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Home My WebLink AboutBLDE-22-005826 Commonwealth of offieial Use Only A,• Massachusetts Permit No. BLDE-22-005826 B A D 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:4/12/2022 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) 32 HERITAGE DR Owner or Tenant Cheryl Molle Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes El 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 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 10 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners No.of Detection and jnitiatine Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:" No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sins No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Euuivalent 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. �� I_ �� 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: Licensee: Tyler Mullen Signature LIC.NO.: 56358 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:80 Clover Lane,Stoughton MA 02072 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 -j 6 nIT NA-OE up if IA i M1 r f3okl=0'4I 14 24-1r �l u(tq(2 t. AQyL y I Ce(z3 Kt� NV/4- 24/23 . RECEIVED APR 12 20 �j `m • Gala of/I/addaehaa9affe Official Use Onk =: t ` -6, ^rtih (^ L-DIN Permit No. � c7 �.. :1K. r. G DEPART Z:" at v� }ira�owicsa 3;�l Occupancy and Fee Checked lk 5. BOA' a • ' 'EVENTION 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: — )2 pZ Z 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) �}�ll c,,p �(-j)( t Ji `fGrM6uf'� Owner or Tenant C l4 C:; )Gl(e b " Telephone No. uiOwner's Address Z ef- {-�,..c, DCi c,L Is this permit in conjunction with a building permit? Yes a No ❑ (Check Appropriate Box) S' Purpose of Building (CS 1�v76.-e— Utility Authorization No. ~ Existing Service-74;z, Amps ( p / Z'10 Volts Overhead❑ Undgrd.g No.of Meters ) .1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 1.1 Number of Feeders and Ampacity 1...-- i Location and Nature of Proposed Electrical Work: pc pwze/l ke'r 've Completion of the following.table m be waived by the Inspector of Wires. !!: No.of Recessed Luminaires O No.of Cell:Sus No.off Total _f p.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA { No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units `' No.of Receptacle Outlets Z ) No.of Oil Burners FIRE ALARMS INo.of Zones -ti: No.of Switches Z O No.of Gas Burners )No•of Detection and Initiating Devices il i No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number(Tons KW No.of Self-Contained Totals: "" Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ OWer No.of Dryers j Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: 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 desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6-0 ov (When required by municipal policy.) Work to Start: 1-l-l T _ 7_2 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 BOND 0 OTHER 0 (Specify:) I certify,under the Rgins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: H-1 l C.� M..i,L P/1ZG li'izi LIC.NO.: S.-L.3s-- Licensee: ' "Z.j14 - Al i--ii .-) Signature = LIC.NO.: (If applicable,enter"exempt"in the license number line.) Address: us.Tel.No.-2 (a&�j- - LLS. 2t Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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 I Signature Telephone No. I PERMIT FEE:$