HomeMy WebLinkAboutBLDE-22-007444 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-007444
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:6/28/2022
City or Town of: YARMOUTH To the Inspector ofWires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 30 WINDEMERE RD
Owner or Tenant Mary Whelan Telephone No.
Owner's Address
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 /I, "
Location and Nature of Proposed Electrical Work: Upgrade panel&HVAC.
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 1 No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. 1 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: JOSEPH V SLOWEY
Licensee: Joseph V Slowey Signature LIC.NO.: 11 186
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 168 WATERCOURSE PL, PLYMOUTH MA 023603629 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: $50.00
Commonwealth, o/Waiiach,a3elte Official Use Only
reM(1Permit No. e.2:1 "7'F 't
a !� Apartment o- .}ire.ervicei
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Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
A
v
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
3 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
E (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/20/2022
077 City or Town of: Yarmouth To the Inspector of Wires:
c9 By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
V Location(Street&Number)30 Windemere Road
Mar
y or Tenant
Whelan Telephone No. 508-280-0241
t$j Owner's Address
Is this permit in conjunction with a building permit? Yes I I No I1/1 (Check Appropriate Box)
v Purpose of BuildingResidence
41 P Utility Authorization No.
(1) Existing Service Amps / Volts Overhead I I Undgrd No.of Meters
9 New Service Amps / Volts Overhead I I Undgrd I I No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet, 110V to furnace and low voltage wiring
t New Electric Panel
Completion of the following table may be waived by the Inspector of Wires.
€ No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tf T
Transformers KVA
C No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool grnd. ❑ ❑ _
E. grnd. Battery Units
L No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones y
ca.. I
No.of Detection and —�
No.of Switches No.of Gas Burners Initiating Devices
Tot I
t 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
xi No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other 1
Connection
a) No.of Dryers Heating Appliances KW Security Systems: -11
Q- No.of Devices or Equivalent
No.of Water No.of No.of �j
Heaters KW Data Wiring: I
Signs Ballasts No.of Devices or Equivalent J
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: 3000 (When required by municipal policy.)
Work to Start:6/20/2022 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 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:JVS Electrician LIC.NO.:
Licensee: Joe Slowey Signature /ii� :111 LIC.NO. 86B _._
(If applicable,enter "exempt"in the license number line.) M Bus. 6-2280
Address: 168 Watercourse Place.Plymouth,MA 02360 Tel.No..: :1 1 1
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: $S ,