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Home My WebLink AboutBLDE-23-004328 Commonwealth of Official Use Only till.4&. Massachusetts Permit No. BLDE-23-004328 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:2/6/2023 City or Town of: YARMOUTH To the Inspector ofWires: By this application the undersigned gives notice of his or her mtenhon to perform the electrical work described below. Location(Street&Number) 46 SQUIRREL RUN Owner or Tenant DUPOUY CHANNING K Telephone No. Owner's Address CIO LEE PHILIP A,95 HANK WILSON RD,CADYVILLE,NY 12918 Is this permit in conjunction with a building permit? Yes❑ No ❑ 4 Check Appropriate Box) Purpose of Building Utility Aut ' ., „'.1186 3 Existing Service Amps Volts Overhead 0 ? - o.o ters • New Service Amps Volts Overhead ❑ J et�sr Number of Feeders and Ampacity �/1, 7 Location and Nature of Proposed Electrical Work: Emergency repairs to service. ��...!!!// Completion of the followingga(s>:zed by the Inspector of Wires. No.of Recessed Luminaires Na.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 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 ❑ 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 Sinns No.of Devices or Ea uivalent 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:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Brett A Duguay Licensee: Brett A Duguay Signature LIC.NO.: 22079 (If applicable,enter"exempt"in the license number Rae.) Bus.Tel.No.: Address:41 ELK RUN,MIDDLEBORO MA 023463065 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:$50.00 • • CammanweaGth o////aadaciutoeitd Official Use Only • _`�7= t c� cc77 ��ii Permit No. t2� -,H /Z� Nt11_- - .2spartmenl al.. ire Jervice3 e� 14-= Occupancy and Fee Checked , ,� p m BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance-with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PI.F.ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: lnu c 3 i a u)\� City or Town of: IMAR,t -i �f k To the Spector o,, . Tres: • By this application the undersignfQ d gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1-‘V I SC (�1 )I ,c4 ��5 T Owner or Tenant Telephone No. Owner's Address ' �� • ��D V A lr-- 1 . Is this permit in conjunction wi a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building (S\CVr\k"\c \ Utility Authorization No, 115110 L4�-2 Existing Service Amps • / . Volts Overhead ❑ Undgrd g ❑ No.of Meters New Service .Amps / Volts Overhead n • U Unvgrd EI No.of Meteis Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Y 1 C \�1S 11 ' VYQ fie.r / \Ci�n �c ‘CD AS Completion of the foil wing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool ff Above ❑ In- _ o.01 Emergency Lightingrad. grind. ❑ Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones • No.of'Switches No.of Gas Burners 1No.of Detection and j Initiating Devices Total No.of Ranges Na_•of Air Cond. .Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW j No.of Self-Contained Totals:I' • -_- ""` "" Detection/Alerting Devices No.of Dishwashers Mip$pace/Area Heating KW . ,Local. 0 Conneunicctioaln El O _ No.of Dryers Heating Appliances KWecurity Systems.* No.of Water No.of Devices or Equivalent No.of Heaters KWNo. 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 o Elec 'cal Work (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C E GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability- surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force,and has exhibited proof of same,to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the'p5ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 1 1 { 6 LIC.NO.Licensee: % _ Signature (Ifapplicabl- enter"exempt"in a livens- number line WC.NO.: �t �� . r �� ' • �, s.Tel.No.: Address: \i *Per M.G.L.c. 147,s.57-61,security work requi -s Department of Public Safety"S"License: Alt Tel. c1 o.: �` 'OWNER'S INSURANCE WAIVER: I am - e No. • �1 required by law. By my signature below,I hereby waive thisrequirement. I amcensee does not athe(check on)ve the liability�❑owner nsurance co❑ owner's alent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 15D