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Home My WebLink AboutBLDE-23-003752 o Commonwealth of Official use only i Massachusetts Permit No. BLDE-23-003752 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:1/10/2023 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) 32 SWIFT BROOK RD Owner or Tenant SUE FRAGEAU Telephone No. Owner's Address 32 SWIFT BROOK RD, SOUTH YARMOUTH, MA 02664 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: Install circuit for fireplace&weatherproof transfer switch. , / 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 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: IAN B JACKSON Licensee: Ian B Jackson Signature LIC.NO.: 39860 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:273 MAIN ST, HARWICH MA 026452467 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 14 Commonwealth o`rt/amachivaette Official Use Only -_:""L"",,. cc'yy cc77 �i Permit No. .3-7 � 2 �r'1 y-Y* Ct 2eparlment of Sire Serviced lI' '+ BOARD OF FIRE PREVENTION REGULATIONSOccupancy1/00 and Fee Checked [Rev. 1 (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: I I /O, ?....- 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) 3 2- S Lt.1rf L�2t7c xL (��f,s, Owner or Tenant SOI,- �DC'��tv Telephone No. l-703-S30- i79 Owner's Address "1 Is this permit in conjunction with a building permit? Yea ❑ No (Check Appropriate Box) Purpose of Building 'j)u,,e,,w;,-S Utility Authorization No. Existing Service_ Amps / Volta Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity I1 Location and Nature of Proposed Electrical Work: 'rr s+,,_,� ,((,tp,,i L, t g `` A UJ�.ci �nccfr��Tv^c`�5*nR S..i.),h a, (M21.,7 ig.1\ Ake) inS'rn-{-'- 20 f1MP c-,is.Ga�z T tTi4 Old.--CYL,e- -Evilsp Ir te,, Completion of the following.table may be waived by the Inspector of Wires. U No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No. 1 nisi Transformers KVA Cs No.of Luminaire Outlets No.of Hot Tubs Generators KVA d: No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting g grnd. grnd. ❑ Battery Units �i 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 II! No.of Ranges No.of Mr Cond, Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ..............._...................... Totals: ��" Detection/Aiertinx Devices No.of Dishwashers Space/Area Heating KW Local❑Monnuniectiocipaln 0 Other C _ No.of Dryers Heating Appliances KW Security No.ofstems:* Devices or Equivalent No.of Water No.of No.of Heaters KW Ballasts Data Wiring: Sighs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail lfdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Z_i ov'"''' (When required by municipal policy.) Work to Start: [, I(,Z3 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 0 BOND❑ OTHER 0(Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: _L t' cs. 5f K5e.N Signature „_(�,, l,,_p LIC.NO.: .34f3(op (If applicable,enter"exempt"in the license number line.) 1 f Bus.Tel.No..5Dfi-.2430-t.eke Address: .27 3 0't,A,r5 4v2reeT 1-1-oar.,,r.F W1 R 11 z i,'tc 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 Signature Telephone No. PERMIT FEE:$