The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002474 of ''�� 6 v Commonwealth of Official Use Only if� .R ') , Massachusetts Pennit No. BLDE-23-002474 t'xY 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:11/6/2022 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. _ 9 ! 2 Location(Street&Number) 15 PUTTING GREEN CIR Owner or Tenant FRANK HYNES +'� Telephone No. Owner's Address 15 PUTTING GREEN CIR, SOUTH YARMOUTH, MA 02664-2067 �,K Is this permit in conjunction with a buildingpermit? "° P Yes 0 No 0 (Cheek Appropr�> Boar` Purpose of Building Utility Authorization No. 10953469 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters, New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Mows Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service, install EV charging station, &4 receptacles in basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 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 gr bovend. ❑ gr nd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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: Charles H Furman Licensee: Charles H Furman Signature LIC.NO.: 18306 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:92 SPRUCE ST, N ATTLEBORO MA 027601920 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: $50.00 51311 5&tv tF-1 - EV -.X '- Grp) W4 RECEIVED IpV 0 4 2622 At, �j °mmonwsateh o/rr/adeachiuutie Official Use Only + ;!f DEPARTMENT i)`^^ �- /�c-� Permit No. e'Z� -7-R.7 ' _ o giro straw �� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. I/07] (leave blank) 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: d/ 9- �, City or Town of: S , h rt o .'TI' By this application the undersigned gives notice of is or her intention to To the Inspector of descr perform the electrical work described below. Location(Street&Number) /.5- /` (�,�.) G ' k G rcc� � •�C -� Owner or Tenant Fr c.,,.(C /`4.)^es Telephone No. 77 7 3 9 rV 2.Owner's Address Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building /Zec.'c/-4-t,'..L (Check Appropriate Box) ! Utility Authorization No. e1 S--- 4-it 3 Existing Service /D 0 Amps i 2 0 12'f' Volts Overhead-R— 0 UndgrdNo.of Meters / New Service ae 0 Amps /20 /iYU Volts Overhea d. Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed EIectrical Work: Ups r..-A(.c 5 e,..v2 4,4- ALL- CPNVO al c1't�' L• t�,, 9 Hf�y � c.G. zv.--C.t- y -� Gl ems f , .t /3‘5e,. ��.T �ve Completion of the followinztable may be waived by the Inspector of Wires. t No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total t'' Transformers KVA 'ClCA . No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above Q In- No.of Emergency Lighting k No.of Luminaires Swimming Pool grnd. grnd. 0 Battery Units , No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ,No.of Zones No.of Switches No.of Gas Burners No.of Detection and 19t No.of Ranges Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons 1 KVV. No.of Self-Contained Totals: ......""'" i Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal No.of Dryers Heating Appliances KW Security Systems t*on ❑ Otber No.of Water No.of No.of Devices or Equivalent Heaters No.of , Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2 3 6 t' c -,�� (When required by municipal policy.) Work to Start: Ill- 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" undersigned certifies that such covers a is in force,and has exhibited of same to thee or its substantial equivalent. The CHECK ONE: INSURANCE BONDproofpermit issuing office. I rertlfy,under the pains a penalties o ❑ OTHER 0 (Specify:) f perjury,that the information on this applicatianis true and complete. / FIRM NAME: Fti pry% c." F 1.g c'-fr tt c L Z. C LIC.NO.: lrff)! el Licensee: C4 A.rI es' 5 c`,M c.."-% Signature ��_ ,4,i. 3© (If applicable,enter"exempt"in the license number line.) LIC.NO.: Address: i w2 Sp,-^�c Jr_ 5�, ' .+} .e�7v�o /J��- Bus.Tel.Na.: ?"� �S'j�r Z TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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)0 owner Q owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I