HomeMy WebLinkAboutBLDE-22-002773 4 Commonwealth of Official Use Only
' \ / Massachusetts Permit No. BLDE 22 002773
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:11/15/2021
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 c cal work de�scr}'�'ed below.
Location(Street&Number) 55 DANAS PATH perform the
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Owner or Tenant -kl9MEf3_13RI t(LIFQ-Fib-T-) Telephone No.
Owner's Address Y, 55 DANAS PATH, WEST YARMOUTH, MA 02673
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 200 Amps 240 Volts Overhead 0 Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install new 200 AMP meter socket with dual disconnects, to split services
Homeowner to complete the work:
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 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
No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal if 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: 11/15/2021 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 ❑ 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: MEYER AND SONS BUILDERS INC.
Licensee: Trevor J Meyer Signature LIC.NO.: 101957
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 322 Lower County Road, Dennisport MA 02639 Alt.Tel.No.: 5087766027
*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: $230.00
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Elliott, Ken
From: Trevor Meyer <tmeyer@meyerandsons.com>
Sent: Monday, November 15, 2021 12:45 PM
To: Elliott, Ken; Meg
Subject: Fwd: Work Request Submission Confirmation #7098357
Attention! This email originates outside of the organization. Do not open attachments or click links unless you
are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.
Otherwise delete this email.
Ken,
See the attached WO number from Eversource below for 55 Danas Path, West Yarmouth, MA 02673.
We are homeowners completing the work ourselves on our owner occupied 2 family, and would like to set up a
time to have it inspected at your convenience.
Permit completed online, paid. Installation is complete - please call me if you need access into the house.
The double meter socket with disconnects and Exterior grounding is installed, we are awaiting the new meter
post inspection.
rAtii,GL-1
Forwarded message
From: Eversource Do Not Reply <noreply@notifications.eversource.com>
Date: Mon, Nov 15, 2021 at 9:43 AM
Subject: Work Request Submission Confirmation#7098357 ,-11.�f�
To: <tmeyerna meyerandsons.coln> ,L�,
E =
Dear Valued Customer,
Work Request Submission Confirmation
We received your work request with the following information:
Work Request Type: * Request Type:Meter Work Install Only
Meter Work Install Only * Request Number: 7098357
Work Request Number: * Work Requested Date: 2021-11-15
Job Location: 55 DANAS PATH
7098357 * Contractor Name:
* Contractor Phone Number:
Job Location:
55 DANAS PATH NOTE: This email confirms we received your request and does not
imply that work will be performed.
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•
Log into your Eversource.com account to track the status of your
request. For questions or to cancel your request, call or email us and
we'll be happy to assist you.
Sincerely,
Eversource Electric Service Support Center.
18886333797
MANewService@eversource.com
Please save this confirmation email for your records.
This is an unmonitored mailbox-please do not reply.
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