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Home My WebLink AboutBLDE-22-007367 1.07=--L Commonwealth of Official Use Only iiiMassachusetts Permit No. BLDE-22-007367 '`• 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:6/22/2022 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) 28 WILFIN RD Owner or Tenant SIMARD CATHERINE E Telephone No. Owner's Address SIMARD JAMES F, 69 ROSEEN AVE,WEYMOUTH, MA 02188 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 9465581 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: R&R meter&lights 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 nd. ❑ g rnd. ❑ No.of Emergency Lighting 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: Siens 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DESMOND P CLIFFORD Licensee: Desmond P Clifford Signature LIC.NO.: 33276 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 MERRYMOUNT RD, W YARMOUTH MA 026734853 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. I (PERMIT FEE: $50.00 Commonwealth o`/i'tamacLetta Official Use Only r. o.c=447._.,f/ Z -7✓44 E c� Permit No. � l 1 c �' ""'�"—' . epartment o j..J�ire Service6 �.t+w 2 ��}A�D F FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) BuILg4PPLICAA'1 N FOR PERMIT TO PERFORM ELECTRICAL WORK BY ^ be performed in accordance with the Massachusetts Electrical Code( EC) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6 /‘ ZZ City or Town of: ____i9944oCAO To the Ins ect r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) � ? �4cJ l Owner or Tenant CA S :M444 ci c Jiti 40 Telephone No.(/7) - �S-1/1 Owner's Address l 4-J (.1.4.S1/ L / j ' H tvt,V4 2 Iii/9 025f1 Is this permit in conjunction with a building permit? Yes 1[ No ❑ (Check Appropriate Box) Purpose of Building I Al r"illi Utility Authorization No. 1 9-4 S S-8 ) Existing Service 1 D O Amps C/6 / 21 Volts Overhead Undgrd E No.of Meters / New Service /V14 Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ?74 Jo p Location and Nature of Proposed Electrical Work: /Air g L so 0 fi 4 at- ? m 7-fit Z y1-(1 4,,,0 o c,rrierfs 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. 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 ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No. Signs Ballasts No.of Data Wiring: g No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ro _ Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of "lectr'cal Work: (When required by municipal policy.) Work to Start: 6 14 Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E GE: 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 cove ge is in force,and has exhibited proof of same to the permit issuin offi e. CHECK ONE: INSURANCE ['BOND 0 OTHER ❑ (Specify:) S-��r` .. z 2g ZZ I certify,under the pains and penalties of perjury,that the information on this application is true and co pp lete. FIRM NAME: OEfollo/4 P Ce;1 D Tait LIC. NO.: i ? ' Z77 , Licensee: O Mots-O Ct .40 Signature 7,..____JLIC.NO.: (If applicable, enter "exempt"A the license number line.) ,� Bus.Tel.No.: t .7) 27z cJOO Address: /tf- /Lt ./i i - ' T -7 I G 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 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $