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Home My WebLink AboutBLDE-23-003250 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003250 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:12/12/2022 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) 27 PAR 3 DR Owner or Tenant ROCK DIANE B TR Telephone No. Owner's Address D B ROCK REV LVG TRUST, 27 PAR 3 DR, SOUTH YARMOUTH, MA 02664-2129 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 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/Alerting 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 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: DANIEL P DONNELLY Licensee: Daniel P Donnelly Signature LIC.NO.: 50906 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 137, HARWICH MA 026450137 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: $50.00 Sok,acc,1 r►K /zf,y�iz Commonwealth of Ma6sach.useits Official Use Only -fit= c''�, Permit No. Ce 3 --D'7ic� - r�_= Apartment o f int Sertruea = Wit: =-=---i- = Occupancy and Fee Checked -, • e BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] . (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /p) -/a—d a. City or Town of: YARI/IOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or intention to perform the electrical work described below. Location (Street&Number) 7 3 Owner or Tenant , )f4-rt.e_ P . is//c k Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes E No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service leV Amps / C / 04'O'olts Overhead Undgrd b ❑ No.of Meters New Service ("$) Amps ( /altiO Volts Overhead r Und rd / g ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed roposed Electrical Work: /,2 6..4 S �Jv`� 7 , l C s 4 O c Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires INo.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 Lmergency Lighting - rnd. ❑ 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: I }�._ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal i Connection ❑ ?r No.of Dryers Heating Appliances , rSecurity Systems:* " No.of Water No.of Devices or Equivalent No.of No. of IHeaters K�'4' Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: (.-/2-cD) 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� ❑ OTHER ❑ (Specify:) I certify, under airs and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ! 0 w 4 fY Licensee: S � LIC.NO.: Signature (Ifappllcable, enter" empt"in the license number line. LIC.NO.: ?e,6"- Address: �S s.Tel.No.: —77 — /Q7 J "Per M.G.L. c. 147, s.57-61,security work requires Department of blic Safe AIt.Tel.No.: „z OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature ❑k o owner below, I hereby waive this requirement. I am the(check t Owner/Agent ) ❑owner's aaenL Signature. Telephone No, PERMIT FEE: $