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Home My WebLink AboutBLDE-22-006722 Official Use Only Commonwealth of Permit No. BLDE-22-006722 Massachusetts tnto9„ 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:5/20/2022 the Inspector of Wires: City or Town of: YARMOUTH By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 40 CHRISTMAS WAY Telephone No. Owner or Tenant Jon Pearson Owner's Address 40 CHRISTMAS WAY, SOUTH YARMOUTH, MA 02664 No 0 (Check Appropriate Box) Is this permit in conjunction with a building permit? Yes ❑Utility Authorization NCh�� / Purpose of Building I Amps Volts Overhead 0 Undgrd ❑ ,No.of Mkt S� ExistingService P 0 of Motel's Volts Overhead 0 UndgrdN� New Service Amps /� Number of Feeders and Ampacity //� Location and Nature of Proposed Electrical Work: 220V disconnect 110V GFI outlet Completion of the following table may be wait'/e $y the nspector of Wires. No. Total No.of Ceil.Susp.(Paddle)Fans Transformerso.of / KVA No.of Recessed LuminairesKVA No.of Luminaire Outlets No.of Hot Tubs Generators No.of Emergency Lighting No.of Luminaires Swimming Pool Above ❑ grnd. ❑ Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones No.of Receptacle Outlets 1 No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Local 0 Munici al No.of Dishwashers Space/Area Heating KW n is pion ❑ Other: Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent NoNo.of No.of Ballasts Data Wiring: Heaters Water KWSigns No.of Devices or Eauivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent 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. f electrical work may issue unless INSURANCE COVERAGE:Unless waived by the owner, coverage orit or the performance its substantial equivalent.alert The undersigned certifies that such coveragee licensee proof of liability insurance including completed operation" g is in force,and has exhibited proof of same to the permit issuing 0 (Specify:) CHECK ONE:INSURANCE 0 BOND 0 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOSEPH V SLOWEY Signature LIC.NO.: 11186 Licensee: Joseph V Slowey Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 *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 otheliability er insurance covera s average normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) Owner/Agent PERMIT FEE: $50.00 Telephone No. Signature Commonwealth. // ��/� // Official Use Only Commonwealth o f rnamaehaeeth � � [�� =* c� c7 Permit No. Z _�1 eLJepartment ol }ire ServiceJ _. : Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 C' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/17/22 o City or Town of: Yarmouth To the Inspector of Wires: v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. — Location(Street&Number)40 Christmas Way Owner or Tenant Jon Pearson Telephone No. 508-269-8115 Owner's Address Is this permit in conjunction with a building permit? Yes No 10 (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd I I No.of Meters c.t. New Service Amps / Volts Overhead I I Undgrd No.of Meters 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet v d Completion of the following table may be waived by the Inspector of Wires No.of Total No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fanscri Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- No.oI Emergency Lighting grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones i� No.of Gas Burners No.of Detection and „ -N No.of Switches Initiating Devices �i Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump Number Tons KW No.of Self-Contained , No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Conne t on unicipal ❑ Other � KW j Heating Appliances Security Systems:* i No.of DryersNo.of Devices or Equivalent ) No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or Equivalent Heaters Signs q Telecommunications Wiring: (1) No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent I a 1 OTHER: i cc) Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 500 (When required by municipal policy.) Work to Start:5/17/22 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: INSURANCE ® 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 Signaturefki4- 6/ '`i` 4,K 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 Department 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: $ Signature Telephone No.