The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002519 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002519 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:1 1/8/2022 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) 20 TROPHY LN Owner or Tenant JOE ARONSEN Telephone No. Owner's Address 20 TROPHY LN,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) ' Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&install hot tub. 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 1 Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. 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 Initiatine 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 Local ❑ 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 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: Licensee: JULIAN ROBINSON Signature LIC.NO.: 58376 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 126 Santuit Road, Marstons Mills MA 02648 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: $135.00 ll`( I- ei/Nov 1` �7 o s ,l e'r-'.-A-0 r if f127i4 Ac,„ -) IV/r4 sow, y A'Lrl',"0,, s/L t' 'T /Mc\:/C 61-4i):% /2/7-0/ZJ P , l,iOmnrOnl4Yaa o/MaddaChudit d Official Use Only,,. B `Et `� Permit No, — 2 � , ea spartm.nl 0/..c7 ios Srrviced .A 1 I s' BOARD 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: ! ( /u / Z'2 Z 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) L(i u-0 c L y L v,, / v`'L Lr ,M 4' pc,',4-- Owner or Tenant 0 e- E , A!l. 6 kc e Telephone No.1 4 7- 5e3(i —, 'y` Owner's Address i /.. L , (. i, v-6 Y A v Z. , 6 0 S t e t , iv Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building S ,V V t c-t.. CA" t /1404-T ' Utility Authorization No. Existing Service [U C Amps 2, '6/ (1.,a Volts Overhead Undgrd g ❑ No.of Meters New Service `.l)U Amps 2 tf° I j L.t, Volts Overhead Cy Undgrd ❑ No.of Meters Number of Feeders and Ampadty `l. 1-0 0 N Location and Nature of Proposed Electrical Work: L_.e � f G.. u,cL Completion of the following fable may be waived by the In vector of Wires. t)" No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total n M✓ Transformers No.of Luminaire Outlets No.of Hot Tubs KVA 1Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting 1 grnd. grnd. Battery Units Z.,,,! No.of Receptacle Outlets ( No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and l;.r No.oilcan es No.o1 Air Cond. Initiating Devices gTotal Tons No.of Alerting Devices 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 i No.of Dryers Connection Other' tY Heating Appliances KW Security Systems:4 ' No.of Water No.of No.of Devices or Equivalent HeatersNo.of KW 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 Estimated Value of Electrical Work: . - additional yemu ifdesired,li as required by the Inspector of Wires, r ` (When.required by municipal policy.) Work to Start: 2, 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 [E] BOND 0 OTHER I certify,under the pains and enaltitrs o � (Specify') P f perjury,that the information on this application is true and complete. FIRM NAME: (u:h, G t,-, Licensee: LIC.NO.: S'' 3 L• � tJ I tt.rn a f;s 'c 'ti Signature '--1-----_� (If applicable,a]gr"ezem t"in the lice umber line.) ��LIC.NO.: Address: L 1 f,�1 1 t'[ Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Departrnen of Public Safety"S"License: LiAlt. c.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's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: )),e 17 L P f 1'1=