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HomeMy WebLinkAboutBLDE-21-007492 or Commonwealth of Official Use Only 4. i 441i Massachusetts Permit No. BLDE-21-007492 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:6/24/2021 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) 35 JOSHUA BAKER RD Owner or Tenant MULLEN MICHAEL F Telephone No. /� Owner's Address MULLEN CAROLS A, 142 STEAMBOAT DR, MARSHFIELD, MA 02050 Ut A.r Q/I/ C:i tit Is this permit in conjunction with a building permit? Yes 0 No 0 ( ', et "' .ITS : Y"'-' Purpose of Building Utility Authorization N „. Existing Service 100 Amps Volts Overhead ❑ Undgrd 0 '" . New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire garage addition &upgrade service. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 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 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: 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:) 18i ec.- c5rici I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Kenneth E Twigg Licensee: Kenneth E Twigg Signature LIC.NO.: 17306 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 11 Elizabeth Dr, Pembroke MA 023592862 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 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: $125.00 2( (4\ may okrAra -t / PL r f(2q/2.1 A7.ccP 60a 014 it•P)ic;:e/87 It(71 (C "- of f3/i3/2 t OK- 1 fr mil(7 i L� (5�i-CLcc 1/2/L€s ► i ''r- a_- j ci a t. r . COn1AlOnWIRLAt eiaseac Iwa fta .. _ 1 Official Use Only 0/ c� ermit N o. — / ! 2opaotnrenE �.3oov .__-- --_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 7 and Fee Checked (leave blank) .5' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK eZ All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 to (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,,Su NJa l t Z / 141 City or Town of: W W . y/}ft c r -1 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 Si Number) c ..5 1-{k).. 4 EA. r` v Owner or Tenant M l(c i' (J<(N 0 Telephone No. )81 .- 55'/-8 g23 d'-, Owner's Address / �/Z S r RAT . M) Is this permit in conjunction with a building permit? Yes Er No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. oCt// 'Y6 9 Existing Service /a o Amps 12 c / 2v-a Volts Overhead R' Undg rd El No.of Meters 3 New Service "' Amps i 24 /2 ilu Volts Overhead Q� Undgrd 0 No.of Meters / Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: C,c�mete- 6/5 ,tr A 3 r tv U P61 -©a tx t,s TltiS SCR vlct. voCompletion of the followinktable my be waived by the Inspector of Wires. Lb No.of Recessed Luminaires 6 No.of CeiL-Susp.(Paddle)Fans No.ofTotal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Above In- N O.of Emergency Lighting p� grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets /I No.of Ofi Burners FIRE ALARMS No.of Zones No.of Switches g No.of Gas Burners No.of Detection and Initladng Devices 11,I No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number, Tons_.,_KW 1NTo.of Self-Contained Totals: "` ... Detection/Ale . ' Devices No.of Dishwashers Space/Area HeatingLocal❑ KW Mu, w 1, Connection 0 Other No.of Dryers Heating Appliances Key Security Systems:* No.of Water No.of Devices or Equivalent KW *No.of No.of Data Wiring: Heaters Signs Ballasts No.o evices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Telecounications Wing: No.of Devices or or Equivalent OTHER: - S Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: r/� (When required by municipal policy.) Work to Start: 6/2 i /a 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [+BOND ❑ OTHER ❑ (Specify:) /4 ItrrcA ''CIj S�Y/2 Z I eerie,under the pains and penalties of perjury,that the information on this application is true and complet& FIRM NAME: Cep it.P okA 1--E-: et .TAk44C. Se a j«S LIC.NO.: A /7 atl 6 Licensee: Kov .Tw Signature k " A._ LIC.NO.: E3 S-2c,S— Ofapplicable.enter"exempt"in the license manbexline.) Bus.TeL No.: 7f3/ '$�j j C��j Address: II ELt7�.4E Zp-: E7t6R4.KO' /14# 0 2,13-1 *Per M.G.L.c. 147,s.57-61,security work requires Alt.TeL No.: 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)0 owner 0 owner's Owner/Agentagent. Signature Telephone No. I PERMIT FEE:$ /2 I