HomeMy WebLinkAboutBLDE-23-001710 of ry"
Commonwealth of Official Use Only
a Massachusetts PertnitNo. BLDE-23-001710
:` 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:9/29/2022
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) 5 STAVE PATH
Owner or Tenant TERESA HATCH Telephone No.
Owner's Address 148 MARBLE ST UNIT 103, STONEHAM, MA 02180
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
New Service Amps Volts Overhead 0 Undgrd ❑ eters
Number of Feeders and Ampacity
..,,„,. 9'l ...\\'.,,,,w„,,-,. ,,,\
Location and Nature of Proposed Electrical Work: Wiring for two split systems.
Completion of the following table may be waived by th ector of Wis.
No.of otal
No.of Recessed Luminaires No.of Cei1:Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators VA
SwimmingPool Above 0 In- ❑ No.of Emergency Lighting
No.of Luminaires grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Gas Burners No.of Detection and
No.of Switches Initiating Devices
No.of Air Cond. Total No.of Alerting Devices
No.of Ranges Tons
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers Totals: 2 Detection/Alerting Devices
Local ❑ Municipal ❑ Other:
No.of Dishwashers Space/Area Heating KW Connection
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 pen-nit 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: JOSEPH V SLOWEY LIC.NO.: 11186
Licensee: Joseph V Slowey Signature
Bus.Tel.No.:
(If applicable,enter"exempt"in the license number line.) Alt.Tel.N o.
Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629
*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 I PERMIT FEE: $50.00
Signature Telephone No.
Commonwealth.o/Ma i aci ueelte Official� Use Only /�\f]
J—_ f cc�� c�77 �\j L 3 /ZCV
__ _ J)epartmenl oil ire JerviceJ permit No.
•% =i' Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1 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:9/26/2022
£ City or Town of: Yarmouth To the Inspector of Wires:
A By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number)5 Stave Path
Owner or Tenant Teresa Hatch Telephone No. 508-237-1997
—
Owner's Address
5 Is this permit in conjunction with a building permit? Yes ri No d (Check Appropriate Box)
d I Purpose of Building Residence Utility Authorization No.
Existing Service Amps / Volts Overhead I I Undgrd No.of Meters
New Service Amps / Volts Overhead I I Undgrd P No.of Meters
' L) Number of Feeders and Ampacity
U- Location and Nature of Proposed Electrical Work: wireHeat pumps for mini splits. 220V disconnects
p (2) P P P� (2) (2)
and whips, (2) 110VGFI outlets,(2)25 AMP double breakers
v Completion of the following table may be waived by the Inspector of Wires.
cii No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
CO No.of Luminaire Outlets No.of Hot Tubs Generators KVA
7 No.of Luminaires Swimming Pool Above In- No of Emergency Lighting
grnd. ❑ .
grnd. 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
Initiating Devices
O Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
t- Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers Totals: Detection/AlertinEg Devices
c. No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW 'Security Systems:*
No.of Devices or Equivalent
— No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
a
E No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
N OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 1,600 (When required by municipal policy.)
Work to Start:9/26/22 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 2 BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: JVS Electrician LIC.NO.:
Licensee: Joe Slowey Signaturefry i'`r V _,.t 4 LIC.NO.:11186B
(If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:508-326-2280
Address: 188 Watercourse Place,Plymouth,MA 02360 Alt.Tel.No.:
*Per M.G.L. c. 147,s. 57-61,security 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
Signature Telephone No. PERMIT FEE: $