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Home My WebLink AboutBLDE-22-005036 , • a Commonwealth of Official Use Only Oft silt Massachusetts Permit No. BLDE-22-005036 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:3/11/2022 To the Inspector of Wires: City or Town of: YARMOUTH 3y this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 11 LONGFELLOW DR Telephone No. Owner or Tenant WOODWARD JOSHUA L Owner's Address WOODWARD DONNA L, 11 LONGFELLOW DRIVE,YARMOUTH PORT,MA 02675 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: Replacement HVAC&new split system. 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 Above ❑ No.of Emergency Lighting Na of Luminaires Swimming Pool grnd. ❑ In-grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners 1 Initiating Devices No.of Air Cond. 2 Total No.of Alerting Devices No.of Ranges Ton Heat Pump I Number I Tons KW No.of Self-Contained No.of Waste Disposers 'Totals: Detection/Alerting Devices Local 0 Municipal ❑ Other: No.of Dishwashers Space/Area Heating KWConnection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Ballasts Data Wiring: KW Signs No.of Devices or Equivalent Heaters 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. OTHER 0 (Specify:) CHECK ONE:INSURANCE 0 BOND 0 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Sean C Rogan Signature LIC.NO.: 20141 Licensee: Sean C Rogan Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:30 MELIX AVE, PLYMOUTH MA 023601280 *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❑theoner liability 0insurance owner'csoverage normally required by law.But my t. signature below,I hereby waive this requirement.I am the(check one) Owner/Agent Telephone No. PERMIT FEE: $50.00 Signature e $ /z7 ( - 1 RECE1 . E._ D 1- 1a MAR 10 0 Commoawea�of///adac�iwdfe Official Use Only f "'° v , c� c� Permit No. .uepartnunt of, iro�ervicee BUILDING Dt1'N ' / Occupancy and Fee Checked By -- BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c j All work to be performed in accordance with the Massachusetts Electrical Code(MEC)i 527 CMR 12.00 PLEASEPRINT IN OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: py this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) // 4---5 1-L/A i,/' ,)-,i,,w ce Owner or Tenant nst, tits a,..,,.or,W Telephone No. c--,. , Owner's Address SC"'"'" t•-• Is this permit In conjunction with a building permit? Yes ❑ No �/ r� �� t_`7 (Check Appropriate Box) purpose of Building , ✓ Utility Authorization No. A ¶xisting Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters I�C clew Service Amps / Volts Overhead ElUndgrd'❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: f444C ( 44 I 11~ .a./L n�tr /7/9/ i,/I)"'f ," rrF Completion of thefollowingtable mac be waived by the In�secfor of Wires. tbNo.of Recessed Luminaires Na of Cdl.-Susp.(Paddle)Fans No.of Total Transformers KVA Z. No.of Luminaire Outlets No.of Hot Tubs `Generators KVA mot' No.of Luminaires Swimmin Pool Above Tn- "No.ofEmergency Lighting - g trod. ❑ grad. ❑ Batter Units �" Ir.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 11 r o.of Ranges No.of Air Cond. al N Tend No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 T No.of Self-Contained Totals:I"""" I `'"- .�"'.".�`--- Detection/Alertin Devices Na of Dishwashers Space/Area Heating KW dal❑ MnnicipConnectbn 0 No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Data No. or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telco of Devices n Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec cal Work: (When required by municipal policy.) Work to Start: 31 22., 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) I certify,under the pains andpenaltles of peary.that the information on this application is true and complete. • FIRM NAME: .�C/ .//ee,rA/ - -)c- LIC.LIC.NO.:A-4`�f l Licensee: �T�1 C A36lrr✓ Signature / % LIC.NO.:Es,jj I (Ifapplicable,enter"exempt"in the llw�nnsse num line.) Bus.Tel.No.: e- �4,445/ Address: 30 "lit{X AA- " ' /1-v Alt.TeL No.: apes 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 by law. By my signature below,I hereby waive this requirement. l am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$