HomeMy WebLinkAboutBLDE-22-004388 #A ,r .11\66 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-004388
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.1/071
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:2/8/2022
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 elecmcal work described below.
Location(Street&Number) 49 WILFIN RD
Owner or Tenant Greg Nelson Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes❑ No ❑ (C ck Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters �
New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters . ,
Number of Feeders and Ampacity
V��
Location and Nature of Proposed Electrical Work: Replace panel&1st,2nd,&basement.(HOUSE 49-A)
Completion of the following table may op: 've t q��_ector of Wires.
Na.of Recessed Luminaires 16 No.of Ceil:Susp.(Paddle)Fans No.of Z `taAl
Transformers
No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
gird. Rind. Battery Units
No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 10 No.of Gas Burners 1 No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cond. 1 Total 2 No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 5
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:"
No.of Devices or Euuivalent
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 Ill' 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 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: BARRY T SWAIN
Licensee: Barry T Swain Signature LIC.NO.: 33983
(If applicable,enter"exempt'in the license number line.) Bus.Tel.No.:
Address:248 OLD COUNTRY WAY,BRAINTREE MA 021848334 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) ❑owner 0 owner's agent.
Owner/Agent
Signature{ur Telephone No. PERMIT FEE:S75.00
Ids 13 /8 ivitE
RECEIVED
ComrnoeMIat h o�//laeeadmmita Official Use Only
LE__ . . », !: 2 c� n Permit No. �ZZ 3S8
11 j 2epartmoni°Piro Services
.1 i";_ Occupancy and Fee Checked
BUILD' `� '- i Mui
�UA- D 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 INFORMATION) Date: 2 7--Z Z
City or Town of: YQrn7vu7'� To the Inspector of Wires:
C. By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
'1- Location(Street&Number) yq/- f)i /�t,/ I`d
�, Owner or Tenant Greg d `r/4v/a, Ale,IS(y� Telephone No.�t .�zq- J(�/6
S
Owner's Address '/ ' ([id air1 t�Ct<.
X-4 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
alPurpose of Building si de,r)i.i 0 1 Utility Authorization No.
ci Existing Service 200 Amps a-0/ 2-V0 Volts Overhead 2 Undgrd❑ No.of Meters _2 i d;rrt V `
gark New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters 0,4 4 1 }
Number of Feeders and Ampacity
__Q Location and Nature of Proposed Electrical Work: i 5T - 2 nio -bc.Se in,„, F
Completion of thefollowingtable mg be waived by the Ingoector of Wires.
�W No.of Recessed Luminaires !(o No.of Cell-Snap.(Paddle)Fans Transformers KVA
No. �! No.
� of Luminatre Outlets / of Hot Tubs Generators KVA
't No.of Luminaires 1/ Swimmin Pool Above ❑ Iu- ❑ mot Emergency Lighting
g hrnd, grad. Battery Units
" No.of Receptacle Outlets 2.0 No.of Oil Burners FIRE ALARMS No.of Zones
z- No.of Switches No.of Gas Burners No.Initiatingof Deteon and
�'` /D 1 Devices
I1`t No.of Ranges No.of Air Cond. ( Tors a No.of Alerting Devices
rs Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Di
sposers Totals: Detection/Alerting Devices �-
No.of Dishwashers I Space/Area Heating KW Local 0 Connectipal on ❑ Other
No.of Dryers Heating Applisxces KW SecurityN f Devices or Equivalent
No.of Water KW 'No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or co Eqquivagglent
No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices municatioor quivalent
OTHER: 1 e7.sa pia,e Cal5fr,v9 /op That, ).-,&HD Ce„r(er
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 9,500 (When required by municipal policy.)
Work to Start: 2.- 7- 2.Z. 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 G BOND ❑ OTHER 0 (Specifjr:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME R3a r Ai S trjr,t>i LIC.NO.: 3 3 t&3 c.
Licensee:bc,riv S.,,,4/, Signature G4,.„-tom. LIC.NO.: 3 39 9 3'
(If applicable,enter'texempt"in the license number.Ji te.) , y Bus.Tel.No.: 7 V 603QZ Z
Address: 2 j k COL D rr w '4 bgai4 free 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:$ 7S