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Home My WebLink AboutBLDE-22-005652 Commonwealth of Official Use Only E • Massachusetts Permit No. BLDE-22-005652 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:4/4/2022 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) 149 STATION AVE Owner or Tenant Jessica Croker Telephone No. 5088013966 Owner's Address 149 STATION AVE, SOUTH YARMOUTH, MA 02664-0892 Is this permit in conjunction with a building permit? Yes ❑ 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: Adding new bathroom to home , gfi , bath fan and light switch 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.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 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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. FIRM NAME: Michael Glasheen Licensee: Michael Glasheen Signature LIC.NO.: 13814 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:65 ALLEN DR, BREWSTER MA 026312845 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. I PERMIT FEE: $75.00 ?ADA.1601 c i I gin/Kf---X7 6—'Mat q CO'. a i`E(L 9 C/ik G'U KfD, Commonwealth al cc-Mueeaciumetta Official Use Only f' ,. '9 2spartmenf of.}ire Services Permit No. � �� t" Occupancy and Fee Checked .� ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C ( C),527 CMR 12.00 (PLEASE PRINT IN INK OR 7,17E ALL INFO NATION) Date: ii I ?o, • City or Town of: rot r Y►'O(J 1" To the Inspector of Wires: cBy this application the undersigned gives n tics of his or her intention to perform the electrical work described below. Location(Street&Number) I ct S+e% on Auf 6 YOU-yvl Ate%1 MA O bi-( 64C3 Owner or Tenant 255‘k C.Dam, C,col tr i Telephone No.. S-$a k-3 706 zOwner's Address 5o•M.e Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) ._ . Purpose of Building Utility Authorization No. Existing Service /00 Amps (Ao /sZlfO Volts Overhead Undgrd❑ No.of Meters 1 — New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Natu a of Proposed Electrical Work: A,S. -,A,: -0� 1.mom 4 hq ti t, ic:/ k+h -CO."( 0016. V 3tir s+N A1-re- vt Completion of thefoilowingtable may be waived by the lector of Wires. 4 No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of TotalC., Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires S in Above In- No.of Emergency Lighting g psi grnd. grnd. ❑ Battery Units No.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 No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW l'io.of Self-Contained. Totals: .____.._.._._.._._____..._._._. **�** DetectiodAlertingpevIcea No.of Dishwashers Space/Area HeatingKW Municipal p I'o�0 Connection 0 other' No.of Dryers Heating Appliances KW becurity Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of DataWiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivident OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Electrical Work: ,\U d (When required by municipal policy.) Work to Start: O Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE RAGE: 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 covyage 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 paintandpenalties o f perjyry,that a information on this application is true and complete. itn FIRM NAME: ynit GA�` l J` o.S lei f til LIC.NO.: 13'6l'( 6 Licensee:WVi(1t` CAcatte), Sigma LIC.NO.:l3$1 y G (If applicable,enter"exspq in the license n mber line. Bus.TeL No.• 77'i- K3('- 3 i Address: 5- C.cr�'l�rbszsov- Lk/ ('.ice,fv.1ke_ AA Calc.3k Alt.TeL No.:.So$'•3.;Zr-l7.ZA *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 by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No.7 1G-, 3 t I PERMIT FEE:$7. vO