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Home My WebLink AboutBLDE-23-003446 CommonwealthOfficial Use Only of Ir Massachusetts Permit No. BLDE-23-003446 �... 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:12/21/2022 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) 113 MULFORD ST Owner or Tenant DUBINSKY MICHAEL D Telephone No. Owner's Address DUBINSKY SUSAN M OLNEY,25 POND ST,WRENTHAM, MA 02093 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 ❑ 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: Remove smoke/heat alarm system, install interconnected smokes. 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. 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 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 ❑ 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: 12/19/2022 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: JOHN R HASSAY Licensee: John R Hassay Signature LIC.NO.: 38186 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:28 THAYER ST, SOUTH DENNIS MA 026603717 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: $50.00 h�� o e /2/22.123d-L,.. REEIVED // Commoraveafth o/Ma�sachueeLi Official Use Only DEC `J >< 23 -34"4� � ,-t cc77 Permit No. .epartment of ire Service) t:-..elt—S;); Occupancy and Fee Checkeai BUILDING A„MENBO�ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BY -_. !_. 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 INFORMATIOA9 Date: 1�GL 2c7 4 f2e>2.2 City or Town of: Yet✓vvto c-c- 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) 1 ( 3 H, .-c(-C--0 te v''j1 c7'l . , �u✓i,uW cc ( ., Owner or Tenant M(e. kcLe_ I 4 SUS-4.4 7:;i0 z/e t' Telephone No.6-.08.tLI t.7c` 0I Owner's Address S< -e_. Is this permit in conjunction with a building permit? Yes E No (Check Appropriate Box) Purpose of Building j).c :I I 1 h, Utility Authorization No. Existing Service (('O Amps 17�0 /V.--i-(grVolts Overhead E Undgrd❑ No.of Meters New Service Amps / Volts Overhead E. Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and//Nature of Proposed Electrical Work:Rea~to� 'e o / I'v i L 4 i4v+^� S y Burt Ito S7/�r( Z'ei.c/ t ivX (4,iv{"'1/ f P lh t 3iioe,--f,J -$4 r? 4 t. 6' >µS. 4 vc F41,✓ ( t- 'Jrf'el ke v Completion of the following_table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T of T Trr ansformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting and. and. Battery Units 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Barriers No.Initiatinnggon Dete and n Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump'Number Tons KW ',No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space!Area HeatingKW LocaI❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW -Security Systems:* ►�' No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeieorq Wiring: Y g No.of Devices Equivalent OTHER: Attach additional detail if desire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: De_t; ICi 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 P BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjug,that the information on this application is true and complete FIRM NAME: LIC.NO.: Licensee: J k,,' i-ctc5 .`-i Signature 4t " ',IC.NO.: -3 V-( a-6 C (If applicable,enter"exem t"in the license) tuber line.) Bus.TeL No.: 5 Cc Zr 22 o 0,�Lr9 Address: 2.6 � l//pa/ ,(- S. DQt gt4 t 5- 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: REQUEST FOR ELECTRICAL INSPECTION DATE: •D�L Q, 2-0 Z 7 DATE OF INSPECTION REQUESTED: Dec_ 2 t ( 2-67 ZZ OWNER 6-L42` Sk-vl a tottiS JOB LOCATION I ( ul+v✓'c1 sf v +, S', 2vv4LJ,-c.--c ELECTRICIAN & PHONE# v D A.,55-4__(.." 50 g - 2-Z t - 0 o c? PERMIT#AND/OR DATE OF ISSUANCE Dec 2, Z a TYPE OF INSPECTION: TRENCH (Time trench will be open) SERVICE ROUGH WIRE FINAL OTHER SOMEONE WILL BE PRESENT NO ONE HOME, OK TO ENTER i-1-0.)5.e_ Seat._ C ( oSjoatge kevt SPECIAL INSTRUCTIONS Der„.., 2.7 J or S "/S s • �,a�'`-- L , ( k� � � • v