HomeMy WebLinkAboutBLDE-23-002665 Commonwealth of Official Um/Only
, 4\ Massachusetts Permit No. BLDE-23-002665
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:11/15/2022
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 STRATFORD LN
Owner or Tenant MAURO EUGENE C TRS Telephone No.
Owner's Address MAURO CAROL A, 25 STRATFORD LN,YARMOUTH PORT, MA 02675-1546
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bow)
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: Install generator
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 1 KVA 16
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
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Municipal
Local ❑ ❑ Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of Devices or Equivalent
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
:)
I certify,under the pains and penalties o.fperjury,that the information on this application istrue and complete.
FIRM NAME: Stephen J Leger
Licensee: Stephen J Leger
Signature Tel. NO.: 20792
(If applicable,enter"exempt"in the license number line)
Address:PO Box 181, Southborough MA 017720181 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
—;. Commonwealth 41///amachu.le fficial Use Only
1 Permit No.
=1b_ 1 ePar ment o _ ire Seviced
I
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS
[Rev. 1/07] (leave blank)
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: 11/8/2022
City or Town of: Yarmouthport 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 Stratford Ln
Owner or Tenant Carol Mauro Telephone No.
Owner's Address Same
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Single Family Utility Authorization No.
Existing Service 100 Amps 120/240 Volts Overhead ❑ Undgrd 50 No.of Meters 1
New Service Amps / Volts Overhead n Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Wire standby generator
Completion of the followingtable 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 1 KVA 16
No.of Luminaires Swimming Pool Above L. 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. Z 000nsl No.of Alerting Devices
No.of Waste Disposers Heat Pump(Number (Tons j KW No.of Self-Contained
Totals:I r 1 Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
Connection ❑ fie'
No.of Dryers Heating Appliances KW Security Systems:
No.of Water No.of No.of Devices or Equivalent
Heaters ' No.of Data Wiring:
Signs Ballasts 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: 3 non (When required by municipal policy.)
Work to Start: 11/8/2022 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 [1 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: Leger Electric LLC
LIC.NO.: 1377A1
Licensee: StPptum i (2.914r Signature
(If applicable,enter 'exempt' in the license number line.) LIC.NO.: 20792A
Address: pp BOX 181 Southborough, Ma 01772 Bus.Tel.No.• sol sonf9
Tel.No
*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. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $ I