The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007472 Commonwealth. of Official Use Only Massachusetts Permit No. BLDE-22-007472 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:6/29/2022 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) 11 MEADOWBROOK RD Owner or Tenant PETRILLO MICHAEL J TRS Telephone No. Owner's Address DUNHAM CHRISTINA M TRS,440 EAST ST, MANSFIELD, MA 02048 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: New garage 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. Total No.of Alerting Devices Tons 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 ❑ 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: 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: JOSHUA B DEJOIE Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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: $75.00 2 i W Y /! 2"1i' REC :k. SUN 28 2y9� pp', �j/ 204Lomr�wnt{iQaGUt o� //aadachaeat`fe Official Use Only •, _ t J fir, ,; DING DEPgRr j f of o/3 Serviced Permit No, ZZ � 7/ 4`ii __ iro a �' Occupancy and Fee Checked BOARD REVENTION REGULATIONS [Rev. 1/07] (leave blank) (l APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C All work to be perfonned in accordance with the Massachusetts Electrical Code(MECk 527 CMR 12.00 d (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: to —ab - .,).• 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. ed Location(Street&Number) i t TA cAt U\)V riX iii Owner or Tenant �`1k� ye ri 1 tQ Telephone No. 7'��► ,,��b S`�t,� t Owner's Address 1 1 ,At...e...4. ,;: b vc (K Q`�-i r I Is this permit in conjunction with a building permit? Yes 4 No ❑ (Check Appropriate Box) J Purpose of Building G zce j e_ Utility Authorization No. Existing ServiceAmps / dVolts Overhead❑ Undgrd E No.of Meters J New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity . i Location and Nature of Proposed Electrical Work: re_ G1 C�i V!, Completion of the following.table may be waived by the Inspector of Wires. 0,, No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No.of Total n' Transformers KVA '=�;t No.of Luminaire Outlets No.of Hot Tubs Generators KVA r\ t' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting - nd. grnd. ❑ Battery Units �` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones . No.of Switches No.of Gas Burners No.of Detection and ' No.of Ranges Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I RumberTons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW gecurity Systems:' No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts 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: 3 v to (When required by municipal policy.) Work to Start: Ir _)c� ),a. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVdERRAGE: 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 4 BOND 0 OTHER 0 (Specify:) I certify,under the pains andpenalties o ) f per�ury,th t the Information on this application is true and complete. FIRM NAME: .1 mac, 0 �,E. t:k e LI f t C y t,_h LIC.NO.: Licensee: ‘5-c.>3hUr.% 0 61 f Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 1l]a Address: Bus.Tel.No.• ' 3 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. Bymysignaturehereby requirement. �'— below,I waive this I am the(check one ❑owner owner's a ent. Owner/Agent Signature Telephone No. P PERMIT FEE:$