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Home My WebLink AboutBLDE-23-001237 Commonwealth of Official Use Only IfiL „5 Massachusetts Permit No. BLDE-23-001237 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:9/7/2022 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) 49 TASMANIA DR Owner or Tenant DOLAN MATTHEW Telephone No. Owner's Address DOLAN JAMIE N,49 TASMANIA DR,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Salt generator, bonding, &heater. 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 ❑ 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Ray W Bombardier Licensee: Ray W Bombardier Signature LIC.NO.: 33621 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 2443, MASHPEE MA 026498443 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: c [ RECEVE1 v ° ~ _ om 'wealth o//r/aadachuaatie 0 7 2022 Official Use Only t s4artmanto/�. s Permit NoS23NC� DEARTME u s arvicsd l -- E� PREVENTION REGULATIONS Occupancy and Fee Checked _ (j- [Rev. 1/07] leave blank at APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK M All work to be performed in accordance with the Massachusetts Electrical Code M C),5 7 CMR 12.00 tNj (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) � City or Town of: YARMOUTH� Date: By this application the undersigned gives n t his or her to perform the electrical described Location(Street&Number) cubed below. 7 Owner or Tenant + 1'T 0J Owner's Address 't--i/) Telephone No. ---.i Is this permit in conjunction with a building permit? AiYe ❑ No Purpose of Building (Check Appropriate Box) �J Existing ServiceAmps L Utility Authorization No. .�, ---COI L)Volts Overhead❑ Undgrd❑ No.of Meters n /. iNeWN S a Ce Amps / Volts Overhead El t Number of Feeders and Ampacity `� d Undgrd ❑ No.of Meters .a Location and Nature of l f Proposed Electrical Work: ,0\JZe 0 iv C tJ A- nJ D Ni -c W `_n.. _ r E�il2 S Gz CYV�'2 1 q €7� kei • • E1 Completion o the ollowin: tab e m be waived b the Ins.ector o Wires. `„ No.of Recessed Luminaires !'. No.of Ceil:Susp.(Paddle)Fans '°•° ota ;t No.of Luminaire Outlets Transformers KVA '-',1 No.of Hot Tubs Generators KVA , '` No.of Luminaires Swimming Pool rnd.e ❑ n o•o mergency g m nd. ❑ Butte Units g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o etechon an No.of Ranges Initiatin. Devices No.of Air Cond. ota Tons No.of Alerting Devices 'eat 'ump `um i er ons Totals: Will `o,o e - onta nee No.of Waste Disposers No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local C un clpa No.of Dryers HeatingAppliances ❑ Connection ❑ Other PP KW ecunty ystems: `o.o "a er .o o No.of Devices or E i uivalent Heaters ' O.° Data Wiring:Sins Ballasts No.of Dvices or E i uivalent No.Hydromassage Bathtubs No.of Motors Total HP e ecommun ca ons " ring: OTHER: No.of Devices or E i uivalent )0 Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of lectrical Work: Cr C Work to Stan: (When required by municipal policy.) 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 0 BOND 0 OTHER I certify,under the .ains and penalties o er u that the information on this application is true and complete. FIRM NAME: t�l p i '�ft c Licensee: v ✓VW /}' 3 I. LIC.NO.: (,ate P tV1 0 i.1 t�l ,$)m A III-nature /i /� —7 (If applicable,,ea�a e.Tetnpt in the license number line.) ' �S� e LIC.N0.:33=— ' Address: IrJ t�� ` (? y1�� [�. Bus.Tel.No.:.c1 4.� . 2LI C ga. Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department f Public Safe S"License: Lic.No.OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature one(check below,I hereby waive this requirement. I am the Owner/Agent ❑owner ■ owner's a.ent. Signature Telephone No. PERMIT FEE:$ a