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Home My WebLink AboutBLDE-23-005348 UCommonwealth of officialuseonly (f1:: )?.� Z `` Massachusetts Permit No. BLDE-23-005348 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:3/29/2023 . 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) 43 PUTTING GREEN CIR Owner or Tenant JANNETTE MAILLET Telephone No. Owner's Address 43 PUTTING GREEN CIR, SOUTH YARMOUTH, MA 02664 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 I Location and Nature of Proposed Electrical Work: Wiring of one basement room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans 1 1 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ❑ o No.of Emergency Lighting grndAbove grnd.In- Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners 1 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total 1 No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 desired.or as required by the Inspector of Wires. if 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:) l'certify,under the pains and penalties of perjury,that the information on this application is true and complete. °7 7/1_ 1fj3,,, 4/43 FIRM NAME: Scott M Laperriere Licensee: Scott M Laperriere Signature LIC.NO.: 32399 If applicable,enter"exempt"in the license number line.) I Bus.Tel.No.: kddress: 17 ROBINWOOD RD, BUZZARDS BAY MA 025325124 Alt.Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: )WNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my ignature below,I hereby waive this requirement.I am the(check one) 0 owner E owner's agent. )wner/Agent signature Telephone No. PERMIT FEE: $75.00 • Q,,y4, 4/7/2. 3r-CNAN/ 7 t l ( l RECEIVED Alk o wealth of Massachusetts �Of-f-i�cial Use Onl �' R Permit No.:'t t j 5 3`� j �+, _ c De a ment ofFire Services Occupancy and Fee Checked: .'�iBO'ARO`c7VEF PREVENTION REGULATIONS [Rev. 1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in with the Massachusetts'Electrical Code(MEC), 5 7 CMR.12.00 City or Town of: YARMOUTH • Date: 3 a p /�2 y To the Inspector of Wires:By this application,the gives notices of his or her inte lion to perform the electrical work described below undersigned . Location(Street&Number): it 3 pi, t,,� C:'/C&n, C e,,.T.(e Owner or Tenant:Jt�p.N'!-i•"'.�v_ Unit No.: d gm.ail: Owner's Address: S 7-sr-r IIVI i -I one No.: Is this permit in conjunct n with a building permit?(Check appropriate box)Ye ' No 0 Permit No.: Purpose of Building: 4-A.r-y) 1,i Flu,an Utility Authorization Existing Service: / .> Arfips /2ti / c .1I,Volts Overhead❑ Underground( No. of Meters: / New Service: Amps / Volts Overhead Underground 0 g 0 No.of Meters: Description of Proposed Electrical Installation: Li ` ,mot 1 go c 41 0Ale v4 e', — Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:. No.Luminaires: r/ No.of Recessed Luminaires: I, No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: 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 0 No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System / No.Air Conditioners: Total Tons: y ❑ No.of Devices: 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 '1Q Level 2❑ Level 3 OTHER: 0 Rating: Attach additional detail if desired,or as required by the Inspector of Wires Estimated Value of Elet ical Work: ?a C2t-, , y p (When required by municipal policy) Date Work to Start:3 � 3 ..23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: 'Ce 4 - .I e-E✓^t t t A-1 0 or l:-1 0 LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: 6-�c,4 1 /.J)-P et/'s^I r/.� LIC.No.: 3„ ._ 3 99 Security System Business requires a Division of Occupational Licensure"S"LIC. 1 S-LIC.No.: Address: l / + D b ]N 1.410 d 2 0 B Cl . 446,-I Email:,S' L. / c.i r i C f"c 9 C6 w4G'f ,a PP Telephone No.: 779 /3 GI/ � I certify,unde e p 'ns d penalties of perjury,that the information on this application is true and complete. Licensee: t Print Name: S?0 L43-"1e'./'°-t ' No.: i '7 7 9/�J -6 7 Cell. INSU NCE C VE E: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"comple operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 Specify: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilit y 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: iEmail.: