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Home My WebLink AboutBLDE-23-002521 Commonwealth of Official Use Only (t. Massachusetts Permit No. BLDE-23-002521 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:11/8/2022 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 describe Blow. Location(Street&Number) 9 GILBERT ST �.‘ 2Z77 ait 217 I Owner or Tenant MARK HANDY Telephone No. Owner's Address 9 Gilbert Street, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Wire kitchen,water heater,washer,&dryer. 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 10 No.of Oil Burners FIRE ALARMS No.of Zones . No.of Switches 6 No.of Gas Burners No.of Detection and lnitiatine Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons r. No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers 1 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 1 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: THOMAS E CUNNINGHAM Licensee: Thomas E Cunningham Signature LIC.NO.: 8410 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO Box 48, Leicester MA 015240048 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 17EE: $75.00 0.7 i 9 V-L-i(Nig tt 1)0.to) (I 1(ift )y_e_. ie ,z,2,/, lz„ "dm_ che-i z,30,z?„,..7‘u, -11„t4 Sj i,l( iS-7.), M (1 J 1 T 1-►.J 6 L_ I2 l3/'2Z t Lam- — 3 .C. iZe✓Et2.5e 1 • •. � Commonavatth o!rrlaeeachtteetie Official Use Only .7,' .t c e2 _�Zr i: __ 7 Penult No. —,� a artmeni of Jiee Seroicee 11 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07J (leave blank) 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 TYPE ALL INFORMATION) Date: //-77/ 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) 9 $it_3[,-721--5T Owner or Tenant /I(VV�/ /,C_, Telephone No. Owner's Address Is this permit In conJunction,w3th a building permit? Yes ,�/ No L1 El (Check Appropriate Box) • purpose of Building / /ZL,KAP Utility Authorization No. Existing Service Amps / Volta Overhead❑ Undgrd El No.of Meters ew Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wI fIS („--,r //r-c,4 ki / Lb Completion of the followinVetble rng be waived by die Inspector of{Fires. No.of Recessed Luminaires No.of CeB.-Sasp.(Paddle)Fans No.of Total Transformers KVA Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA *t' No.of Luminaires Swimming Pool Above 0 In- No.of Emergency Lighting grnd. grnd. 0 Battery Units �` No.of Receptacle Outlets /(0 No.of Oil Burners FIRE ALARMS INo.of Zones • ',4. ^` No.of Switches Co No.of Gas BurnersNo.of Detection and t: es r No.of Ran Total Initiating Devices Ranges No.of Air Conti. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump umber,Tons,,.,.,,1 KW No.of Self-Contained Totals:"""""-'"I'"'' Detection/Alertln Devices No.of Dishwashers 'P" Space/Area Heating KW Local 0 Municipal Connecti No.of Dryers Heating Appliances KW Security Systems:*on 0 Otber No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications�Iri : - OTHER: No.of Devices or Equivalent Attach additionl detail if desired,or as required by the Inspector of Wires. Estimated Value of qlectricalWork: / �'42 (When required b municipal policy.) Work to Start://-71 7(a-.2- 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0(Specify:) I certify,under the ins and penalties ofperjury,that the informed(' on t rb's FIRM NAME: t G r p/icalion' true and complete. Licensee: I,N/ L►C.NO.:/} /D / 44 Signature / (If applicable,enter��rrempf"i the license Me. LIC.NO.: _ Address: -t�j /'/�jr}rYy l/) �A 7 Sri Bus.Tel No.• 9 'Per M.G.L.c 147 s 57-61 security work requires Deparemeat of Public SafetyYt S^ _ Alt.Tel No. O 73 OWNER'S INSURANCE WAIVER: I a aware that the Licensee does not have the liability insurse: Lallo. mhab c. nce coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check oneowner■ Owner/Agent Signatureowner's went. Telephone No, 00 /Jar &r-i Pee'fez ram) Z/O (1 )6 L'`s etC-P r be-0 P i t(-66 2-70, g Cam)iD D.J I So Ak 132C i# C i rt o.,, CO ��lTy Q Z I D . /1 (0 / Nt7r C?AG; 44-rhnr� "L10 , 644) 1 1l k 12 A).t T6i4 i- .-IOT l2` 4' g1Ctn/ S12. - Ref)i- � i=�rt 1"r�2►vi)7 N d-7 ►?i C-f a/rt rrLat tC"-b, 2.►0 . ,L 12 ,ip1-- Me r" L Aber -r14 4 ) Z ,- 2_, , sL J vc1 -w r At�.F NCY7 rc i O+w r yr w.h Z IO,b(4)'7