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Home My WebLink AboutBLDE-23-000051 Commonwealth of Official Use Only '� Permit No. BLDE-23-000051 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:7/5/2022 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) 147 SEAVIEW AVE O Owner or Tenant CONLON ANNE F Telephone No w Owner's Address 700 WARE ST, MANSFIELD, MA 02048-3220 Z P Is thispermit in conjunction with a building permit? Yes 0 No 0 (Che r te '' ,3 Purpose of Building Utility Authorization No. -A n ;� Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Me 8 New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meter 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel &heat pump installation. 4t/40) Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 2 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA Above No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ In-grnd. ❑ Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches 8 No.of Gas Burners Initiating Devices 1 No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: 1 Detection/Alerting Devices Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Local 0 Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or No. No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: William A Platteel LIC.NO.: 21085 Licensee: William A Platteel Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:899 Washington St, East Weymouth MA 021891526 *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 0 s signature below,I hereby waive this requirement.I am the(check one) I Owner/Agent 'PERMIT FEE: $75.00 Signature Telephone No. 2 aC( Goo &-f E vyiej i t /11 SU reco, Ce. R E C U v E p C p� Q Mjj / Official Use Only ommonwaa o a�9ac wefts • �F 2Z.— � • �, ry, Permit No.! r am+ ��'11 2 epartmenf o/.ire Service:3 Occupancy and Fee Checked __ 4 A D OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) LPARTMENiIILDING -' T ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code(MEC),51_7 CMR 12.00 (PLEASE PRINT IN INK OR T\YPf ALL INF RMATION) Date: C " a ?- 02 City or Town of: Ycv 1^'I oc..Aki 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 Sacr. t✓w _A v- — Owner or Tenant 4,//(/ N 4/'#T Telephone No. A-- --3?%•-?i y8 Owner's Address 7 G/4/P S`'! /320,1,3'/'/trdi e 001v9fk Is this permit in conjunction with a building permit? Yes r No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd No. of Meters New Service ROCS Amps /010 1,24'b Volts Overhead indgrd P No.of Meters Number of Feeders and Ampacity ,� Location and Nature of Proposed Electrical Work: //E4.1 ,/,„� •-N/f// I/e 47/7 -Dijn.'.rk% Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires a No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets g No.of Hot Tubs Generators KVA Above In- No. Emergency Lighting No.of Luminaires -3 Swimming Pool grnd. ❑ grnd. ❑ Batteryof Units No.of Receptacle Outlets 2 a No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges / Tons No.of Waste Disposers HeatPump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other Heating Appliances KW Security'Systems:* No.of Dryers No.of bevices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs KW Ballasts No.of Devices or E s uivalent Telecommunications Wiring: No. Hydromassage Bathtubs No.of Motors Total HP 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: 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 cover 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. LIC.NO.: FIRM NAME: ` kJ/II b" P 1f - ./ Signature/� LIC.NO.a 1 d$ �A Licensee: u �' / �E� ` c7 Bus.Tel.No.: i' Aapplicable,re HCier�erj mpt"in the lr�j-nse rrrm b r li r;c:.Jr O /t/J ,( lJ�` Alt.Tel.No.: Address: 1 I War 14 i / 4l'i *Per M.G.L.c. 147,s. 57-6l,s c.urity 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 Telephone No. I PERMIT FEE: . 7S'•Db} J Signature C/W ,U N