.of Devices or Equivalent e No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: sOTHER No.of Devices or Equivalent t Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: / 6 r/ o (When required by municipal policy.) Work to Start: (A 3/b2( Inspections to be requested in accordance with 1VIEC 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 0 undersigned certifies that such cove is in force,and has exhibited proof of same to the permit issuing office. 3 CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) LO I certify,under the pains and penalties of perju9kthat the information on this application is true and complete FIRM NAME: 3'A Nl e S u S S L gie -- iz i L / ?F�7 b LIC.NO.: Licensee: S, -(4 rn e s I d Signaturec.' C-' l a 3$7 b ��s s��. � LIC.NO.:(If applicable,enter"exempt"in the license number line.) , , '� Bus.TeL No.: 7SS% 77/ 7/7 ...- -I Address: tj 5 (t'r, c p S 1 Y`i N i ciev /I4 4 69-34y Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required Owe dA by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner Owner/Agent ❑owner's agent Signature Telephone No. I PERMIT FEE:$ 2S Ck* la22