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Home My WebLink AboutBLDE-23-004380 or r Commonwealth of Official Use Only 4111414 Massachusetts Permit No. BLDE-23-004380 `'•-• 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•2/7/2023 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 HOLLY LN Owner or Tenant EGAN JAMES M Telephone No. Owner's Address EGAN KRISTA M, 81 GROVE ST, HOPKINTON, MA 01748 �(a� ` Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr ate Box) O) y� - Purpose of Building Utility Authorization No. ' 1 L( I '73 1 T J cAl,t61. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 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 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 Siens 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: James M Egan Licensee: James M Egan Signature LIC.NO.: 20668 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:81 GROVE ST, HOPKINTON MA 017481827 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 &'c 2�C23 RECEIVED FEB 0trig° Permit NO.[th a amae�ueafE3 Official Use Only 0 4r{ hi t a ol 3ira�srvtca6 l� � �� . v: BUILDING DEI'AgT Occupancy and Fee Checked ,/ By:�OARD OFFin PR:VENTION 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(M C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFQRMATION) Date: dQ C/a-2 City or Town of: Lkrn.'t.3I t To the Inspector of Wires: By this application the undersigned gives not_i5a of his or her intention to perform the electrical work described below. Location(Street&Number) c - 11610 (--1)-2`' Owner or Tenant J'� o i✓�;4-1Telephone No. �d E(.. 3�fj—/Qv/ Owner's Address 54,41 Is this permit in conjunction with a building permit? Yes :', 'No n (Check Appropriate Box) , p Purpose of Building / Sid.pyfi,c Utility Authorization No. //t 1 i/ J' I/O Existing Service /12v Amps 2@i (1--t Volts Overhead ' Undgrd No.of Meters T � �� fee j(;rb Amps ld / / Volts Overhead, Undgrd No.of Meters Number of Feeders and Ampacity /I/S >/7 f>/2 ,(/ ii L sei�oce Location nd Nature of Proposed Electrical Work: (e,l,,5ji VC, /d.V t} plSewy)rte tAPityit-11 :-T'fV'i& Completion of the following table may be waived by the Inspector of Wires. t.b No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trani Total �f 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 InitiatinKDevices II,' No.of Ranges No.of Air Cond. Tonsl 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 KWSecurity Systems: No.of Water No.of bevices or Equivalent Heaters o.of KW No. Signs Ballasts Data Wiring: 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: 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 coy rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Pia, 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: t n tir I rl a�l c, �� r LIC.NO.: ��1ft4 Licensee:5/yo Cy int2, Signature �A ----/ r (If applicable,enter"exempt"in the lie nse number lin .J /' LIC.NO.: L.:S��67 Address: 7/ (7-(tYvie ---6 (YC,q/,)K,/yJ�Cy1 /�t �i/ t Bus.Tel.No.: �Z� 3&'�' �l Y Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires epartment of Public Safety"S"License: 41t Lic.No OWNER'S INSURANCE WAIVER: I am aware that the Licensee does slot have the liability insurance coverage normally required bylaw. Bymysignaturehereby requirement. q below, I waive this uirement. I am the(check one)❑owner ❑owner's a ent. Owner/Agent SIgnature Telephone No. PERMIT FEE: $ ^~ -~ z�'' �� . _ ' `