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HomeMy WebLinkAboutBLDE-23-000052 Commonwealth of Official Use Only "�O€ Permit No. BLDE-23-000052 f'i., Massachusetts 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: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 Owner or Tenant CONLON ANNE F Telephone No. Owner's Address 700 WARE ST, MANSFIELD, MA 02048-3220 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: Remodel &Install heat pump(REAR HOUSE) Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans 4 Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA v In- ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool Abo grad e ❑ grnd. Battery Units No.of Receptacle Outlets 26 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches 12 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 No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other: Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent 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 perjwy,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.: o. 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 signature below,I hereby waive this requirement. I am the(check one) 0 owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $75.00 I Signature Telephone No. ,-,✓Vlyt ►'( 1-✓lS( L-1(c&-tit Le_ e� DD /llj // Official Use Only R E Y E D Commonwealth olP aisachuaeffa J �j'�,s ---7{ , , Permit No. f) r ✓ L/ oLJ cryam,,epartment el ire Service6 J �2 Occupancy and Fee Checked B A D OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) BUILDING L E.I'ARTMENT BY -- ION 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 TY30/E ALL INFORMATION? Date: — 02 - 0,2 �(City or Town of• lM4 C9 1 �) To the Inspector of Wires: By this application the �undersignedgives notice of his or her intention to perform the electrical work described below. Location(Street&Number) /T` 7 554 v t t'14., A ye.. c e 4r Owner or Tenant /J,vE F (71,/0,-1 0441 � Telephone No. ape_ .j 37—2/%t8 Owner's Address D CO wf re ,'ee i �'�c�`tJ 744 0,4048 Is this permit in conjunction with a building permit? Yes ! No V / (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd No.of Meters — New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: irk/4 4/jlt i/s_s --A/4-44/cc-17///l /V/F/./ //r-AT pt/Ain - /7/4.' S�/!! Completion of the followin,table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires Cep No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA — Above In- No.of Emergency Lighting No.of Luminaires 3 Swimming Pool grnd. ❑ grnd. I—, Battery Units No.of Receptacle Outlets 2 G No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches /7? No.of Detection and No.of Gas Burners Initiating Devices Total No.of Ranges / No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW o.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other e No.of Dryers Heating Appliances KW eCs:* Na f be ices or Equivalent Na.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: 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 covera e 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: / LIC.NO.: Licensee: �O l 1'S api, P/41/48-e Signature �� LIC.NO.: 02 t O a di applicable nter "exempt"in t w license number lir e.) / /�'fN.1 Bus.Tel.No.: / �(�c u oZ Address: �( �/�s�i hj TQ/► 6 7. wJ y WI o f IA N./1 I Alt.Tel.No.: *Per M.G.L. c. 147,s. 57-61,securr y work requires Depai`tment 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 Iaw. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: �S�� Signature Telephone No.