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Home My WebLink AboutBLDE-22-007401 Commonwealth of Official Use Only 411101- It\ Massachusetts Permit No. BLDE-22-007401 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:6/24/2022 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) 13 BAY RD Owner or Tenant SYLVESTER HORACE C JR Telephone:! Owner's Address SYLVESTER JEANNE G,810 MAIN ST, HINGHAM, MA 02043 °`} 44,,;_ ' /� Is this permit in conjunction with a building permit? Yes 0 No 0 eck •pprop ) �C� erD Purpose of Building Utility Authorizatio ( i. 9463852 � U�b Uf�� Existing Service 150 Amps Volts Overhead 0 Undgrd No oft ZZl� ,l\ New Service , �fi' "- 200 Amps Volts Overhead 0 Undgrd ■ 3 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel residence. Completion 0'the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 60 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- CINo.of Emergency Lighting $rnd. grnd. Battery Units No.of Receptacle Outlets 57 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 37 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 10 Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: 4 Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 4 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: ANDREW CHURCH Licensee: ANDREW CHURCH Signature LIC.NO.: 22219 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:735 CONANT ST, BRIDGEWATER MA 02324 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: $180.00 2u644 7/ b/ C�i14i 11124 2 F AJ -i. N'e( c� onuhorswea Official Use Only , . Permit No. ZZ'7�'Q nto gird Seivateste ' w Occupancy and Fee Checked iil BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07) (leave blank) a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK' vAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR.12.00 0 (PLEASE PRINT IN INK OR TYPE ALL/ FRYMATION) Date: ..r o City or Town of: "/Ct fM t v To the Inspector of Wires: kr By this application the undersipedyivevotice of his her is on to perform the electrical work described below. > Location(Street St Number) t `/ 0 el c f- Owner or Tenant S 7 I V t .-f Telephone No. Owner's Address 0-- Is this permit in conjunction with a building permit? Yes Li No 0 (Check Appropriate B �a— Purpose of Building Utility Authorization No.9 ii C6 Existing Service I ° Amps I,1-'7/ Z\i°Vom Overhead E Undgrd Q No.of Meters T: New Service 2 O Amps I)-° /2*`{ Volts Overhead liej Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � o i ,� v V� ) C � r t Completion of thefodlowingtable may be waived by the I ctor of Wires. No.of Tootal No.of Recessed Luminaires (O o No.of Cel.-Snip.(Paddle)Fans Transformers KYA I Ca No.of Lumnaire Outlets No.of Hot Tubs Generators KVA No.of Swimming Poo. Above 0 Ia. ❑ tvo.of emergency Ltghtf g 47 gad. grad. Battery,Units .4 No.of Re eptacle Outlets 5 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches -3`7 No.of Gas Burners No.of IliadDetection and Initiating Devices i No.of Ranges1 No.of Air Coad, Tons No.of Alerting Devices ,,k, p Waste Dbp sers -- ilea Pump Number Tons TONNo.of Self-Contained I f7_.... Detection/AlertItg Devices No.of Dishwashers rs I S e/Area Heating KW Local 0 Coon Municipal0 Other No.ofDryers 1 Resting Appliances 'KW 'Security Systems:* No,of Devices or Equivalent No.of No.of No.of Data Wiring: y Heaters Signs Ballasts No.of Devices or Equivalent Te ecommanieatlons W IA No.;Hydro a Bathtubs No.of Motors Total HP` ff No.of Uev aes or Lquiv t j OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value ofEll ical Work: (When required by municipal policy.) Work to Start:6Z 7 2 0 Z 2. 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 3 BOND 0 OTHER 0 (Specify:) I certify,under the and penalties,of ry,that the Information on;t is application true and comptett. FIRM NAME: ` *Cirri-(/. C._ ✓�A LIC.NO.: az2 1 g ' Licensee: f it W C_1,kert C Signature ,/ LIC.NO.:Lil 0 2,16 F (If appldcabk,enter a tempt"in the dice m r line) Bus.Tel.No.: Address: 7 3 S C 0/v5 r-t }- st,c S t PI; tY 2 12. `� AIL Frei.N►.: 7Si -01 t`.. l UZ 9 *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. 1 am the(check one)0 owner 0 owner's agent., Owner/Agent Signature Telephone No. PERMIT FEE:$