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Home My WebLink AboutBLDE-23-004214 Commonwealth of Official Use Only t Massachusetts Permit No. BLDE-23-004214 ' A..:' 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/N INK OR TYPE ALL INFORMATION) Date:1/30/2023 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) 337 WHITES PATH Owner or Tenant CHARLIE HALLWAY Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel and damaged wiring due to fire. 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 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 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: Robert A Hunsinger Licensee: Robert A Hunsinger Signature LIC.NO.: 10736 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 31 SOUTH AVE,WEYMOUTH MA 021891725 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: $100.00 ECEVD IF p.?, D JAN 3 0101 aa4 4 rr/aeea` a Official Use Only p o`J c7in&rvicsa Permit No. ---. LDING DEPARTM Occupancy and Fee Checked TE REVeNTION REGULATIONS [Rev.1/07] oeave blak) 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: I zo, z3 • To the Inspector of Wires: City or Town of: 4 arnv u t 1 d By this application the tmdersigned gives notice of his or ha intention to perform the electrical work described below. £ Location(Street&Number) 337 v4 h:—}c . ?A-.lam p,2mc�'� f' I Owner or Tenant -:'a,^lie Nall,a.a9y Telephone No. 77N S3 to 3575 t_ Owner's Address 337 W . l-ri PA - •kvr too�t. cd Is this permit in conjunction with a builder permit? Yes No II] (Check Appropriate Box) NPurpose of Building CIAraa e (sietoehe 4Utility Authorization No. Existing Service /00 Amps /2-0 / 2.Yc' VatsOverhead❑ Undgrd XQ No.of Meters / L New Service Amps / Volts Overhead❑ Undgrd El No.of Meters 0 Number of Feeders and Ampacity .11 Location and Nature of Proposed Electrical Work: icce(tx.c,y...---, of ex is+rn 7 e}..i a.w I pnvte I (0.0.'P) s ,:".Q./ Ce g lAurrv.T cF u.1 t.:,a,,.r +1.nT t...-qS b.;!rr t^ Fn"f`e Completion of the followinktabk may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Sus . Fans No.of Total P(Paddle) Transformers ICVA CA No.of Luminaire Outlets No.of Hot Tubs Generators KVA a Above In- No.of Emergency Lighting # No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners No.of Detection Initiatingg Devices l I I•j No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Disposers Heat Pump Number Tons KW No.of Self-Contained No.of Waste Dis P Totals: ..............._........_........._....._. Detection/Alertin.Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑Connection ❑Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent WiNo.Hydromassage Bathtubs No.of Motors Total HP Teiecommunications No.of Devices or Equivdent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: s L$,. (When required by municipal policy.) Work to Start .-29-23 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of peijary,that the information on this application is true and complete. FIRM NAME: 12o3CeT 1-()n�rN6fiL Ele'.4,Z ,s"N LIC.NO.: Io73tct3 Licensee: i oae /j..,ss,N6f.e. Signature //!� LIC.NO.: 1U72e>& (If applicable,enter"exempt"in the license menber lime) �/ Bus.Tel.No.' 5'57 934 R3A-2. Address: 7 3. 1JW DSon- Rd J eimn A. non 0290 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 INSURAN du WAIVER: ism aware that the Licensee ec not have the liability insurance coverage normally required by law,, si b ow,I reby waive this requirement. lam the(check one)❑owner 0 owner's agent. Owner/Signature Telephone No.,f y3' PERMIT FEE:$ . . . . . ..... . . • _ • . r. . • ..