HomeMy WebLinkAboutBLDE-23-004630 a
i�,+ 'O ' Commonwealth of Official Use Only
i oe\ Massachusetts V\
Permit No. BLDE-23-004630
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:2/22/2023
City or Town of: YARMOUTH To the Inspector o/Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street L:Number) 22 WILLOW LN
Owner or Tenant ARENA JOHN A Telephone No.
Owner's Address ARENA DIANE F, PO BOX 4999 1 LAMPLIGHTER WAY, MT HERMON, MA 01354
Is this permit in conjunction with a building permit? Yes ❑ 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 Ct. .of 14e,frs
Number of Feeders and Ampacity ./' 7 r ) ` *
Location and Nature of Proposed Electrical Work: Wiring for 2nd floor.Septic system&re�I2ie r, rtt VA1�` ��, ., „
Completion of the oltm ih t�tf a t+ v 1,fi} 1:, s pector of i('irc:.r.
No.of Recessed Luminaires 9 No.of Ceil.-Susp.(Paddle)Fans No,of ` ` � Total
"Transformers )t , KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
r '* i
No.of Luminaires Swimming Pool Above O Tn- ❑ No.of Emergency Lighting-.....
grnd. grnd. Batter'Units
No.of Receptacle Outlets 18 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 10 No.of Gas Burners 2 No.of Detection and
Initiative Devices
No.of Ranges No.of Air Cond. 1 Toottal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 5
Totals: Detection/Alertin2 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 KW No.of No.of Ballasts Data Wiring:
Heaters Sims No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail r/desired,or as required hr 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 sane 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: Edward W Drew
Licensee: Edward W Drew Signature LiC.NO.: 37114
if/"applicable,enter"exempt"in the license number lire_) Bus.Tel.No.:
Address:22 MAPLECREST DR, BELCHERTOWN MA 010079246 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:$150.00
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0/.7h..5 , Permit No. z-C 5-44 4341
°crummy and Fee Checked
jr BOARD OF FIRE PREVENTION REGULATIONS pia.1,071 (1,,,,,bi,„,k,
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Alt work it,be performed to accordneee with the Matitachusetts Ekceical Code(MEC1.527 EME 1200
;8
(PLEASE PRINT IN INK OR TYPE ALL INFORM4770N) Date: .2-/ P l- 3
City or Town of: 51,2„Ligui,,zr14 To the Inspector of Wires:
By this application the undersigned shed notice of Ins or her intention to perform the electrical work described below
Leent1011(Street&Number/22 ‘4)ilia y_l LA,
Owner or Teem =4.aj Aft. ..a/ire Tekpime No.Y/3-SI 9-Y 7 731
lre °sneer's A dd au / I at eh p I t c&To h. ,,1,4(19 RR-itaitAit 0 A...) All4 6 Ac 3 y
....
Is this permit in conjunction with a building permit? Yes 1:9"--- N. 0 (Check Appropriate Bel)
/
Purpose of Baikling Ze el .rj iir CO cr,pie/ Utility Authorization No.
, Ennio;Service/..c.t/ Amps 47o /0290 limits Overhead •---- Cadged 0 No.of Melon /
A,
Nem Semite Amps I Volts Overhead 0 Undgrd 0 No.of Meters
Number Qf Feeders amid Ampority 1.-.15;9.,.." V-.20 da...,„0
E Locates and Nature of Proposed Electrical Work: to,cdPse a"D cz..0.,e, eas 0‹,le,-.4c-6 it
_WC.1 Pcowte f.0.f s‘Pnc- 7-4,-,,e
... c,„,,,,,,,...4 dr falkwims,tab4.nun,be waiwd b the hupectue of win,.
No.or Tetal
No.of Recessed Landosires 9 N.of CeiL-Sasp.(Paddle)Fans Transformers KVA
Na.of Lanniaaire Outlets No.of Ø. Tote Gemmel" K VA
Above r-, to• en Na.of Easergacy rioting
N..of Luminaires 4 Swimming Pool gmd. i_i e LI aelietry Units
Ni,4 Receptacle Outlets .47 jNo.
of Oil Burners FIRE Al.ARMS No.of Zoom /
- of Detection sad ,
No.of Switches res No.of Gas Burner. N0.ipmetips Devices .3
TM!
Maid Resign No.of Air Cond. / Tom No.of Alerting Devices
• floatlNum Numberfrone KW__No.of Self-ContainedNi.
No.of Waste Disposers Totals: L Iletection/Alertima Devices .
N..0 Disirmshers SpandArto Heat*KW "'cal 0 nionicirtilin 0 elker ,
No.of Dryers Hating Appliances KW 'Remits:S6stetos:*
, No eif erkes or Equivalent
14.ef Water 'Nail No.of Data Whine:
KW
Heaters Mem Ballasts No.of Devices or Ecolivakat
Telecommusicadem Wires:
No.Hyde:massage Bathtubs No.onliartors Total HP No.of Dewiest or Eqohenot .
OTHER:
Aetach additional detail rdestrod or at required by the Inspector of Wira.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Stan: P-ViC 093 hepatica to be requested in accordance with MEC Rule 10,and Imo completice.
INSURANCE COVERAGE: Unless waived by the owner,no parrot foe the performance of electrical work may issue unless
the hawks=provides proof of Stability insurance including-completed operation"coyness or its substantial Nun:elan. The
undersigned certifies that such coverage is in fora,and has exhibited proof of Wile to the permit issuing office ,
CHECK ONE: INSURANCE gr BOND 0 OTHER 0 4 Specfy.) G,441,A,ry 7-As-.73 esv
I cvt5*,snake the pains and penalties of ptshery,that the information on this applioadoss is true and romplesc
FIRM NAME: Arv,...-.44D t..../ 1,4:krm., LIC.NO.: 37111/4
Limner: Signatere eleire444so' r.-- LIC.NO.:
ql-applieuNe.ewer"esettoe`mew Ammar renumber tint.) i Bras.Tel.Ni. 414107-'NfAMS'
Address: 202.41.4424-c.ee37- Al Aizckierci.....,-.me 0 Ma7 Ali.Tet,re.:
*Per M.G.L.c.147,s,57-51,security tooth requires Deportment of Public Safety"S"LICCIISC Lie No.
OWNER'S INSURANCE WAIVER: r air:aware that the Licensee Jeer nor hoer de liability insurance coverage normally
required by low. By my signature below,1 hereby waive this requirement I sin the(check one)0 owner El.,testers agent.
Owner/Awn
Signstvre Telephone No. PERMIT FEE:$1'56. -
..„
or 4i14 Commonwealth of Official Use Only
._,,,� jer\kQj Massachusetts Permit No. BLDE-23-004630
• BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
JRev.l/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:2/22/2023
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) 22 WILLOW LN
Owner or Tenant ARENA JOHN A Telephone No.
Owner's Address ARENA DIANE F, PO BOX 4999 1 LAMPLIGHTER WAY, MT HERMON, MA 01354
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 ❑// ".i No.of Meters
New Service Amps Volts Overhead 0 Undgrd Q ,,- -' ,No:of 11(crs
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Wiring for 2nd floor. Septic system&re VRri:4 /,,
O i a �ff" t,
Completion of the.followih wq. y 4 spector of Wires.
No.of Recessed Luminaires 9 No.of Ceil.-Susp.(Paddle)Fans No.of {_ y 0 // Total
Transformers'- �e_?,` KVA
No.of Luminaire Outlets No.of Hot Tubs Generators �.,'t" /j, t KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting..,..'f
grnd. grnd. Battery Units
No.of Receptacle Outlets 18 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 10 No.of Gas Burners 2 No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 5
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 ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Edward W Drew
Licensee: Edward W Drew Signature LIC.NO.: 37114
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:22 MAPLECREST DR, BELCHERTOWN MA 010079246 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: $150.00
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Ofriel
(..Ont.tawr IMA.of r//adsae4uerlls Use Only
c7� Permit No.:t--:2-Fee '_ ' .25 parfaune Of..firsJr `^Ke° Occupancy Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07J (leave blank)
9 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00
0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: -/7-�3
City or Town of: Sh,�,ORrn.,u r{l To the Inspector of Wires:
By this application the undersigned gird notice of his or her intention to perform the electrical work described below.
Location(Street&Number)2L IAA1[(aru LidV Owner or Tenant ••4 i,j A2eN A Telephone Noy/,}-St 4'Y 7 7.3
oe Owner's Address / 2 An pi i c 6.1".n rad ef
f17Fn_sa Ili, ,,A) / 0 AC 3 y
Is this permit in conjunction with a building permit? Yes Q' No ❑ (Check Appropriate Box)
Purpose of Building Zip D 4171 A Ao tT104/ Utility Authorization No.
Existing Service/05 Amps /Pcs /.790 Volts Overhead[ Undgrd 0 No.of Meters /
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampecity g—.5',¢"P 2-.2o A."'PP
Location and Nature of Proposed Electrical Work: w,4Q,Le A,..,p F40o.le, e 4S f�eP.�4 de tt.
• 4/c1 /oaiw 0 F R N'Coot* S(PT/C. T /e
1) Completion of the followingbk rit.9,be waived by the Inspector of Wires.
o.of Total
Lb No.of Recessed Luminaires 9 No.of CeiLSoap.(Paddle)Fans Transformers KVA
p No.of Luminalre Outlets No.of Hot Tubs Generators KVA
Above Tor No.of Emergency upon• No.of Luminaires Swimming Pool Rend ❑ l Ind. 1❑ Battery Units
No.of Receptacle Outlets /I, No.of Oil Barters FIRE ALARMS No.of Zones/
• No.of Switches /es No.of Gas Burners �7 Noz▪. jnf / Q pries°ins s
'• No.of Ranges No.of Air Cond. / Toes No.of Alerting Devices
No.of Waste Disposers Heat Number Tons ....__..Totals: aSelf-Contained�rtin Devices
al
No.of Dishwashers Space/Area Heating KW Local Elu Connection ❑Other
Appliances KW Security Systems:*
No.of Dryer Heating No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring•
Heaters KWSigns Ballasts No.of Devices or F,gsivalent
nications
No.Hydromassage Bathtubs No.of Motors Total HP T No,of nD or pqW nMivt[alnt
OTHER:
Attach oddhional detail if desired.or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: as2/(-.13 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 El OTHER 0 (Specify:) L,Ae/L?y 7-if-a3 eV
I certlf',wider the pains and penalties of perjury,that the information on this application is true and complete
FIRM NAME: "!:'D'- eD w ape..., LIC.NO.: 37ll4/E
Licensee: Signature •~�`./,s,— LIC.NO.:
(If applicable,enter"exempt"in the license number line.) I Bus.Tel.No.'S'/S`5W-9/443-
Address: 2a...01.44ev4-cae4tS7' Dee oz=n4ero.".ed•••+d¢a/es07 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: 1 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. 1 am the(check one)❑owner ❑owner's agent.
Owner/Agent I PERMIT FEE:$rSa. -
Signature Telephone No.