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Home My WebLink AboutBLDE-22-003923 Commonwealth of Official Use Only 01-. ,I . Massachusetts Permit No. BLDE-22-003923 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:1/14/2022 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) 6 KAREN WAY Owner or Tenant RONDINA ALAN F Telephone No. Owner's Address RONDINA PAMELA S,32 MARGARET DRIVE, NORTON, MA 02766 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro ' to Box) Purpose of Building Utility Authorization No. /E? Existing Service Amps Volts Overhead 0 Undgrd 0 :of Meters., New Service Amps Volts Overhead 0 Undgrd ❑ a,T,Not)f Meters ',1 Number of Feeders and Ampacity `�� i�r h , t `, Location and Nature of Proposed Electrical Work: Replacement HVAC&add CO detector. ,r r, 4, r Completion of the following table may a d' ' 141 ei of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of `'-.' , I Transformers , t y No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above ❑ In- ❑ No.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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained 1 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: JOSEPH P ROSE Licensee: Joseph P Rose Signature LIC.NO.: 21335 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Beverly Rd,West Yarmouth MA 026733559 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: $50.00 r q,� Official Use Only Commonwealth o��aedac�iudell6 �22� �� "14, cc�� c{'� Permit No.? �C.)epartmsnt o f.}ire Jsrvics6 } • Occupancy and Fee Checked ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. Il07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: l`/4 ' 2 City or Town of: YARMOUTH To the Inspector of Wires: By this application the underst ed gives notice of his or her intention to perform the electrical work described below. Location(Street&Numbed, M 1, Owner or Tenant `(() Telephone No.66T-25 -32 57 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd E No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 1 Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: CMG (1 try1� (jJ) re_ f J . �V at, LAY\- \ ( L', lc (,�. ;ef _, I r\ bo 54 VIA v', Completion of the following table may be waived by the Inspector of Wires. v$ No.of Total 1.6, No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA C. No.of Luminaire Outlets No.of Hot Tubs Generators KVA �; Above In- No.of Emergency Lighting 4-- No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units ' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t` No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 1`a? No.of Ranges No.of Air Cond. i Tons No.of Alerting Devices 1.Heat Pump Number Tons Tota KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertin, Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection ia ❑ Other No.of Dryers Heating Appliances KW Security Systems:* Y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications quing• No.H y g 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: 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 c verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify,under th ains and p n ltie oo perjury,that the information on this application is true and complete. FIRM NAME: 1(I.5 £� `e_./ ,�+ LIC.NO.: d)3X/A Licensee: d 5 L hV D S Signature �rld LIC.NO.: 4.2 3 (If applicable,Atter"exempt in the license n line.) Bus.TeL No.. 5 Address: o1 5 41/ c-{'h C. .t Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,se�ty 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 PERMIT FEE:$ Signature Telephone No.