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Home My WebLink AboutBLDE-23-000674 C Commonwealth of Official Use Only t ,�, Massachusetts Permit No. BLDE-23-000674 % ' 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:8/9/2022 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) 36 ROUTE 6A Owner or Tenant HEGARTY JAMES W TR Owner's Address J W& B HEGARTY TRUST, P 0 BOX 327, CUMMAQUID, MA 02637 Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ New Service g No.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel 1st floor bathroom. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 No.of Ceil.-Susp.(Paddle)Fans No.of Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abovgrnd.e ❑ ❑ No.of Emergency Lighting grnNo.of Receptacle Outlets 1 Battery Units p No.of Oil Burners FIRE ALARMS !No.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 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: ANTHONY C PUOPOLO Licensee: Anthony C Puopolo Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22035 Address:57 Elliot Lane, PLYMOUTH MA 023604959 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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: $75.00 I 7, , a-VICetti 4 7/"./ RECEIVED .:, AU G 0 8 202 o n vaahh e/v?.as.huastia '' �t JJfticial Use Only :_DING DEPART gips -� / "7 I( v — — �artmeni al gi,s Ssrvicsa Permit No. l�- 7 4:(G'6 =OARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �.J Rev. 1/07] leave blank -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC?2- _ . ,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) I City or Town of: YARMOUTH Date: Q By this application the undersigned givYAtRM his OUTHintention to perform the elect ical o k described Location(Street&Number) (a k described below. Owner or Tenant Owner's Address Telephone No. Is this permit in conjunc on with a building permit? yes pa NO ❑ (Check Appropriate Box) Purpose of Building ->I Q Existing Service Utility Authorization No. Amps / Volts Overhead N �Ce ❑ Undgrd[� No.of Meters — ---- Amps / Volts Overhead El Number of Feeders and Ampadty Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: � Ze1M r•1 n S li i No.of R Com,letion o the ollowin_ table in be waived b the In .ector o Wires. A Recessed Luminaires No.of Ce11.-Sus . `o.o• p (Paddle)Fans ota No.of Lumnnaree Outlets Transformers KVA of Hot Tubs Generators KVA A ,4 No.of Luminaires • Swimming Pool , d. ❑ 'o.oa Units mergency g ng ''ve n- `tt No.of Receptacle Outlets rnd. ❑ Bette Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o e etec on an, 1`,1 No.of Ranges Initiatin` Devices No.oAlr Cond. ota No.of Waste Disposers Tons No.of Alerting Devices eat 'um , „ Totals: ......gym i�eC.. ..ons......_. o.o e No.of Dishwashers out: ne Detection/Aiertin, Devices Space/Area Heating KW Local 0 C'un eion 0 Other No.of Dryers Heating Appliances `o.o "a er KW ecu ty yystemtems: Heaters 'o.o KW No.of Devices or E uivalent S ns Ballasts Data Wiring: No.of Devices or i uivalent No.Hydromasaage Bathtubs No.of Motors Total HP a ecommun ca s ons " ,g• OTHER: No.of Devices or E 4 uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value ofElectrical Work; (When required by municipal policy.) Work to Start: 2•Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE; Unless waived by the owner,no the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.permit for the performance of electrical work may issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCES q nt• The I certify,under the ins and penalties D � OTHER � (Specify:) FIRM NAME: f perjury,that the inf�arenaHon ore this application s true and complete Licensee: LIC.NO.: rSA (If applicable,enter"exempt"in the licens number line.) Signature Address: LIC.N .: it<r►-,ry Bus.Tel.No *Per M.G.L.c. 147,s.57 61,security work requires Department of Public Safe "S" • O?0� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability linsurance coverage required by law. B m signature h License: Lic.No. Owner/Agent y y gnature below,[hereby waive this requirement. I am the(check one normally Signature � owner � owner's a:ent. Telephone No. PERMIT FEE:$