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Home My WebLink AboutBLDE-22-007140 Commonwealth of Official Use Only r - .,,,,..„ k� ` Massachusetts Permit No. BLDE-22-007140 Mn(T� ( , �`' / ,' BOARD OF FiRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he pertin•ined in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL iNEOR:1IA770N) Date:6/9/2022 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) 9 WOODSIDE CIR Owner or Tenant GREBE LOIS E M Telephone No. Owner's Address GREBE JOHN H, 9 WOODSIDE CIR,YARMOUTH PORT, MA 02675-1800 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: 220 volt disconnect& 110 v GFCI Receptacle . Completion of thc•/ollowing table may be waived-Ty the Inspector of Wire, 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 Above In- No.of Emergeti,v .,g "" No.of Luminaires Swimming Pool grad. ❑ grnd. Battery Units _ No.of Receptacle Outlets 1 No.of Oil Burners ' FIRE ALARMS Na.of'Lt No.of Switches No.of Gas Burners No.of Delertint;t;ttci — .. - Initialing D iss.s._._..�..._.�. _ No.of Ranges No.of Air Cond. 1 "total • No.of Alerting Desires Tons .r_ =, No.of Waste Disposers Heat Put c Number Tons KW Na.of Self-Contained Totals: y� Detection/Aler_mt_tlevjcc ._•,__� No.of Dishwashers Space/P �fr I r/ t�- Local 0 Vlunicip�tl 0 Other: Conttec:emu No.of Dryers i . t i. Security S;stems:, No.of Devices or Iii i_valent No.of Water KW Ni. 41,8" ill') Data Wiring: Heaters Suns No.of Devices or t:gui„:tient ___• N . ,•MotorsPOQ Tciccommunic•diour,Wiring: No.Hydromassagc Bathtubs o t t No.01•Devices or L,vii.,alcnt OTHER: c 40 — , • Attach additional ii 'oil if,hcetrc,' or as required hi the Inv tee for of Wirc stimated Value of Electrical Work: (When required by municipal policy.I ,,, to start: Inspection to he requested in accordance with MEC Rule 10,nod nno''corninLnor. ;;/ACE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work May is,uc i1' ( i c licensee pravidis x°=ability insurance including"completed operation"coverage or its substantial equivalent.The under ignecl c:clilk's that such coverage titild has exhibited proof of same to the permit issuing office. •c INSURANCE 0 BOND 0 OTIIIR 0 (Specify:) the pains and penalties of perjury,that the information on this application is true and rarrrplere- <JOSEPH V SLOWEY ':e V Slowey Signature I..IC'.NO.: 11186 — pt"in the license number line.) taus.Tel.No.: ', OURSE PL,PLYMOUTH MA 023603629 Alt.Tel.No.: to . * , Sw },,)a,security work requires Department of Public Safety"S" License.: OWNER'S ,""'.: IVER:I am aware that the License does not have the liability insurance coverage normally required by law. But ntv signature below, I he 5:s requirement.I tun the(cheek one) 0 owner 0 owner's;+gent. Owner/Agent Signature r Telephone No. rPERA7IT FEE: $50.00 _ --- Commonwealth 0/l' amachiaaella Official Use Only -* c� Z=Z (40 — �1= .� Permit No. �-�� 11= a arttmenf of ire Jervicei "a'1_1= Occupancy and Fee Checked , BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) J APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/7/2022 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)9 Woodside Circle v Owner or Tenant Lois Grebe Telephone No. 508-737-8676 • Owner's Address Is this permit in conjunction with a building permit? Yes n No F (Check Appropriate Box) E Purpose of Building Residence Utility Authorization No. Eli Existing Service Amps / Volts Overhead ri Undgrd n No.of Meters QI New Service Amps / Volts Overhead 1 1 Undgrd I I No.of Meters it) Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet, control wiring to indoor unit 15 AMP breaker --- Completion of the following table may^l>s .v,..: oy `le Inspector of Yi io's. 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 j Above In- No.of N'mergency Lig hugNo.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of ZUi - No.of Switches No.of Gas Burners INo.of Detection and Initiating Devices Tot No.of Ranges No.of Air Cond. s No.of Alerting Devices Ton i, No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Detection/Alerting Devices °' No.of Dishwashers Space/Area Heating KW ILocal Municipal Connection Li Other I] No.of Dryers Heating Appliances KW 'Security Syystemsr Y No.of Devices or E t uivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No..-,_4„..viees or Equi‘rlont 1 OTHER: —'—' Attach additional detail if desired, or as required by the Inspector of Wires Estimated Value of Electrical Work: 575 (When required by municipal policy.) t':, Work to Start:6/7/22 Inspections to be requested in accordance with MEC Rule 10,and upon completion. ' SURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unl- licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The ' N+gned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. " M . �t ONE: INSURANCE 2 BOND ❑ OTHER El (Specify:) , under the pains and penalties of perjury,that the information on this application is true and complete. F'''t , µ' r ;.JVS Electrician ` 4',./v-' LIC.NO.: Licensee:"!' -lowey Signatur � (/ LIC.NO.:11186B (If applicable,eiitei* mpt"in the license number line.) Bus.TeL No.:508-326-2280 Address: 168 watercours;t?laue,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 norm, required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's. Owner/Agent Signature Telephone No. PERMIT FEE: $