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Home My WebLink AboutBLDE-22-001173 ort Commonwealth of Official Use Only Affek Massachusetts Permit No. BLDE-22-001173 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:9/1/2021 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) 7 WIDGEON LN Owner or Tenant WHEELER DAVID H Telephone No. Owner's Address WHEELER SUSAN E, 37 BLUEBERRY LN, HOPKINTON, MA 01748 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install GFCI receptacles in kitchen,exterior.,&garage 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- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 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 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 ❑ 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: David E Caron Licensee: David E Caron Signature LIC.NO.: 18208 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:418 POTTER RD, FRAMINGHAM MA 017013392 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. PERMIT FEE:$50.00 (. f� AU 3 Lo 3 1 202 - eatth o/ areeachaa.tta Official Use Only 1. 47 _ ( .— <<'3 i __ .. c/ Serviced Permit Na. . _. �: ILDING DEPARTC '4 0/gift Occupancy and Fee Checked - e—a - s a •REVENTION REGULATIONS (Rev. l/07j cleave blank} 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: If 30—al City or Town of: YAr tti,ou. 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&Number) r7 w;ap p o r% 1_,..t n e Owner or Tenant 17c�w,c� u 55 .,.� c to1,P+ \e,r' Telephone No. Owner's Address 1)7 131‘Le_�.�e�^r. ( r,..r.4 1- k.►t.-}gcrr Is this permit in conjunction with a building permit? Yes all No ., (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❑ Undgrd❑ No.of Meters i Number of Feeders and Ampacity t,�. i Location and Nature of Proposed Electrical Work:"rriSi rail G AT Prrs ter{rtsr� �i , renn3 o.S P1 U .; rcrvye_ _ PLUO Completion of the followingtable may be waived by the Inspector of Wires. tb No.of Recessed Luminaires Na.of CelL-Snap.(Paddle)Fans No.of Total Transformers KVA �: No.of Luminaire Outlets No.of Hot Tubs Generators EVA No.of Luminaires Swirmmin Pool Above In- No.of Emergency lighting g grad. ❑ grnd. Q Battery Units No.of Receptacle Outlets a No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices II' No.of Ranges No.of Air Cond. Total No.of AlertingDevices No. No.of Waste Disposers Heat Pump Number Tons KW. 'N .of Self-Contained Totals: _.__ Detectn/Al . Devices No.of Dishwashers Space/Area Heating KW Loci❑ Mu, y t,: 0th Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevices r 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: g. a-- Z 1 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 Oil BOND ❑ OTHER ❑ (Specify:) I certify,ander the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: —)c.o.)►c. Ccm-e'r. Ricci r►"c,a.l. LL L LIC.NO.: Ads 20$ Licensee: "L�c„,.0,et g '(r,r, Signature St,W4-1 �._(t�-,,. • LIC.NO.: (If applicable,enter" t"in the f e number line.) Bus.TeL No.5r "Zrt Z- Address: W.1if O K/l_, 1 Sre rrfr hisiv% MA- 6110 l Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requ`ii'es 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 50