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Home My WebLink AboutBLDE-23-004002 Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-004002 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:1/21/2023 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) 2 VIRGINIA ST Owner or Tenant DONNA THOMPSON Telephone No. Owner's Address 2 VIRGINIA ST,WEST YARMOUTH, MA 02673 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: Rewire 2 bedrooms Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 10 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 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/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 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:) (et 7- 2-(c' t- �3 Ll I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Bryan J Ferrera Licensee: Bryan J Ferrera Signature LIC.NO.: 20666 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:88 RAFFAELE DR, WALTHAM MA 024520313 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 1,Leed I /=1.aliL ail 12/29/3 RECEIVED --..,-- . JAN2 1213 COMMOIlledeanh 014 MarkWC/14444M Official Use Only [ BUILDING I,ii :dr, ' NT -P.4. ,,., 2Spaltifteiti Onirf SeR/IC0 By 1 Occupancy and Fee Checked - - 4 BOARD 01- FiRt PRtVENTION REGULATIoN6 rikePevni. lilitON7:. -4 CC) 7---' (leave blank) s;‘) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \....) All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 --) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q• ; City or Town of: cy/4-4.)m ,., x)ro th To e Inspect° of Wires: By this application the unciersigr. -gives notice of his or her intention to perform the electrical work described below. r4,\13 Location(Street&Number) 09-- Vl I-g 6-i lu Owner or Tenant pony-lc)._ .hunlpsr)(1. Telephone No. rp79-217-ci/7 2--- q - Owner's Address . i Is this permit in conjunction with a building permit? 0\ Purp-ose of Building g.65 Yes vg, No 0 (Check Appropriate Box) Utility Authorization No. tiQ , '''......, i Existing Service/V& Amps tit' / ..A/O Volts Overhead Pi Undgrd 0 No.of Meters i ...< ,i New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters N„r- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: `kettlia-e. 2- 65) ko-tyfrt 5 Completion of the followinztable may be waived by the Inspector of Wires. v., No.of Total Lb No.of Recessed Luminaires t 0 No.of CelL-Snap.(Paddle)Fans Transformers KVA ..:.4 CZ No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above r-i In- r--1 No.ot Emergency LightingNo.A- No.of Luminaires ;Swimming Pool grad. LJ grnd. LI tRatterY Units 2 No.of Receptacle Outlets /2- No.of Oil Burners FIRE ALARMS 1No.of Zones -1-. o.of Detection and ,,,.. ,4---, No.of Switches 5 No.of Gas Burners Initiating Devices Total 11-i No.of Ranges No.of Air Cond. No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices 1-- Municipal 1-1 „,„,...- 1 'Local No.of Dishwashers Space/Area Heating KW Li Connection 1---1 '''"" 1 No.of Dryers Heating Appliances KW -Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: I No.of Devices or Equivalent ( - --- . - - - - 10TtlER: I Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value ofIeptrical Work: A54/00O (When required by municipal policy.) Work to Start: / 0,3 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 unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersimed cc-I-ttles that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE i;t1 BOND 0 OTHER 0 (Specify:) I certift,under the pains ail penalties of perjury,that the information on this application Ls true and complete. FIRM NAME: /39q/- r4/912e77.4- Ott 7ific._ LIC.NO.:/ ;/--(-)646 Licensee: 6:•?-rA/A-/ or-eX/2.. 4- Signature /i — LIC.NO.: (If applicable, ever"ex:me"-/-4-tpt the ez license amber line) " Bus.TeL No.: kV 7 oliri 6 3Y:A. Address: x e /Q47c-/Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety“S"License: Lic.NcL 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)0 owner [:]owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE: $ 5---- I Ct4A.(pC.0-3