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Home My WebLink AboutBLDE-23-002046 Commonwealth of Official Use Only aE` VMassachusetts Permit No. BLDE-23-002046 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:10/17/2022 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) 22 CARDINAL LN 50 6- 84 3 27 _C Owner or Tenant JOHN GIANNETOS Telephone No. Owner's Address 22 CARDINAL LN, WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriat/I4.1 Purpose of Building Utility Authorization No. t:_- _ 7 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters 1 New Service Amps Volts Overhead 0 Undgrd 0 No.of Mete 4' '\ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A/C condenser •,f'.(N Completion of the following 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 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total 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 ❑ 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: PATRICK WEEKS Licensee: PATRICK WEEKS Signature LIC.NO.: 54055 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 BRADFORD ST, PLYMOUTH MA 02360 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 5C. 1( <<�(z3j gyp) N j p- 5(19/ rZ 4423 t tug k,�'C.i� R. ; 0 0c i i 2022 t 1/4 , �/ CommoniveaCth o f Maaeachueatfe fficial Use Only • 6„,BUILDING\____ U��`��'t- -fir` Fr c� �c'7� Permit No. �� 'I BY•f`J�� '�`" j 2apartnuni 01 ira �truked i~;•i,��'' Occupancy and Fee Checked .,, j�. BOARD OF FIRE PREVENTION REGULATIONS It 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: / l City or Town of: YARM O UTH To the In pector of Wires: By this application the undersigned gives n 'ce of his or her intention to perform the electrical work described below. " . Location (Street & Number) i „%4gd7t L', It t. „- Owner or Tenant 0 0„,,, �- r ,4,U�t1Tc�S Telephone No. 1 ,, Owner's Address `.,', ��1K pi k,l L i_,) } Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building E"S, L.-Ji: �i•-r.v Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd No. of Meters kki New Service Amps / Volts Overhead E Undgrd g E No. of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: ` 1 •,L,7' g c ii7 SI DE' of tjo u t V) i Completion of thefollowing table may be waived by the Inspector of Wires. tal Lb: No. of Recessed Luminaires No. of Ceil:Susp. (Paddle) Fans Tran osformers KVA VA K K • �./ Tr CI.; No. of Luminaire Outlets No. of Hot Tubs Generators KVA ,t No. of Luminaires SwimmingPool Above In- `No. of-Emergency Lighting Irnd. ❑ grnd. ❑ Battery Units No. of Receptacle Outlets No. of 011 Burners FIRE ALARMS No. of Zones ti, ,� No. of Switches No. of Gas Burners No. of Detection and '� Initiating Devices i:.r No. of Ranges No. of Air Cond. Tota Tonal f No. of Alerting Devices 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 ystems: No. of Water No. of Devices or Equivalent KW No. of No.of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunicans Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of{Mires. Estimated Value of Elec ical Work: _l0GG (When required by municipal policy.) Work to Start: D Z Z Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE C YE GE: 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 E BOND 0 OTHER 0 (Specify:) I certify, under th mains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: 'lJ T iitCIL L.Or(lc s L_` r c c •7 P is i ,)t_' LL LIC. NO.: , (ic- l ? Licensee: �,�-2,c k_ LIC. NO.: —.�- (� ;''��L.-� Signature ��_ (if applicable, enter "exe{npt"in the license number lit e.) Address: LIB , -'i -�,z L/ r l 1 . S ;}?-4Co`~ii11 �4 ()aeC L I lt. Tel. No.: ><�1f- c%b i- S4'1 V Tel. No.: Per M.G.L. c. 147, s. 5 61, security work req ires Department of Public Safety "S" License: A .Lie. 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. [PERMIT FEE: $ 1