HomeMy WebLinkAboutBLDE-23-004286 Commonwealth of Official Use Only
VPermit No. BLDE-23-004286
Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.1/07j
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:2/3/2023
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) 51 TANGLEWOOD DR
Owner or Tenant GENEVIEVE THOMPSON Telephone No.
Owner's Address 51 TANGLEWOOD DR,WEST YARMOUTH,MA 02673
Is this permit in conjunction with a building permit? Yes ❑ No O hec !•r, riate Box)
Purpose of Building Utility A r ti
Existing Service Amps Volts Overhead 0 4' A ♦r'o.of
New Service Amps Volts Overhead ❑ r sit v���•�w ate
Number of Feeders and ty \ 00 ,�/
Location and Nature of Proposed Electrical Work: Wiring for heat pump. e
Completion of the following kt/�l aived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of O 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 1 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: 1 Detection/Alerting 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 Key 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: JOSEPH V SLOWEY
Licensee: Joseph V Slowey Signature LIC.NO.: 11186
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:168 WATERCOURSE PL,PLYMOUTH MA 023603629 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
Commonwealth. o/ 71Ya33ach,u3etti Official Use Only
- -7---73---1-4 2i630(0c?
c'; J.Lpai'twid
�] gerviceJ
i Permit No.
, $ of ire
'�
41
74. . 2f Occupancy and Fee Checked
• * : BOARD OF FIRE PREVENTION REGULATIONS [Rev.
<,_ Y1/07] (leave blank)
x
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
'13 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: 1/30/23
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) 51 Tanglewood Drive
Owner or Tenant Genevieve Thompson Telephone No. 603 770- 3376
4.J
Owner's Address
V Is this permit in conjunction with a building permit? Yes [1 No 2 (Check Appropriate Box)
�. Purpose of Building Residence Utility Authorization No.
\t Existing Service Amps I Volts Overhead ❑ Undgrd ❑ No. of Meters
v
New Service Amps / Volts Overhead ❑ Undgrd No. of Meters
I) Number of Feeders and Ampacity
Q. Location and Nature of Proposed Electrical Work: 220V Disconnect, 110V GFI outlet, control wiring to indoor unit
V) For new Heat pump and mini splits
Completion of the following table may be waived by the Inspector of Wires.
� � of Total No. of Recessed Luminaires No. of CeiL-Susp. (Paddle) Fans 1Transformers KVA
No. of Luminaire Outlets No. of Hot Tubs Generators KVA
Above In- No. of Emergency Lighting
No. of Luminaires Swimming Pool grnd. ❑ �rnd. ❑ Battery Units
r No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones
No. of Switches No. of Gas Burners 4No. of Detection and
` Initiating Devices
Total of AlertingDevices
No. of Ranges No. of Air Cond. Tons No.
HeatNo. of Self-Contained
No. of Waste Disposers Po�mp Number Tons KW Se
• : _ _ Detection/Alerting Devices
No. of Dishwashers Space/Area HeatingKW Local ❑ Municipal ❑ Other
Connection
HeatingAppliances Security Systems:*
No. of Dryers 1 p KW No. of Devices or Equivalent
No. of Water "No. of No. of Data Wiring:
Heaters KWSigns Ballasts No. of Devices or Equivalent
4. No. H dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring:
Y g No. of Devices or Equivalent
OTHER: I
SL Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 700 (When required by municipal policy.)
Work to Start: 1/30/23 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 [1 BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: JVS Electrician LIC. NO.:
Licensee: Joe Slowey Signature , LIC. NO.:11186B
(If applicable, enter "exempt- in the license number line.) Bus. Tel. No.:508-326-2280
Address: 188 Watercourse Place, Plymouth, MA 02360 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 (-)‘4
1( Z .Signature Telephone No. PERMIT FEE: $L
_
--
AV,IM _
.......‘--,.