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Home My WebLink AboutBLDE-23-002790 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002790 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:11/21/2022 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) 37 TURTLE COVE RD Owner or Tenant FRICKER THOMAS R Telephone No. Owner's Address FRICKER ANNE T, P 0 BOX 308, FRANKLIN, MA 02038-0308 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization io y f t) C S 7(CJ j Existing Service 100 Amps Volts Overhead 0 Undgtd., , .No.of Meters New Service 100 Amps Volts Overhead 0 Ut,dgrcl Q No of e 04tei15 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Relocate service. Completion of the following€able May bie.waived bje the Inspector of Wire 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 gr v. 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. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 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 Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wire 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Thomas R Fricker Licensee: Thomas R Fricker Signature LIC.NO.: 29250 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:Po Box 308, Franklin MA 020380308 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: $75.00 Litui I,,7Vy -" Commonwealth o/Mamachadetb Official Use Only 'it=1't c� Permit No ! 5 c� c __ a+! ,1 department o�,}ire.S'erricea - e BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 MR 12.00 l (PLEASE PRINT IN INK OR TYPE A IN ORMATION) Date: t i /tj 2' _ City or Town of: u ' 0,..,76-_(i To the Inspector of ires: By this application the undersigned gives notic of his or her intention to perform the electrical work described below. Location(Street&Number) 3.4-- i Jl/1, e oaks: 7216 Owner or Tenant GL(kj R. / (((; e' , Telephone N(5"��;)5� Owner's Address j( S-61. 1 LA- i i- Atv 1 _414-- Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building f (;") 'Gvi l(.� Utility Authorization No. Existin Service 1 p g (�� Amps l�/ Volts Overhead ®' Undgrd J �p g ❑ No.of Meters New Service /C v Amps ( '/ 'OVolts Overhead[�� Undgrd ❑ No.of Meters / Number of Feeders and Ampacity 3 Z Location and Nature of Proposed Electrical Work: [Z Q )c f cell;(C.. .-• Completion of the following table may be waived by the Inspector of W 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 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 Initiating Devices Tot No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number pions KW No.of Self-Contained Totals: r Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal p Local El ❑ der No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent No.of No.of Data Wiring:Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ilif .- Attach additional detail if desired, or as required by the Inspector of WI Estimated Value o El trical Work: /71 , (When required by municipal policy.) Work to Start: it 't- . Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unl the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. Th, undersigned certifies that such cove ge 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 penalties of petjury,that the information on this application is true and complete. FIRM NAME: _ LIC.NO.: Licensee: kS f2- (7Z.% -12. Signature / LIC.NO.: 0_9 2 (If applicable,enter "exempt"in the license number line.) Address: f�,,� Bus.TeL No.: f( S $ LA — ( Zyf 1 h 1U4— Alt.Tel.No.: 6'Z , l *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 normall required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner ❑owner's agc Owner/Agent Signature Telephone No. I PERMIT FEE: $ _.