HomeMy WebLinkAboutBLDE-22-005574 .,-
,: -// Commonwealth of Official Use Only
�, \� ` Massachusetts Permit No. BLDE-22-005574
v .i ' 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 (2.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:4/1/2022
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) 7 CANDLEWOOD LN
Owner or Tenant Jason Coleman Telephone No.
Owner's Address WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. •2981
Existing Service 100 Amps Volts Overhead 0 Undgrd 0 of Meters
New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Service&remodel ,
Completion of the following table may be waived by the JGtispector of Wires.
No.of Recessed Luminaires 15 No.of Ceil:Susp.(Paddle)Fans 1 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 30 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 18 No.of Gas Burners 1 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 6
p Totals: Detection/Alerting 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 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: $185.00
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Occupancy and Fee Checked
- -- E PREVENTION REGULATIONS [(Rev 1 RAI
• (leave wank)
k APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
rcl, All work to be performed in accordance with the Mass,i,littscusl3leetrical Code(MEC).52/CMR 12.00
PRINT TYPE(PLEASE IN INK OR ALL INFORMATION) Date: 03/28/22
City or Town of: W.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.
l . Location(Street&Number) 7 CandiewOnd Lane
Owner or Tenant Jason Coleman Telephone No.
"st
s...4 Owner's Address Same
Is this permit in conjunction with a building permit? Yes x No 1--- (Check Appropriate Box)
c-, ? Purpose of Building
N..) Residence utility Authorization No. 8562981
Existing Service 1 00 Amps 120 /240 Volts overh"E undgra
No.of Meters one
100 120 240 0 one
$ New Service Amps i Volts Overhead x Undgrd No.of Meters
-..., Number of Feeders and Arnpacity _
Location and Nature of Proposed Electrical Work: New service same size IN/larger MB Loadcenter. Total
AI Rewire, New Kitchen. Only sheetrock removed is kit. and dining rooms. Smoke alarms hardwired
Comolenon ofthefolloworgatble May be waived bi the In;ipector of Fitts.
144 No.of Ca.-Suit).(Paddle)Fans One 'TSroa,nostformers KoVtaAl
No:of Recessgd Luminaires 15 est
- .---
No.of Luminaire Outlets Five Est (No.of Hot Tubs Generators I(VA
I Above In- No.tit Emergency Lighting
No.of Luminaires Five Est 'Swimming Pool 2rod. grad. Battery Units
,
No.of Receptacle Outlets 30 Est, No.of Oil Burners IFIRE ALARMS No.of Zones i
)
No.of Switches 18 Est. No.of Gas Burners 1-Gas No'of Detection and
Devices
Total :
i No.of Ranges 1-GAS No.of Air Cond. Tens No.of Alerting Devices
No.of Waste Disposers Heat Pump Number!Tons . KW Six
.,, No.of Self-Contained Totals: I -. Detection/AlertingDevices
‘') 1 ' ,,‘„ Municipal
i No.of Dishwashers ONE Space/Area Heating KW L'"' onnection[_Other I
.& \t`
t„- ‘ No.of Dryers 1- GAS !Heating Appliances KW Security Vsteinv:*
No.of beviees or Erptivalent
No.of Water
Heaters KW No.of No.of Data Wiring: One
• Signs Ballasts No.of Devices or Equivalent
(A Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total" No.of Devices or Equivalent One
•OMER:3 Bedroom No longer a five bedroom. Other two rooms an office and craft room
• Anath additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $5000.00 (When required by municipal policy.)
Work to Start: Est. 4/2/22 Inspections to be requested in accordance with MEC Rule 10,and upon completion-
INSURANCE COVERAGE; Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCEZ BOND OTHER urt;t1Specify:)
1 certtfp,wider the pains mid ties of p ,,that the :nation as:this application is true mu!complete.
FIRM NAME:Coleman Electric Inc I Verified by pdfFilier LIC.NO.: A17221
Licensee: David Coleman Signature 1 .Pallid coegneet tic.No.: E29607
,„J,2,,, ,,„
Of applicable.enter "exens-4"in the&me number line) Bus.Tel.No,; 50 -428_,-7445
Address: ez, 2 F 1-e....7' Wipe:VW_ ilb"(44 in• ell 1 i i 5 0 2 & y b AIL Tel,No.: sos..164445,6_.
*Per M.G.L,c. 147,s 57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee.does not hove the liabilirrance cage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one owner owner's agent,
OvvneriAgent
Signature Telephone No. • PERifIT FEE:$