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Home My WebLink AboutBLDE-22-006427 o' Commonwealth of Official Use Only ill''Oak Massachusetts Permit No. BLDE-22-006427„von BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:5/9/2022 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) 25 MUSKET LN Owner or Tenant Moroni Herrera Telephone No. Owner's Address 25 MUSKET LN,YARMOUTH PORT, MA 02675-2129 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.vt Meters/ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 220 v disconnect, 110 v receptacle, &control;wiring{ , r Completion of the following table n a b ruki e {eI pc6or of Wires. No.of Recessed Luminaires No.of Ceil: No.of Susp.(Paddle)Fans '` , - �'s, dt�1�°'', Transformers ' ,'' ;.M'Kypr ,*- No.of Luminaire Outlets No.of Hot Tubs Generators KVt °F No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices _ No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 Siens 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 prcvides 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: JOSEPH V SLOWEY Licensee: Joseph V Slowey Signature LIC.NO.: 11186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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. I PERMIT FEE: $50.00 l,omnwnweaL I o/Ma&aachueetts Official Use Only ► -=ry�l- 7t, cc�� cc77 Permit No. ....2--1--- (''Lt"2'7 w.-101 Thepartment of ire Services Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) _ a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c) 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:5/2//2022 t 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)25 Musket Lane 1.J Owner or Tenant Moroni Herrera Telephone No. 916-425-0868 Q) Owner's Address Is this permit in conjunction with a building permit? Yes n No E (Check Appropriate Box) Purpose of Building Residence Utility Authorization No.Li- O Existing Service Amps / Volts Overhead E Undgrd n No.of Meters J New Service Amps / Volts Overhead n Undgrd n No.of Meters 4) Number of Feeders and Ampacity 4) Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet, control wiring to indoor unit v 7 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA — No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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.ofDetection and Initiating Devices Tota No.of Ranges No.of Air Cond. Tons No.of Alerting Devices S Heat Pump Number Tons KW No.of Self-Contained ^i No.of Waste Disposers Totals: Detection/Alerting Devices E _� 4> No.of Dishwashers Space/Area Heating KW Local❑ ConnecMunicition ❑ Other Heating Appliances KW Security Systems: No.of Dryers No.of Devices or Equivalent 1 No.of Water KW No.of No.of Data Wiring: _ { Heaters Signs Ballasts No.of Devices or Equivalent �•— No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g No.of Devices or Equied,erit } OTHER: J Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 650 (When required by municipal policy.) Work to Start:5/2/2022 Inspections 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 L BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjwy,that the information on this application is true and complete. FIRM NAME:JVS Electrician LIC.NO.: _ Licensee: Joe Slowey Signaturefrd . LIC.NO.:11186B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-326-2280 Address: 168 Watercourse Place,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 normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner'sagent. Owner/Agent Signature Telephone No. PERMIT FEE: $a .�