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Home My WebLink AboutBLDE-23-002191 os r \\� Commonwealth of Official Use Only .� Massachusetts Permit No. BLDE-23-002191 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:10/24/2022 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) 4 RIVER DR Owner or Tenant KELLY McGUILL Telephone No. Owner's Address 4 RIVER DR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 150 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New 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 r 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 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 it 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.t 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. ,1��_ 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: MICHAEL YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 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.. i1 (2-41.40 I(1.27272)1/ ---g. -;-S75.•1-1-1-t- st f EVIL 0;0 L/. 13(724 I RECEIVED OCT 2 4 2022 a nmanwraffh o! Y !!/aenac�iaaaltn Official Use77Only. q;D EPARTME.N i Permit No. J '� 1 F . Partmaniof Jim Jiwicaa ` I I BOARD OF FIRE PREVENTION REGULATIONS n]Occupcy andFee ked [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK I All work to be performed in accordance with the Massachusetts Electrical Code(MEC)527 12.00 '(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �0 City or Town of: YARMOUTH To the Insp toro ires: • By this application the undersigned give sari a of his or her intention to perform the el trial work described below. Location(Sweet&Number) <1 V.7� /4"/l '— 5.6 U TA Owner or Tenant 1p ho �� /YIP/,iii�.L Telephone No. sad-ge?"-/3GaZ Owner's Address �1 vL7r ?M'/t. • Is this permit in conjunction with a building permit? Yes No purpose of Building0 (Check Appropriate Box) rP �'�✓� r`w�ia l"L� Lltliily Authorization No. Existing Service%'S Z- Amps 42G/.,)Yd Volts Overhead fG7I. /Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Und rd Number of Feeders and Ampacity g ❑ No.of Meters Location and Nature of Proposed Electrical Work: /v(X--P ti Glat✓.4E' Completion of the foilowtn&table ma,be waived by the Inspector of Wires. u' No.of Recessed Luminaires No.of CeB.-Sae. No.or1 otal p(Paddle)Fans Transformers KVA 'Z No.of Luminalre Outlets No.of Hot Tubs — Generators KVA -t No.of Luminaires Swimming Pool Above In- 'No.of Emergency Lighting grad. grad. 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 l"• No.of Ranges Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons,,. 1 KW No.of Self-Contained Totals:I �...... No.of Dishwashers - Detection/Alerting,Devices Space/Area Heating KW Local❑Municipal -' No.of Dryers Connection "her rY Heating Appliances KW Security Systems:* No.of Water , No.of No of No.of Devices or Equivalent Heated Signs Ballasts Data Wiring: No.flydromaau a Bathtubs No.of Devices or Equivalent g No.of Motors Total HP 1 eleco of ations Equivalent OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Wttm dtValart: (When required by municipal policy.) 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 coven force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0(Specify:) I certify,under the pains and nalt/ o Pe �s jperfnry,!ha!!heinformation on this application is true and complete. FIRM NAME: 1/o,�N� /.'& 72tC ti.%. C. Licensee: / L LIC.NO.: (If applicable,enter ®nnpt�ln the I's e her/Ine.I(— Signature 7C.NO.: Address: /-/)L It//('j %�, NS/ '9 Bus.TeL No.. c— .a!//* •Per M.G.L.C. q1 7,s.57-0 µ,security work requires Department of Public Safe S"License: Alt.TeL 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 a eat. Owner/Agent Signature Telephone No. PERMIT FEE:$