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Home My WebLink AboutBLDE-23-004877 �4 r 4y commonwealth of Official Use Only •- �` ' Massachusetts Permit No. BLDE-23-004877 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:3/6/2023 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) 22 HOLLY LN _ Owner or Tenant EGAN JAMES M Telephone o. \, Owner's Address EGAN KRISTA M, 81 GROVE ST, HOPKINTON, MA 01748 Is this permit in conjunction with a building permit? Yes 0 No 0 ;(heck Appropriate Box) p 6 Purpose of Building Utility Authorizatio No. 12225319 . ' �'1.^(L2Y-t Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meter New Service 200 Amps Volts Overhead 0 Undgrd ❑ No.o ers Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 10 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 ❑ In- I: No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 16 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners 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 2 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water 1 KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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: James M Egan Licensee: James M Egan Signature LIC.NO.: 20668 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:81 GROVE ST, HOPKINTON MA 017481827 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: $125.00 0AZ- 6ac 5/74 3 tc,- zweed-feAiktvE„ q/74-23 CL ,,Q,- L_ (e 126123 r2 IRECEIvEDI . ; Commonwealth of Massac U*Ar 0 6 2023 Official Use Onl * F er 't No.: -9 bT7 r!-_">� fi Department of Fire Services ..l�cc ancy and Fee Checked: t * =i 1= �,_1 j- BOARD OF FIRE PREVENTION F Ci�" FO'Ns Etev 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 2.00 City or Town of: YARMOUTH Date: 3( Db ��3 To the Inspector of Wires:By this application,the under i ed gives n tices of his or her intention to perform the electrical work described below. Location(Street&Number): .'a \ O\ ,v1,-sL Unit No.: Owner or Tenant: vv'-. L ter-, Email: 3 @ C,,b-,M 0,¢j") t Owner's Address: ' 6ct`%2 A4 67 1PN ,M A, Phone No.: 9)1 '316n j 1) q Is this permit in conjunction with building emit?(Check appropriate box)Ye No❑Permit No.: Purpose of Buildin ^c 7 QJ. \ -t,� ti Utility Authorization o.: ( a-aa C 3 1 9 1 Existing Service: Amps` i)-A4 molts Overhead ElUnderground No. of Meters: New Service: . n° Amps-10/ ( 2A.Volts Overhe 0 Underground No.of Meters: l . Description of Proposed Electrical Installation: ` r4 a kk)? Z R.Le ASII t4 410, `b i L J\�� (; l- n ,�U V" Completion of the following table may a waived by the Inspector of Wires. No.of Receptable Outlets: t lc No.of Switches: ' 10 Generator KW Rating: Type:. No.Luminaires: No.of Recessed Luminaires: ` O No.Wind Generators: Wind KW Rating: No.Appliances: KW: No. Water Heaters: 1 Kli1C: 03AS No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating: ' in: OTHER: \ ,‘ INyok\k oleipt, \ c joS wtso ,- 7\--",n. ) e_,\,(,A,„4. ‘44,e, Attach additional detail if desired,or as required by the Inspector of Wires. . Estimated Value of Elec 'cal Work: t-c0 -- (When required by municipal policy) Date Work to Start: '-1j 10 ?--3l Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: Ec... L-\ A-A t- f A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: - "Z0)14-494 L Ii' a&LIC.No.: Ob‘`6 A 1 I Journeyman Licensee: —1 VM4--)0 jev' LIC.No.: 65 16 Security System Business requirese a Division of Occupati al Lic sure" "LIC. S-LIC.No.: \Address: G'` c lJ ( U� ,,Z-1U�. 1�-A ( L 0p Email: \r @ ?i`IitkV-- & LA C.-CU �-1^ ,- '� Telephone No.: QA .--S (1 O m VA ti I certify,under the pains and penalties of perjury,that the information on this application is true and complete.d f Licensee: )W4--3 (�-JG l"l Print Name: 0►vvt,�-j in Cell.No.: �' °�7 INSURANCE COVERAGE: Unless waived by the owner,no permit for the perform i atltrG e of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has-txhibited proof, e to the permit issuing office. CHECK ONE: INSURANC:0% BOND El OTHER El Specify: p fY: 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 0 Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: