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HomeMy WebLinkAboutBLDE-22-06833 - Commonwealth of Official Use Only %Aly Massachusetts Permit No. BLDE 22 006833 .: 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:5/24/2022 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) 11 TODD RD K8 i• C176 Owner or Tenant RAFTERY JOHN P TR(EST OF) Telephone No. Owner's Address C/O DON RAFTERY, 120 WOODSIDE DR, GREENWICH, CT 06830 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: Remodel kitchen, bath room, &laundry closet. 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 ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units __,„., No.of Receptacle Outlets 25 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 15 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 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: 4 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 perjuiy,that the information on this application is true and complete. FIRM NAME: Matthew P Logan Licensee: Matthew P Logan Signature LIC.NO.: 20915 (I/applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:303 SANDWICH ST, PLYMOUTH MA 023606503 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 CL544 q7--b-/-'eg'- � T RECEIVED 1 li 7eslts Official Use Only }. , ., Al 24 2022 � �- "�6,5 >u„saasdac y . ; s ,dosed o . ies&races Permit No. D t N DEPARTMENT Occupancy and Fee Checked �, = _ SHARD OF FIR PREVENTION REGULATIONS Occupancy (leave blank) 1i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: SIli, I Z.2- 4 City or Town of: t arrnaAN To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1 Location(Street&Number) i t Tck Rd -c...... Owner or Tenant :1-Ark,,, Rt,c.f Q Telephone No. s Owner's Address 1 L ‘Inta,;,Ac Of Cy Ce-enw',can CI 0 bQ 30 O I Is this permit in conjunction with a building permit? Yes ® No 0 (Check Appropriate Box) Purpose of Building tZQ.;GI \-i A Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 0 New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters g Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ki 1tKu' Q.;Z.M^-a A T 1.. la>sir\-o::., i \Gtv(\AcLI CIp w\-- \r, Completion of the followingtable nmay be waived by the lnpecfor of Wires. I 'it No.of Total 1 t3.1 No.of Recessed Luminaires j 5 No.of Ceil.-Soap.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting 4. No.of Luminaires (a, Swimming Pool_grnd. ❑ grnd. ❑ Battery Units ®` No.of Receptacle Outlets d5- No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. Initiatingof Deteon Deviand ces j S Devices 11, No.of Ranges j No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump lumber Tons KW `No.of Self-Contained Totals: ....... Detection/Alertin Devices No.of Dishwashers 1 Space/Area Heating KW Local❑ Connection 0 Other No.of Dryers i Heating Appliances KW No securiof Devices or Equivalent No.of Water No.of No.of Data Wiring: IC Heaters ' Signs Ballasts No.of Devices or Equivalent 4 No.Hydromassage Bathtubs No.of Motors Total HP TelWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f Electrical Work: 2 5©'0 (When required by municipal policy.) Work to Start:5 LI 1,1. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE RAGE: 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 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and*dries of perjury,that the information on this application is true and complete. FIRM NAME: T DL_ E l J-c,c c.\ (CYA4-reA.c:t C 5 .I LIC.NO.: /5 Licensee: t&c. r Lar.,n Signature ,7 LIC.NO.: {If applicable,enter"exempt to tile license number line.) �-/ Bus.Tel.No.: 7 2i 8.3 1 $7)1 7 Address: -Sin SA,n ..1, SI- 1'i t twb a 'l,\ ilk, d Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I sin aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.