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HomeMy WebLinkAboutBLDE-22-003736 Commonwealth of Official Use Only tf_1Ue4.4% Massachusetts Permit No. BLDE-22-003736 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:1/5/2022 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) 38 COVEY DR Owner or Tenant CLOHESSY LISA M TR Telephone No. Owner's Address CLOHESSY FAMILY TRUST, 38 COVEY DR,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (C ck %.-„ rt$'11Box) Purpose of Building Utility Authorization N a ~,t, >� Existing Service Amps Volts Overhead 0 Undgrd � t *r / f ''� ( New Service Amps Volts Overhead 0 Undgrd 0 No'aflGtetets n, Number of Feeders and Ampacity �t ` '' t Location and Nature of Proposed Electrical Work: 220 V Disconnect, 100 V GFI outlet,25 amp double breaker, ub„ a k ' '.. Completion of the following table may be . e lit ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of <' otal Transformers Y'� 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 1 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/Alertinu 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 Equivalent 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOSEPH V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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 nn// r Commonwealth, ommonwealth o f Mamac4usett9 Official Use Use Only =-- 1, c-� Permit No. -. 3 7:31, r.`_=_.t= T epartment o� ire�erviceo `rmOccupancy and Fee Checked •1:ON•D OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) [.JAN Af2I A ION FOR PERMIT TO PERFORM ELECTRICAL WORK 11 ork to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 BUILDIrvfil ;p I INK OR TYPE ALL INFORMATION) Date:1/3/2022 sy. _.. 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)38 Covey Drive C) Owner or Tenant Lisa Clohessy Telephone No. 5083984454 V Owner's Address -.,... Is this permit in conjunction with a building permit? Yes Ti No [ (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead Ti Undgrd Ti No.of Meters New Service Amps / Volts Overhead 1-1 Undgrd Ti No.of Meters `(3 Number of Feeders and Ampacity \ Location and Nature of Proposed Electrical Work: 220V Disconnect, 100V GFI outlet, 25 Amp double breaker (�/1 sub panel update Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tr of TVA U Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 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 Total a) No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices Municipal `� No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other J No.of D ers Heating Appliances KW Security Systems:* I Y No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H Y g No.of Devices or Equivalent I OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1600 (When required by municipal policy.) Work to Start:1/3/2022 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I 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. SI- CHECK ONE: INSURANCE 2 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:JVS Electrician LIC.NO.: Licensee: Joe Slowey Signature LIC.NO.:11186B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-326-2280 Address: 168 Watercourse Place,Plymouth,MA 02360 Alt,Tel.No.: *Per M.G.L. c. 147,s. 57-61,security work requires Depat anent 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 PERMIT FEE: $ l Signature Telephone No. I