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Home My WebLink AboutBLDE-22-004458 Commonwealth of Official Use Only EL Massachusetts Permit No. BLDE-22-004458 ,,� 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:2/10/2022 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) 45 MOORING LN Owner or Tenant DONAHUE KEVIN M Telephone No. Owner's Address DONAHUE CAROL PORTER, P 0 BOX 213,WEST BROOKFIELD, MA 01585 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: Wiring of addition 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. Total No.of Alerting Devices Tons 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: RAYMOND E LAFLEUR Licensee: Raymond E Lafleur Signature LIC.NO.: 16814 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:355 Old Jail Ln,PO BOX 253,Barnstable MA 026301426 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 Q.30,9,„ k? -' ( -( i k Ccp/ e5-671,kk6 (AM 1ALED AC Cr 7 7,2 ((?h/ 3 b� RECEIVEDD �r yy� ambw "al a`rrtaeeac�iaseite Official Use Only u(, , FEB 1010�2 Permit No. G�' T��U .. ccy� �c7( lee&races t. x.ILDING,s-rr;,UMENT Occupancy and Fee Checked 5 r a a. REVENTION 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: a I G 1 act City or Town of: larmOL.LTfI To the Inspector of wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. y( Location(Street&Number) �l'-3 (�pp ri v c ic,-,n F t 3j<_� —lets i )r Owner or Tenant - Y wilt.l.� o Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes O No ❑ (Check Appropriate Box) Purpose of Building /-1.Si c L is (And t fiOn)Utility Authorization No. Existing Service IOC) Amps i /a+]Q Volts Overhead❑ Undgrd® No.of Meters t New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity a ce_ ecs y IC) A LLI`t) t1 L Ul ) Location and Nature of Proposed Electrical Work: DirI n oY (lc',w �� •!\- on V1Completion of the followingtable m be waived by the Inspector of Wires. ib No.of Recessed Luminaires No.of Ceil.-Sua (Paddle)Fans No.off Total P• Transformers KVA Cl No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and 2.- No.of Switches No.of Gas Burners No.initiating onDetintiom Devices Devices 11.! No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertlng,Devices No.of Dishwashers Space/Area Heating KW Local I:Munnneicipalction ❑Other No.of Dryers Heating Appliances KW S�No o Cof Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent iring: No.A dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeor Equivalent Y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: rV'),C.CC) — (When required by municipal policy.) Work to Start: C L)0,AInspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE gBOND 0 OTHER 0 (Specify:) I certify,under the pains and I penalties of perjury,that the information on application is ue and complete. FIRM NAME: �� F.P�t- S k -i 1-1--C. LIC.NO.: �rY 1CYnc� {_roc Fle.L.�X gn ((o�I r- Licensee: � Si atu LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.-' U 1 7 5-4%t I'`'I Address: 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: 1 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 0 owner's agent. Owner/Agent PERMIT FEE:S Signature Telephone No.