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Home My WebLink AboutBLDE-23-003185 Commonwealth of Official Use Only (ilk Massachusetts Permit No. BLDE-23-003185 «- 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:12/8/2022 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) 3 CLIFFORD ST Owner or Tenant ANDERSON PRISCILLA M TR Telephone No. Owner's Address PRISCILLA M ANDERSON INV TRST, 142 LONG POND DR, 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 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: Finish basement 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. grnd. Battery Units No.of Receptacle Outlets 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and lnitiatine Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 Heating Appliances 2 KW 4 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: WILLIAM A TRACIA Licensee: William A Tracia Signature LIC.NO.: 15005 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:68 DERBY RD,P.O.BOX 219,BERLIN MA 015030219 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 (...) CtJo Ep c iv LtH civri C Ai \ lA 1 /ib(1 (r'''J ) 64 2) 11 P123 tA41.- j Kr (04 Commonwealth of/rtaeaaciuteef Official Use Only _ ►t •:>r� r, Z3 --3 ( g75 _ c t �\7 Permit No. j �' _ 2eparlment 0/ ire ._.7ert icee �' Occupancy and Fee Checked . (leave blank) OF FIRE PREVENTION REGULATIONS [Rev. 1107] •��' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPEALL INT) M4TTON) Date: �� .2� City or Town of: arm0� I o the Inspector of Wires: vBy this application the undersign d giv s ice of Ins or h r intention to perform the electrical work described below. Location(Street&Number) a —.,._ Owner or Tenant Prici// -e 71�Telephone No.� -aka—/1f y'�Owner's Address (3 C / e I r177O ,,/ Is this permit in conjunction with a building permit? Yes [X.1 No I I (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters CC New Service Amps / Volts Overhead E Undgrd❑ No.of Meters �, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire finished basement area (:oimpletinn of the fnllowirtg table may be waivedbv the Inspector of Wires. No.of Recessed Luminaires d No.of Ceil:Susp.(Paddle}Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA grad, No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. Battery Units 1 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 Total g / No.of Air Cond. Tons No.of Alerting Devices 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 ❑ Other Connection No.of Dryers / Heating Appliances t? KW 2f Security Systems:* Water No.of Devices or Equivalent No.of Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirinu' No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required hi'the Inspector of Wires. Estimated Value of Elcc ical Work: 11 (When required by municipal policy.) Work to Start: /2 (j, c2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 ❑ OTHER ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Bill Tracia Electrical Contracting, LLC /---1- -- LIC.NO.:A15005 I Licensee: Bill Tracia Signature �/ LIC.NO.: (I/'applicable, roter -exempt-in the license number line.) Bus.Tel.No.•508-612-2244 Address: PO Box 219, Berlin, MA 01503 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 E owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S 15"