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Home My WebLink AboutBLDE-23-004493 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004493 0BOARD 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:2/14/2023 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) 85 CHIPPING GREEN CIR Owner or Tenant LACH JOHN D TRS Telephone No. Owner's Address LACH ELAINE A, 85 CHIPPING GREEN CIRCLE, 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service 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 grad. 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 ❑ 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOSHUA B DEJOIE Licensee: Joshua B Dejoie Signature LIC.NO.: 53490 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 LEXINGTON LN,YARMOUTH PORT MA 026752437 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 6e.-_,,eg. 40(2 RECEIVED =-. E a 1' EB 13 2023 •rtwa�o, acuaud Official Use Only [t Permit No. :3L.2"1I49 3vf ,A1,, lmrntn .7ire&puked'11 .ING JEPARTMNT r'w Occupancy and Fee Checked d -:k"I�,"J "--.t•--:-a• - '' PREVENTION REGULATIONS Rev.1/0I � ,�s� ( ) (leave blank) Q APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 a (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4.-13-),3 ,,yy� 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. N Location(Street&Number) 5 �,h;�p;�� (.�`ee t1 L C III Owner or Tenant pr 10.akz L c.,, i Telephone No. 53760..0t{U h Owner's Address 2?c CA",-,1pp'p`, cfec L.i CL o l Ji 1 Is this permit in conjunction with a bo(leng permit? Yes ❑ No ®. (Check Appropriate Box) dr Purpose of Building I)L>e 11 t i y Utility Authorization No. n Existing Service Amps /'-' Volts Overhead ❑ Undgrd g E No.of Meters tNew Service Amps / Volts Overhead E Undgrd❑ No.of Meters (�o Number of Feeders and Ampacity I ti Location and Nature of Proposed Electrical Work: RC o,,,e I00 r 13 5 ec,i,Le ir ?0.r\ v Completion of thefollowingtable my, be w {f aived by the Inspector of Wires. '•!+ No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total ^! Transformers KVA �1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA t- No.of Luminaires Swimming Pool Above El ❑ No.of Emergency Lighting �rnd. 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. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number 'Cons KW No.of Self-Contained Totals:L. `............_...._.�...... I --- Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑��, Connection No.of Dryers Heating Appliances KWSecurity Systems:* No.of No.of Water , Heaters Signs Ballasts No.of Devices of No.of Data Wiringvices or Equivalent evices 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: a'J (When required by municipal policy.) Work to Start: .-]3-).'3 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[7]. BOND 0 OTHER 0 (Specify:) I certify,under the pains and penaltf of perjury,that the information on this application is true and complete. FIRM NAME: -S)Syw4 L.ii•e 1=1f 7 Cluf LIC.NO.: Jr3�gl�-13 Licensee: TLS\\�es. \, . c.i Signature Of LIC.NO.: Address: ,•enteriatpmpf"in the license natnber itnevl Address: ,� e4p, Dev-.), / Ed i`u- r/ ,� �„ h Bus.Tel.No.• /'iyY9�oy�+3 T . '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 hare 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 a-errt. Owner/Agent Signature Telephone No. PERMIT FEE:$