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Home My WebLink AboutBLDE-23-004056 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004056 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:1/23/2023 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) 56 SOUTH SHORE DR Owner or Tenant JOYCE ELIZABETH A Telephone No. Owner's Address 135 ACADEMY AVE,WEYMOUTH,MA 02188-4203 Is this permit in conjunction with a building permit? Yes 0 No 0 k(Gt ej ppropriate Box) Purpose of Building Utility Authorizatig o. Existing Service Amps Volts Overhead 0 Undyfd 1B.. ♦. eta New Service Amps Volts Overhead 0 Undgrd 1II� 'f . .f Numbero o F s and of Ampacity C. e 7 Location and Nature Proposed Electrical Work: Wiring for new sun room. Completion of the following table m 7 the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of D Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- I: 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. Ton l No.of Alerting Devices 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 Ea uivalent No.of Water KW No.of No.of Ballasts Data Wiring: jfeaters Signs _ ,No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: .1So.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: MICHAEL YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:156 CAPES TRL,WEST BARNSTABLE MA 02668 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:$75.00 ua4 (/Se/ bt RECIEIV D /� to ea&h o`�aeeachueolte Official Use Only �23 - '-k0 ,v ^r_ATI. ; Permit No. _—.�� } JAN 2 3 2023�� ,�o��i,.S.w;�.a ,i I' Occupancy and Fee Checked ,,,.uilTuIWP 7mI P'EVENTIONREGULATIONS [Rev. (lcaveblank) I\ ' 6 ------------------ A " - - . • ` • - PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: , /,7,7 II City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his ay her intention to perform the electrical work described below. Location(Street&Number) . �J�i cJ c ► it)C Q 2 54./u- .r-4 C,� lip m Owner or Tenant £L, z, „ �y �� Telephone No. 77f�?X. G Owner's Address 3<" /i-t'i4.),o,4a u 141// ' �; r TL. 41.1 Is this permit In conjunction with a building permit? es No ❑ (Check Appropriate Box) Purpose of Building t),i2t ,cJ ,, Ju i /,n,-&. Utility Authorization No. 73 Existing Service!T Amps /1-i / i7 Volts Overhead+O-----Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: li./;�. , �-" Su, 6J o' iYiu Completion of thefollowingtable may be waived by the Inspector of Wires. U. No.of Recessed Luminaires No.of Cell:Snsp.(Paddle)Fans No.of Total Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA n 4 No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting Erud. and. ❑ Battery Units _ `I No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners ?No.of Detection and ` Initiating Devices 11.1 No.of Ranges No.of Air Cond. Toni No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals:_ Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Otber Connection No.of Dryers Heating Appliances KW Security$ stems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: • Signs Ballasts 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: 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 covers in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the aims and nahies ofperfury,th t the information on this application is true and complete. FIRM NAME: UU1tI- 6,�' `t 4/ ,� 7 F,N� _ LIC.NO.: ,23/�/ Licensee: /t�j d`/j y�,1,L, / Signature _� �,r _ _--LIC.NO.: ? c q L (ifapplicable,enter•es mpt"in the�l,i�nse Timber line. �� Bus.Tel.No.•7 7V '(- aye C� Address: 7.5 C4/3 Z&-y L,tfe�11�N57-7,7:7(..e l.7 4 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. I PERMIT FEE: $