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Home My WebLink AboutBLDE-23-002518 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002518 r ' 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:11/8/2022 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) 5 DUNDEE DR Owner or Tenant LORIANNE QUINN Telephone No. Owner's Address 5 DUNDEE LN,YARMOUTH PORT, MA 02675-1518 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: In ground pool. Completion of the following table may be waived by the Inspector-O't Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of , ,-. Total Transfot's KVA No.of Luminaire Outlets No.of Hot Tubs Generators' - KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emergency I:igbting 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. Total No.of Alerting Devices Tons 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 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: Licensee: JULIAN ROBINSON Signature LIC.NO.: 58376 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 126 Santuit Road, Marstons Mills MA 02648 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: $85.00 N d 4 Coi)U1r ( PM-T-1 At-) i1/ eil t -e24046 6/2-ourivi " #ato1ig u(zet r t7p,1 a arzaulvo 6,2 •1/3 iv3 Sf4 Commonama(t/t •�. ,+ el///aeeachuea(fe Official Use Only B` Apartment n Permit No.-r.--Z3 —2C .�tt•. �v of }ire Serviced t �� 1 i J Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ( 1 ( )--/ I.i'?2-- City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersignedgives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 V U ii .e'e. 0 t,.t t,t V 6 L• 147 c:.t---1 (70;,,}— Owner or Tenant (,_CO c-t't t,,. C3 v i' V1 ,, Telephone No. S•-C�z Z^ctb rC S_ Owner's Address 0 U cV—Z e.. (,t.`,at v t,_„ s '? , fc-- *- Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building f L i iUtility Authorization No. Existing Service Amps 2-4/ 110 Volts Overhead❑ Undgrd g El No.of Meters __1� New Service Amps / Volts Overhead 0 Undgrd$ ❑ No.of Meters Number of Feeders and Ampaeity 2 L c A ti Location and Nature of Proposed Electrical Work: 0 e.c(( Yt;.1,. th Completion of the followingtable m be waived by the Inspector of Wires, rin No.of Recessed Luminaires No.of Cell.-Sus . No.of- Total p (Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA .' No.of Luminaires • Swimming Pool gr Above ❑ In- No.of P mergency Lighting nd. and. Battery Units "'.t 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 11,1 No.oiitun es Total g No.o Air Cond. Tons No.of Alerting Devices I No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I......_...._...._ .. (- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 MunTcfpal- Connection ❑ 'er No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters No.of , Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ,0 C 0Attach 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: q ) Lc'2 2 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 Q BOND 0 OTHER 0 (Specify:) I certify,under the pains and penaltis of perjury,that the Information on this application is true and complete.,,FIRM NAME: 5 ' C V: 0 t,'4 V� Licensee: TU(t t r2 LIC.NO.: �? 5 i �Z G(;OAS't Signature E .�. LIC.NO.: (/f applicable,enter"exempt"in the license number line.) Address f 1 4 S 0• v t 4- ki-e.v ✓,, 11 S i t ctV i I-`M ititt (LJ Bus.Tel.No..-'-----'--- o.: _______*Per M.G.L.c. 147,s.57-61,security work requires Department`of Public Safe Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance overage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ v --