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Home My WebLink AboutBLDE-23-002195 r ^I Commonwealth of Official Use Only fI V Massachusetts Permit No. BLDE-23 002195 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:10/24/2022 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) 17 KATHARYN MICHAEL RD Owner or Tenant MELANIE JOURNET Telephone No. Owner's Address 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 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: Wiring for finished basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 15 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and Initiating 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 0 Other: Connection No.of Dryers 1 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: 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Michael J Vella Licensee: Michael J Vella Signature LIC.NO.: 51706 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:416 CENTER ST, HANOVER MA 023392668 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.1 am the(check one) kr owner 0 owner's agent. Owner/Agent Signature %��U,: t/ . Telephone No. PERMIT FEE: $75.00 c y /� 'u1 i (-_ nweatth o�///aaeac�u�sffs Official Use Only �� * (OCT 2 4 2021 1sparfmsnl o ss>�i<es Permit No. = - qc �' _ ' L-°i BOARD O EIRE PREVENTION REGULATIONS Occupancy and Fee Checked { _ ;Rev. 1/07 ay J leave blank �— APPLICATION FOR PERMIT TO PERFORM ELECTRIC All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 A.0 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: %0. , . 4 City or Town of: 'rjr►f (., y� By this application the undersigned gives notice of his or her intention to To the Inspector of Wires: V Location(Street&Number ° the electrical work described below. i 1CQhLicusfl11 Z aau C� 1 Owner or Tenant � '\ a i ' Telephone No.Owner's Address i rC . of 1 O O Is this permit in conjunction with a building permit? yes f4. Purpose of Building N° El (Check Appropriate Box) Utility Authorization No. Existing Service Amps 2 Z Volts Overhead Undgrd New Service g 0 No.of Meters �} J Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r Thetionotheollo}vin.tablembe . dhe In .•ctor o Wires. No.of Recessed Luminaires No.of Ceil.-Sns `o.o / p.(Paddle)Fans Transformersota No.of Luminaire Outlets No.of Hot Tubs KVAA Generators KVA No.of Luminaires / Swimming Pool ,rnd.e ❑ n- ❑ '°•o mergency ig ng No.of Receptacle Outlets 'd• Bane Units f Z No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o ►etection an• No.of Ranges Initiatin. Devices No.of Air Cond. °ta Tons No.of Alerting Devices `eat 'ump `um r ons ` " ill `o o. Totals: _._____...__..... ont ne No.of Waste Disposers No.of Dishwashers Detection/Ale Devices Space/Area Heating KW Local 0 T Cm ucipa her No.of Dryers Heating Appliances KW cu ty st a on 0 of " • Na.ofD `o.° Beaters KW `o.° �a•o Devices.or E.uivalent Si •s Ballasts Data Wiring: Na.Hydromassage Bathtubs No.of Devices or E•uivalent No.of Motors Total HP a ecommumca•ons " ring: OTHER: No.of Devices or E•uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) INSURANCE C GE:ej2� Inspections to be requested in accordance with MEC Rule 10,and upon completion. GE: 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. I CHECK ONE: INSURANCE 0 BOND El OTHER El (Specify:) rtify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: Licensee: t Gti,q ,I LIC.NO.: � t Signature LIC.NO.:L /7D , Lf- (Ifapplicable,enter exempt in the license number line.) Address: Bus.Tel.Na. 8 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.. p Alt.Tel.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 owner • owner below,I hereby waive this requirement. I am the(check one ■ owner's s a ent. Signature Telephone No. PERMIT FEE:$