The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004885 41`,„: IM titti Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004885 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) 7 OUT OF BOUNDS DR Owner or Tenant Peter Donovan Telephone No. Owner's Address 7 OUT OF BOUNDS DR, SOUTH YARMOUTH, MA 02664-2040 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 ❑ 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: No.of Total Susp.(Paddle)Fans 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. Tons Tota 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 ❑ Municipal ❑ 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 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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 LIC.NO.: 27968 Licensee: John M Pimental Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 1158 E FALMOUTH HWY, EAST FALMOUTH MA 025365455 *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. I PERMIT FEE: $50.00 I &1& (2)2'AW------- , e Gta y REC 1 ED MAR )2 21 , ,,, Commonwealth o`///aeaacl�ueelta Official Use Only B c� +� .[Separfn,e,�*Piro�• S' Permit No. ZZ -9'5 BUILDING uttHi� - ''ILIN„ Serviced By ___ ,_„_ BOARD OF FIRE PREVENTION REGULATIONS Rev. and Fee Checked Rev.1/07] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts PLEASEPRINT IN INK OR TYPE ALL INFORMATION) Date: Code(MEC),527 CMR 12.00 City or Town of: YARMOUTH Date: 3--,L- a-L py this application the undersigned givesis or notice !� Uon toTo the Inspector of Wires; Location(Street&Number) 1 UV'r u c `� performthe electrical work described below. Owner or Tenant ? �-.-Lr '� �� ' a Telephone No. Owner's Address Ia this permit In conjunction with a b �atpoae of Building. (wilding permit? Yes 0 No (Check Appropriate Box) Utility Authorization No.!listing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters Itew� Amps / Volts Overhead❑ Undgrd — Number of Feeders and Ampaclty g ❑ No.of Meters Location and Nature of Proposed Electrical Work: Com,ktkn o the opowi : table m, be waived b the 0/ No.of Recess Luminaires No.of Celli-Snap,(Paddle)Fans 'a.o In ctor o Wires. of Lum Transformers KVA haahe Outlets No.of Hot Tubs �` No.of Luminaires Generators KVA Swimming Pool dve ❑ n d. ❑ 'o.o 'suer en ', ;ng o.of Receptacle Outlets Bette Uaits ,.. No.of Oil Burners .: No.of Switches No.of Zones No.of Gas.Burners 'o.o 1 ec i on an i!_rInitiatin Devices No.of Air Cond. ° o.of Waste 'eat 'am Tons No.of Alerting Devices DJposers Totals: .'mL. r one 'o.o on n n , o.of Dishwashers mom Devices Space/Area Heating KW Local un No.of Dryers Heating Appliances Connection 0 Other KW ystems: o.o "a Be KW 'o.o 'o•o No.of Devices or ' ,nivalent Data Wiring: No.Hydromassage Bathtubs S s Ballasts Na of Devices or E.uivalent No.of Motors e maim, , ; ,ns ,, OTHER: Total HPgg No.of Devices or ' .uivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Work to Start: (When required by municipal policy.) Inspector of Wires. —3 Z-2 2- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no theensee provides permit for the performance of electrical work may issue unless proof of liability insurance including"completed operation"coverage or its substantial equivalent. The un assigned certifies that such cov ge is in force,and has exhibited proof of same to the CHECK ONE: INSURANCE [BOND 0 OTHER 0 (S permit issuing office. I cerdJ,�,under the pains andpenatdes o 1�tfY') FIRM NAME: fPe�n7',that the lnfornradon on this ap /icodon is true and complete. • Licensee: LIC.NO.: (lfapplkable.enter"exempt"in the lkense Signature Address: �('L �o " + It a LIC.NO.: ff/_ X �r'r°� �'c ! G2L us.Tel No.: •Per M.G.L.c. 147,s.57-61,security work -- OWNER'S INSURANCE WAIVER: I am aware that Department ensee does not have the liability insurance coverage "" f Public sty"S"License: Lic.No. required by law. By my signature below,I hereby waive thisno a:e Owner/Agent requirement. I am the(check one owner Signature � owner's a:ent. Telephone No. PERMIT FEE:$