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Home My WebLink AboutBLDE-22-005579 Lua.) \� Official Use Only f/ Commonwealth of Permit No. BLDE-22-005579 Massachusetts 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:4/1/2022 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) 17 PORTSMOUTH TERR Owner or Tenant WILSON FRANCES E Telephone No. Owner's Address 17 PORTSMOUTH TER,YARMOUTH PORT, MA 02675-2310 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 ❑ 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 basement per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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 inJbrmation on this application is true and complete. FIRM NAME: MICHAEL TOTTEN Licensee: MICHAEL TOTTEN Signature LIC.NO.: 22421 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:228 STONEY CLIFF RD, CENTERVILLE MA 02632 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 RECEIVED COfficial Commonwealth oil aesac ; - s!1/41..") _a 'RT • Occupancy and Fee Checke. - FNT BOARD OF FIRE PREVENTION 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: 3I 31 I Z-0_L 2 City or Town of: \IF�tv`o u5� 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) 11 vo 5 1 S'N)oii (2rc-&c i-*('/,47)e ✓c[%C=+re'es Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ILI7—No ❑ (Check Appropriate Box) Purpose of Building�jt1Sexvlo-s\f t,3,,t-\r0.1 Utility Authorization No. Existing Service 2- ° Amps \2-0 /Z L.(o Volts Overhead❑ Undgrd Er No.of Meters ( New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity J Location and Nature of Proposed Electrical Work: g}q-cl ,r-,.1 -�r )oFl Sewsact f' e�M" a�1 e c Kt � 4 ore.-(--c-,,;h�, , Vi Completion of the followin&table may be waived by the inspector of Wires. V No.of Total No.of Recessed Luminaires 5- No.of Ceil.-Susp.(Paddle)Fans Transformers KVA �J t No.of Luminaire Outlets No.of Hot Tuba Generators KVA Above In- No.of Emergency Lighting k No.of Luminaires Swimming Pool acad. ❑ grnd. ❑ Battery Units J No.of Receptacle Outlets 1 Z No.of OB Burners FIRE ALARMS No.of Zones F No.of Switches 6Burners No.of Gas 'No.of Detection and Initiating Devices M IU No.of Ranges No.of Air Cond. Tons No.of Alerting Devices i Heat Pump Number Tons KW No.of Self-Contained 0 No.of Waste Disposers Totab: Detection/Alertiny Devices coo No.of Dishwashers Space/Area Heating KW Local 0 Con incetlon 0 Otis No.of Dryer I Heating Appliances KW Security Systems:•No.of Devices or Equivalent 60 No.of Water No.of No.of Data Wiring: 0 Heaters KW Signs Ballasts No.of Devices or Equivalent (\I\ No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices orEquivalent OTHER: N Attach additional detail if desired,or as required by the inspector of Wires. Estimated Value f Electrical Work: 7 I CO,o o (When required by municipal policy.) Work to Start:3j 311 2-0 ZZ 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 coova is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE S BOND ❑ OTHER ❑ (Specify:) I cerdJ)r,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: 11'1rc l.,. D{-tex\ aft e-C `C LIC.NO.: 140,44 13 Licensee: (IA; c ac-t T a-Ke....o1 Signature LIC.NO.: 2-1 (if applicable,enter'exempt"in the license number line.) Bus.Tel.No..00 - - ��0 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: 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 PERMIT FEE:S Signature Telephone No.