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Home My WebLink AboutBLDE-23-005129 Commonwealth of Official Use Only "C 't Massachusetts Permit No. BLDE-23-005129 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:3/19/2023 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. a = k95- Location(Street&Number) 10 GEORGETOWN LANDING Owner or Tenant ANDREADIS THEODORE GEORGE Telephone No. Owner's Address MCMANUS MARGARET,306 GREENBRIAR DR, CHESHIRE, CT 06410 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: Addition&remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 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- ElNo,of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 16 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 9 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 ❑ 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 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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 Pek}eaf ,(-24 (2...3 e. RN ZY/ J RECEa r. ��•, .or 3- ' r 3--di �. /, 1'7 mo wealth of Massachusetts Official Use Onl Permit No.: :w.2?j ��( �j • �', Dcp rtment of Fire Services ff F y'I__ � I' E PREVENTION REGULATIONS [Rev.i/2023)d Fee Checked: =� APPLICATION FOR PER MIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance_with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH )7t �3 Date: � To the Inspector of Wires:By thy (177' application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Nunir): re d- £i'O Jf` Owner or Tenant: ---� ' A.- Unit No.: lCOGIOTT r4'Ad i5 Email: Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes, ] No 0 Permit No.: Purpose of Building: Existing Service: Amps Utility Authorization No.: P )�/ t'Volts Overhead[l Underground❑ No.of Meters: I New Service: Amps / Volts Overhead❑ Underground , escri tion of Proposed Electrical Installation: t a}, g No.of Meters: J�° A � A�c1' �'i �I�c1"P�tpn5 `�oA�S�s �DoM I Gioi',l RA A. cisI a� )4kil 3 ± ooM v� 3f c!rooM- Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: /4, No.of Switches: y No.Luminaires: No.of Recessed Luminaires: Generator KW Rating: Type:. No.Appliances: KW: Z. No.Wind Generators: Wind KW Rating: No. Water Heaters: KW: No.Transformers: Space Heating KW: Total KVA: Heating Equipment KW: No:Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.0 Above-Gmd.0 Hot-Tub No.Oil Burners: ❑ No.of Self-Contained Detection/Alerting Devices: No.Gas Burners: Video System y 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System Rating: y 0 No.of Device: No.Energy Storage Systems: KWH Storage Solar PV KW DC Ratin Security System 0 No.of Devices: g: Solar PV KW AC Rating: No.of Electric Vehicle Su I ment: No.of Modules: Roof-Mount 0 Ground-Mountpp e Equip OTHER: 0 Level 1 0 Level 2❑ Level 3❑ Rating: Attach additional detail if desired,or as re.quired by the Inspector of Wires. . ................... . .................... Estimated Value of Electrical Work: L.)00 ' (When required by Date Work to Start:fl Inspections to be requested in accordance with MEC Rule u10 and upicipal on c FIRM NAME: upon completion. Master/Systems Licensee: A-1 0 or C-1 ❑LIC.No.: JourneymanLIC.No.: Licensee: , Et LIC. 3�a,w8 r Security Syste Business requires a Division of Occupational Licensure"S"LIC. No.: C� Address: 0, S-LIC.No.: t 1 M Email: 00t 1 1 Telephone No. %y: _y . I cert ,u the pa' and enalties operjury,that the information on this application is true f P rue and complete. Licensee: l�� _ INSURANCE C VERA Print Name: T Cell. �� mess waived by the owner,no permit for the performance o electrical work may issueunless the licensee.3� provides proof of liability eluding"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 El OWNER'S INSURANCE WAIVER: I am aware that Rthe Licensee Specify: required by law.By my signature below,I hereby waive this requirement.I am the:(Check one)oes not have the t ty coveragewer'snormally Owner/Agent: Owner 0 Owner's agent❑ Signature: Tel.No.: Email.: