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Home My WebLink AboutBLDE-22-005405 ar � Commonwealth of Official Use Only E1 Massachusetts Permit No. BLDE-22-005405 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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/N INK OR TYPE ALL INFORMATION) Date:3/28/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce of his or her intention to perform the electncal work described below. Location(Street&Number) 7 STARBUCK LN Owner or Tenant MCBRIDE PAUL N III Telephone No. Owner's Address 7 STARBUCK LN,YARMOUTH PORT,MA 02675-2417 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel basement 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. grad. 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 Air Cond. Total No.of Alerting Devices No.of Ranges Tons 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 p Other: Connection No.of Dryers Heating Appliances KW Security Systems:• No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sir'ns No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors "total Ill' 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:) ,��301—5-s-7S I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: PAUL J VIOLETTE Licensee: Paul J Violette Signature LIC.NO.: 20858 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:18 ANCHOR DR,FORESTDALE MA 026441822 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:$75.00 ?LI Y/I(11/7/ 'ig rr, 11, tZ/isp;l/ -v E D ��— RECP,----- re MAR 2 4 Zia': sa o/ ma�3ac Official Use -Only -= ,l Permit No. 0--712 -' >`"[ L ç _.:—.___ 1LD1NG j�tPAFZTp� o/.�u�s &rvius =�`f=- Occupancy and Fee Checked %y. `". :=- - • OF FIRE PREVENTION REGULATIONS [Rev. 1/07]•'.r,c• (leave blank) APPLICATION FOR= PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: . /c) 9 ,,1 „- City or Town of: YARMOUTH To the Inspector of Wires: • By this application the ttindersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Q 1 .S T c,r h IA L. `( Owner or Tenant ft I Me_ j . ` , ) , Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 1 r/f jt- Utility Authorization No, Existing Service Amps I Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: g p,.,t 5 v L ,rs Li l T l:r L S C> -P - g li ,,,5 -,,,y, + A r-e_c-i_ Completion of the following table may be waived by the Inspector of Wires. oNo. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans T . Total ,Trranss formers KVA No. of Lutninaire Outlets No. ,of Hot Tubs Generators KVA No.• of Luminaires Swimming Pool Above ❑ In- ❑ No. of Emergency Lighting Ernd. grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiating Devices Total No. of Ranges No_ of Air Cond. Tons No. of Alerting Devices Heat Pump Number.. Tons KW No. of Self-Contained No. of Waste Disposers Totals: DetectionlAlertingDevices No. of Dishwashers Space/Area Heating KW° Local El Municipal ❑ Other Connection No. of Dryers Heating Appliances , Security Systems:* No. of Devices or Equivalent No. of Water No. of No, of p Heaters KWData Wiring: JSigns Ballasts No. of Devices or Equivalent ,� No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: " No. of Devices or Equivalent OTHER: ikiAttach additional detail if desired or as required the Estimated Value of Electrical Work: q by Inspector of Wtres. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC �' INSURANCE COVERAGE: Unless waived by the owner, nopermit for the performance 10, and upon completion. p rmance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The G undersigned certifies that such cove is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) . I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: V i 6 I e.. 'I- . E ie. Licensee: P.7„ j �- , �l? G }� SignatureLIC. NO.: (If applicable, enter "exern line.)t" in the license number g Lja 'l LIC' NO.. Tj S ?� Address: / S r) CLl o r iO r l �,,-e �e r-e1 }.J� - vi- Bus. Tel. No.: i "`Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt. Tel. No.: C Lic. No. -is OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance covers S required by law. By my signature below, I hereby waive this requirement. I am the (check one 0 owner age 7 Owner/Agent ❑ owner's a ent. signature. ________=__=_ Telephone No. PERMIT FEE: $