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Home My WebLink AboutBLDE-23-003638 ti f T Commonwealth of Official Use Only �� leil2j�`� Permit No. BLDE-23-003638 �` Massachusetts 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:1/5/2023 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) 65 HAZELMOOR RD Owner or Tenant SETH RITCHIE Telephone No. Owner's Address 65 HAZELMOOR RD, SOUTH YARMOUTH, MA 02664 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 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New bath addition&bassonialt remodel. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 5 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 5 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 3.6 Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: 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 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 ❑ 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: NATHANIEL TOMKIEWICZ Licensee: NATHANIEL TOMKIEWICZ Signature LIC.NO.: 53813 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 104 THOMPSON ST, NEW BEDFORD MA 02740 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: $75.00 and voil)-3Kg. Ni? 4- 3( 1 it-2,5 p„,,, /2 RECEIVED JAN 04 2023 AA�� / Corsmautvaafth o`�/addae�iaaalta Official Use Only 23 -36 �:ii{ DING DEPARTNITKT c7 n Permit No. ',e , sr�msnE o`,}uy Jirvicee t H•''J BOARD OF FIRE PREVENTION REGULATIONS [Rev 1 007] ncy and Fee Checked v (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfomn;d in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /- y-,,,Z +� City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ofhrs ar her intention toortn We electrical work described below. '` Location(Street&Number) b-3 17r 7 e l a t' C v Owner or Tenant 1 ,1.1.--t Telephone No. Owner's Address 4' Is this permit in conjunction with a uilding permit? Yes d No ❑ (Check Appropriate Box) Purpose of Building Sin f it, Fo yD we//,kJ U� Authorization No. Existing Service /6 0 Amps /Z v/ Z4/O Volts Overhead[Yf Undgrd 0 No.of Meters / New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty e - /() b Location and Nature of Proposed Electrical Work: -g,a,r(,✓u-), re!4 oGt e/ /ive t,v /g,!/, uiCompletion of the followinvabk men,be waived by the la vector of Wires. tb No.of Recessed Luminaires No.of Cell.-Sa No.of Tml 5 sp.(Paddle)Fans Transformers KVA C;1 No.of Luminaire Outlets 8 C� No.of Hot Tubs Generators KVA No.of Luminaires G, Swimming Pool Above ❑ In- No.of Emergency Lighting Qrnd. grad. ❑ Battery Units No.of Receptacle Outlets 5 No.of OH Burners FIRE ALARMS INo.of Zones v. No.of Switches /6 No.of Gas Burners No.of Detection and 11 No.of Ranges Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Rumber"�Tons 'No.of Self-Contained Totals:I"""`7"" _ -2;d °` Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municip Connection 0 other No.of Dryers Heating Appliances KW Security Systems: No.of Water No.of No.of Devices or Equivalent Heaters ' Signs BallastsData WIring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring. No.of Devices or Equivalent OTHER: A, Attach additional detail If desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (; va (When required by municipal policy.) Work to Start: /-3-023 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 covArage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ca BOND 0 OTHER ❑ (Specify:) I certify,under theem, pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: arfirj Me/ 7nk,e(Ai icz L<cerl5 -C/ecitrib.a Y1 LIC.NO.: 53E/3,8 Licensee: t/ ,'e/ o,,,,,,/s-,€,,,/,GZ Signature Y afapplicable,enter"exempt"in t license number line.)), l� LIC.NO.: S 5 is/3 t3 Address: / / , r � A/K /Y/o/2o,'sQTY MA .n Bus.TeL No.._____ 6�c-6s.�9 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety S"License: Alt.Lic.No. Tel. ��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 Owner/Agent (check one)❑owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ I