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Home My WebLink AboutBLDE-22-005037 Commonwealth of Official Use Only L. , Massachusetts Permit No. BLDE-22-005037 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:3/11/2022 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 bel Location(Street&Number) 117 FREEBOARD LN �`� rS''l e, Pei 1) U R.�-71 L1 Owner or Tenant COTTO KATHERINE Telephone No. 0 Owner's Address 117 FREEBOARD LN, YARMOUTH PORT, MA 02675-2070 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 Location and Nature of Proposed Electrical Work: Replacement boiler. 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 1 No.of Detection and Initiatine 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 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 Sims 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Richard J Rooney Licensee: Richard J Rooney Signature LIC.NO.: 27024 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 951, POCASSET MA 025590951 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 REDIVtU I MAK i u cU22 Ti-UIN ' DE ARTMENT °////aeeachueat�fe Official Use Only y ,jl;;,a �,` c } ''t! J F ..lJsparfnunf ol�in Services Permit No.` l��yc_�------ r� BOARD OF FIRE PREVENTION REGULATIONS RevOc.1/07] and Fee Checked -----_____ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL] leave blank j All work to be performed in accordance!LEASE th the Massachusetts Electrical Code(MEC),527 CMR 12.00 WORK f� PRINT IN INK OR TYPE ALL INFORMATION) • City or Town of: YARMOUTH To the Inspector p i l3y this application the undersigned gives notice of his or her intentionto perform the electrical work described below. To the of Wires: J ovation(Street&Number) I Owner or Tenant . U 1-1 1 it Owner's Address Telephone No. 411 In 'S- 55- — Is this permit in conjunct{on with a building permit? ®Yes 0 No (Check !l�ca/I Appropriate Box) Purpose of Building 5 )1 Undgrd Service 1.( ; Utility Authorization No. rviee Amps /( !2 V°Its Overhead aUndgrd c...) N Amps !Nei_ ❑ No.of Meters _� Number of Feeders and Ampacity Volts Overhead 0rd ❑ No.of Meters g _ Location and Nature of Proposed Electrical Work: kri �' No.of Recessed Luminaires Completion o the ollowin table m No.of CeI._Suss , be waived b the/ns,ector o Wires. �� No.of Luminalre Outlets p (Paddle)Fans °.° ota `~` No.of Hot Tubs Transformers KVA 4, No.of Luminaires Generators KVA Swimming Pool o'ove n- 'o.a Units mergency No.of Receptacle Outlets rnd. ❑ . red. 0 Butte Unit g ng No.of Oil Burners No.of Switches a ' No.of Zones 'o.o i etec on an �,; No.of Gas Burners No.of Air Cored. ota Initiatin Devices No.of Waste Disposers 'eat 'ump um ...pox__Tons / No.of Alerting Devices N Totals: ....'.u..._......._..... No.of Dishwashers . "'""" °'° e oats ne Detectiion/AlertIn Devices Space/Area Heating KW No.of Dryers Local(] 'u n c pa 'o.o "a er Heating Appliances KW ecu Connection 0 alert tY ystems: Heaters KW o.o o. No.of Devices or E uivalent SW:ns , l° Data Wiring: No.Hyd Heaters age BathtubsBallasts No.of Motors No.of Devices or E'uivalent OTHER: Total HP e ecortamun ca ors r ng No.of Devices or E•uivalent Estimated Value of Electrical Work: Attach additionsl detail ifdeslred,or Work to Start; ' 7— as required by the Inspector of Wire s. .:�'l(J --��'__ (When required by municipal policy.) INSURANCE COVERAGE: Unlesspections waived tbyo be owner requested permit in accordance with MEC Rule 10, the licensee provides of liability insurance "completed operation"coverage or• and upon completion. the licensee provides that proofoh coverage si in insurance including ud has"completed proofopr operation" sameperformance of is subs al work may issue unless CHECK ONE: INSURANCEe its substantial equivalent, The unI CHECK under the pains INSURANCE BOND ❑ OTHER to the permit issuing office. 0 (Specify:) FIRM NAME. fper(ury,that the Information on this application is true and complete. Licensee: T lCl�� (II-applicable,e►yer"exempt"in license Signature LIC.NO.: Address: tuber line.) LIC.NO.:—'� *Per c. 147,s.57-61,security work requires De Bus.Tel.No.. *Per M.G.L.MR'S INSURANCE WAIVER: �� I am aware that Licensee does of have the liability insurance coverage �� required by law. Bymyublic S ty"S"License: Alt Lic.No. rcqOw rod y la signature below,I hereby waive this requirement. 1 am the(check one Signature normally Telephone No. / owner FEE:• owner's a:ent. PERMIT ,g' SU ' CK44 iW D Cc'