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HomeMy WebLinkAboutBLDE-23-004828 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004828 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:3/2/2023 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) 9 BOWSPRIT PATH Owner or Tenant FLAGG JAMES F Telephone No. Owner's Address FLAGG MARGARET E,66 ROBIN ST,WEST ROXBURY, MA 02132-2148 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: install 4 temps electric heat blower, 1 duplex in attic,3 GFI on panel (508-364-8456) 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 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 ❑ 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 Siuns 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 perjuly,that the information on this application is true and complete. FIRM NAME: DAVID E COLEMAN Licensee: David E Coleman Signature LIC.NO.: 29607 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:62 FLEETWOOD PATH, MARSTONS MLS MA 026481048 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: $100.00 E 1 V Official Use Only Commonwealthof f aeeac _ l — ,l eL3e ailment o }ire 7 (\ Q 2 2023 erntit No. _ �%,l 2J - G�U�� � t:f t_I p y cctl anc and Fee Checked = '�„ter BOARD OF FIRE PREVENTION F TI QN Tn�deg. 'p)7]y (leave blank) APPLICATION FOR PERMIT 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: ,2/.7 City or Town of: 4) 4 v�,!4 To the Ins ctorro Wires: � f By this application the undersigned givenotice of his or her intention to perform the electrical work described below. Location(Street&Number) ? t3 0 l t} ,s pfL i j 4 /4„y..1_, Owner or Tenant ., T r t= FE pa q? Telephone No. Owner's Address s 1Ce?�1.e?. 6 E Is this permit in conjunction with a building permit? Yes L No id (Check Appropriate Box) [ Purpose of Buildings t .st�s'�,� • Utility Authorization No. Existing Service Amps / VI olts Overhead Undgrd __. No.of Meters E New Service Amps / Volts Overhead E Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: j.4? ,s'.s ,ia e ®j/ ;j�.,. ,, 4740 c- 4„4 /Ve,, )3/6,4 ''r / ?c'P)„t-�. /nil ii j i - le' -3 6I 1 fZ C..e et°e'. O4 '' '... 3 t' AT 1�'a>® I c c k / .� a0A..t<f.. °'�a e,,.c.C'ornpletion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Transformers KVA f No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets 3 No.of OIl Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Inittiatiiati gon and Inng Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons d No.of Waste Disposers Heat Pump to p Number Tons KW Detection/Alerting o.of Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW 'Security Systems:* r 3 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications NofDevices or qu Wiring: Y g No.of Devices Equivalent OTHER: 7,-, C -31'. 7 rry .. Z. . s,, �a`u ..Wu 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: ,,,, ?, `-=- 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: ee0 l '1-.0s,.®�ao /5/ee j 4 4, ..,4.0',... LIC.NO.: jG..?94,a 7 Licensee: 1!Jc.i r , '=a/,,of.,,,z,.. Signature Aj1, f LIC.NO.: #041i7-3A / (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.: :S?I -3t.'1 Address: hpJ°/.E r Le® ®I A /o>' 4 z/ :"1 .5 /9Pia e.,.)e,y Alt.Tel.No.: 8 -4 `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. OwnerlAgent PERMIT FEE: $ Signature Telephone No. 1 I Caleb Cook,electrician journeyman license number 58839— B, completed a meg test at 9 Bowsprit Path West Yarmouth, MA on July 19, 2023 Signed: ftio .ems iDffi BIRD ■ t K�ilM 2q(g.R.Farm,: I Lilt 5 fti Ti67 p}. t kt 44.t 2 6 BUILDING JUL "�, y EPgR?023 M "fir