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Home My WebLink AboutBLDE-23-004550 _ Commonwealth of Official Use Only _ o . Massachusetts Permit No. BLDE-23-004550 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:2/15/2023 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) 129 DRIFTWOOD LN Owner or Tenant ISENBERG JOAN Telephone No. Owner's Address 129 DRIFTWOOD LN, 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: Connect mobile home due to fire in residence. 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 2 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 ❑ 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: Christopher R Darcy Licensee: Christopher R Darcy Signature LIC.NO.: 20667 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2 S CHERRY ST, PLYMOUTH MA 023604481 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 & ' O 7Il W23 6.Z:2 p,K i-/A q2-I CP - r e 4 Vao4acirweet4 Official Use Qnl _ = Defies'tmeet 4 7Gze Seavae4 1 Permit No. -44- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.01/07] (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: February 8,2023 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) 129 Driftwood Lane Owner or Tenant Joan Isenberg Telephone No. 508-685-5107 Owner's Address Same Is this permit in conjunction with a building permit? Yes Fl No ❑ (Check Appropriate Box) Purpose of Building Dwelling Utility Authorization No Existing Service Amps Volts Overhead Undgrd No. of Meters New Service Amps Volts Overhead ❑ Undgrd n No.of Meters - Number of Feeders and Am pacity Location and Nature of Proposed Electrical Work: Set up 2 20amp GFI Recept.,Connect 100amp Mobile Home Feed Completion of the following table may be waived by the Inspector of Wires. Nootal No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans Transformers of TVA P KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminairs SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches No.of Gas Burners No. I Detectionand Initiating Devices No.of Ranges No. of Air Cond. Tons No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Other Connection No.of Dryers Heating Appliances KW *Security Systems:* Y No.of Devices or Equivalent No.of Water KW No.of No. of Data Wiring: Heaters Signs Ballasts 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 desirecl or as required by the Inspector of Wires Estimated Value of Electrical Work: 1000.00 (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 under- signed certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. I CHECK ONE: INSURANCE X BOND ❑ OTHER El (Specify) .1 certify,under the pains and penalties of perjury,that the informa 'on on this application is true and complete. FIRM NAME:C.F. DARCY ELECTRIC,INC. n LIC.NO.: 20667 A Licensee:Christopher R.Darcy Signatu �[ LIC.NO.: 10554 B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-947-R010 Address: 190 E.Grove St. ,Middleboro, MA 02346 Alt Tel.No.: 508-802-8152 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License. Lic.No.: SS CO 002981 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally re- A quired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE ." ® Oa a4• • 1