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Home My WebLink AboutBLDE-23-004422 • 11 Commonwealth of Official Use Only -trill. Massachusetts Permit No. BLDE-23-004422 • 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:2/9/2023 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) 977 WEST YARMOUTH RD Owner or Tenant HURLEY MARK Telephone No. Owner's Address HURLEY GINA A, 977 W YARMOUTH RD,YARMOUTH PORT, MA 02675-1947 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 11433674 Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement service. Completion of the following table may be waived by the 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 0 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 No.of Detection and Initiative 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: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ Other: 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: 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: 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: David E Coleman Licensee: David E Coleman Signature LIC.NO.: 17221 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:62 FLEETWOOD PATH, MARSTONS MLS MA 026481048 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 N1 A 7417(243 ig,( .b- ) Y9%7/2 `_i. E C E 1 v e ' / a3acc th Official Use Only ((' �� ' _�.�._._,._..._......_� sa oa Permit No. �3-'{//--t'� 2 _«�'� 1 FEB 0 9 2023 en,rimed o/'i e Servicci or [�_- Occupancy and Fee Checked '. �1� _BOARD OF FI E 'REVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING DEPARTMENT `� A ' -• - - 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: Ih ? ,.? aCity or Town of: /6-41-nor.prWTo the spec r of Wires: By this application the undersigves notice of his or her intention to perform the electrical work described below. Location(Street&Number) 91 7 7 til.t S , ¢ /2 , j„.i.L,jW Owner or Tenant in PYI k / v n.i .. Tel phone No. 6.g7 74 . 371 Owner's Address Sk44-7-t.. <0''7,'b 5 7i 7 Is this permit in conjunction with a building permit? Yes ❑ No hi (Check Appropriate Box) 1 Purpose of Building Rce,s,c0 4.4, e. Utility Authorization No. 1'/ 11 334 7-V Existing Service 0200 Amps )20 /2 O Volts Overhead 11 Undgrd❑ No.of Meters New Service ,20-0 Amps /.d / •2' Volts Overheadil Undgrd [l No.of Meters 7 Number of Feeders and Ampacity ,j o i f e S ei 41,4- a,4 pry, Location and Nature of Proposed Electrical Work: 2,‘„jp",tom .S.,� S. ..dt.- S ✓r ,...., Da C o pa.et, e' ,., o,i i.✓ Re414,1 2 Se e,tte-.4'• !;. Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- a No.of Emergency Lighting grnd, grnd. Battery Units • No.of Receptacle Outlets No.of Oil Burners I FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and 1 Initiating Devices Total 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other, HeatingAppliances Security Systems:* No.of Dryers pp KW No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: _3 vac , (When required by municipal policy.) Work to Start:+'e-iS (p 23' 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and alties of perjury,that the information on this application is true and complete. FIRM NAME: Ce , 1.e 4 ,j",,,�, 7v t LIC.NO.: j2 a4 T Licensee: 2gfi a/ g� Signature l d.L....._ LIC.NO.: /9l 7.2 (If applicable,enter"exem "in the license num er line j, Bus.Tel.No.: 50$- ', "7�i'S� Address: &a ,fri.€ . r.4— l t10 I"tom i/ Mk' Alt.TeL No.:v'"b b 3l0?'" S`la"lo *Per M.G.L.c. 147,s.57-61,security work requires Depaitsnent 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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $