The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005439 a Commonwealth of Official Use Only _ Massachusetts Permit No. BLDE-22-005439 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:3/29/2022 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) 2 ADAMS RD Owner or Tenant MCEWEN WILLIAM J Telephone No. Owner's Address MCEWEN SUSAN D,2 ADAMS ROAD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ - . . to Box) Purpose of Building Utility Authorizatio c ,,, Existing Service 100 Amps Volts Overhead 0 Undgrd . 4 New Service 200 Amps Volts Overhead 0 Undgrd 0 1 t Number of Feeders and Ampacity 6C1 ,09.p> Location and Nature of Proposed Electrical Work: Upgrade service ' Completion of the following table may be w ,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 El In- ❑ No.of Emergency Ligh n� 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 Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Slots 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: SCOTT DUNLOP Licensee: SCOTT DUNLOP Signature LIC.NO.: 54826 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 FRANK ST, KINGSTON MA 02364 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 RECEIVED MAR 2.,� C,ommonwsa ol�l c>s cial Use Only ,�, ccam�. �__ „. -CJa arfmcnt o{ Services Permit No. BUILDING DEp r.=-!,-_=/ ' P BY 1 ----: /� BOARD OF FIRE PREVENTION REGULATIONS Occupancy• and Fee Checked APPLICATION FOR=•PERMIT TO PERFORM � ma„blank All work to be performed in accordance with the Massachuset ELE CTRICAL WORK (PLEASE PRINT IN INK OR TYPE ALL INFEO,527 cl,�l 200 City or Town of: �� DD INFORMATION) By this application the ltndersiARv 1� ) To he Inspector o Wit !� givesnotice f his or her intention to perform the electrical work described below. • Location(Street&Number) Owner or Tenant _ ps- Owner's Address Telephone No� 9,,_ �, Is this Permit in conjunction with a building pelt? Yes ❑ No Purpose of Building • . (Check Appropriate Box) r r►ti 1 Utility Authorization No. Existing Service Amps- 0 p / a Volts Overhead ❑ Undgrd New Service ❑ No.of Meters - Amps i / G Volts Overhead •—'— Number of Feeders and Ampacity Undgrd No,of Meters _a__ Location and Nature of Proposed Electrical Work .64. MaV►-r ' No.of Recessed Luminaires Com•letion o the ollowin• table m• be waived. the I No.of Cell-S •error o usp.(Paddle)Fans o.of Total No.of Lumiaaire Outlets N Transformers KVA No.of Hot Tubs No.of Luminaires Generators KVA Swimming Pool Above In- `o.o mergency • ,tang No.of Receptaclecrud. ❑ `rnd. ❑ gaffe Units Outlets No.of Oil Burners No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners `o.of Detection and No.of Ranges - ' Initia.1 • Devices • No.of Air Cond, Tons No.of Alerting Devices No.of Waste Disposers Heat Pump umber Tons �� o.of etf-Contai, No.of Dishwashers Totals: Detection/Alertin_ Devices Space/Area Heating KW• Local❑ Mpal No.of Dryers HeatingAppliancesConnectionu.nici ❑ �� No.of `stet , Security Systems:* Heaters KW No.o o.of No.of Devices or E.uivalent Si. .s Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E.uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or •nn'alent Estimated Value of Electrical Worlv ��bd Attach additional detail' desir ed or as required by the Inspector of Wires.Work to Start .4412015 , (When required by municipal policy.) 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 the licensee provides proof of liability insurance including"completed o eration"covera bs a work equivalent undersigned certifies that such coverage is in force,and has exhibited proof of same to the peermit issuing af equivalent unless CHECK ONE: INSURANCE El BOND 0 OAR g office. f certify, under the pains and penalties o (Specify:) FIRM NAME: j fp.Jui7',that the information on this application is true and complete Licensee: _;,,nt 1� C2 1^ LID.NO.: Signature 17cr 6 (j�applicable,enter"exempt"in the license number line.) =LIC.NO.'J� /i . Address: Ie 1 r� yp .t �;r,.c1 Bus.Tel.No.: 7�P1- Cam. �.�.I *Per M.G.L. c. 147,s.57 6I security1 G?r�CU INSU work requires Department of Public Safe Alt.Tel.No.: '�tRANCE WgIVER: I tY"S"License: Lic.No. OWNER'Sed by law. Byam aware that the Licensee does not have the liability insurance coverage n�ly my signature below,I hereby waive this requirement I am the(check one 0 owner g nnally Owner/Agent i Signature � ❑owner's a eaL z h �