The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004389 #B a . ��$ Commonwealth of Official Use Only ® Massachusetts Permit No. BLDE-22-004389 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: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 electrical work described below. Location(Street&Number) 49 WILFIN RD Owner or Tenant Greg Nelson Telephone No. Q Owner's Address � Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec •`'ly'T at. Purpose of Building Utility Authorization No. •J Existing Service Amps Volts Overhead 0 Undgrd 0 o400 New Service Amps Volts Overhead 0 Undgrd CI No.o R Number of Feeders and Ampacity -O Location and Nature of Proposed Electrical Work: Replacement panel,1st floor&crawl space.(HOUSE 49-B) 41 Completion of the following table may be yn . ct�fWires. No.of Recessed Luminaires 16 No.of Cell:Susp.(Paddle)Fans No.of K `�C/,/ ! al Transformers A No.of Luminaire Outlets 4 No.of Hot Tubs Generators Z&KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 16 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 1.5 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 4 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal Cl 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 Sinns No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Euuivalent OTHER: Attach additional detail ifdesired.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) 0 owner 0 owner's agent. Owner/Agent Signature rsfriAl Telephone No. PERMIT FEE:$75.00 QAt1D,I /J7 00 [I-RECEIVED FEB 0 7 1 221 Co, „.Sa Va g ! Official Use Onl -2 --4-- 3 69 . c� {� Permit No. BUILDING .k yL� §d „ ENT ..U.par enr o ,firs Starviced By: Or */, 1 "` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 ; t, (leave blank) , 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 IIVFO.RMA TION) Date: 2- 7- Z 2- City or Town of: o/'mo (� To the Inspector of Wires: By this application the undersi gives notice of his or her intention to perform the electrical work described below. - Location (Street & Number) 9 , 7 fj/1 Rd Owner or Tenant G rr:l e -pC ci,, N.e.1 'D,i Telephone No. /7 -'129-7�/4 Owner's Address irQ A- if f I_(r 4 'N!' Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Bailding� s/de ) ,if a, Utility Authorization No. . Existing Service '21%) Amps / 20/ 2YOVolts Overhead ® Undgrd C No. of Meters I New Service Amps / Volts Overhead ❑ Undgrd C No. of Meters ANumber of Feeders and Ampacity cI . Location and Nature of Proposed Electrical Work: I sT f l60ti d, CkAwi S,oAc- t Completion of the following table may be waived by the Inspector of Wires. ofNA Recessed Luminaires ires No. of Cell:Sus . Paddle Fans Tr of Iota( � No. e u a �� p (Paddle) .Transformers KVA ,` No. of Luminaire Outlets 4 No. of Hot Tubs Generators KVA � 4 A1ove In- "No. of Emergency Liighting ..';., No. of Luminaires Lf Swimming Pool grnd. ❑ grnd. ❑ Battery Units •.! No. of Receptacle Outlets f( No.of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches / 2. No. of Gas Burners 1 Initiating,Devices Total No. of Ranges No.of Air Cond. ( Tons / .S No. of Alerting Devices Heat Number Tons 'No. of geif-Contained No. of Waste Disposers Totals: ' ... ... ........... Detection/Alerting Devices No. of Dishwashers i Space/Area Heating KW Local ❑ Manicipal ❑ Other Connection No. of Dryers Heating Appliances KW No. f bevices or Equivalent No. of Water No. of No. of Data Wiring: Heaters KW Signs Ballasts No. of Devices or Equivalent H dromassa a Bathtubs .No.of Motors Total HP 'Telecommunications Wiring: No. Y g No. of Devices or Equivalent OTHER: 1 _place. / am , p A0,46 ri.,i Attach additional detail ifdesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: S Z o O (When required by municipal policy.) Work to Start: 2-7-, Z 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 Ej BOND ❑ OTHER 0 (Specify:) I certify, under the pains and penalties of petjury, that the information on this application is true and complete. FIRM NAME: Zart/ 3,„ //1 LIC. NO.: 3 6 9 csk3 Licenseerta r S tivyi /n Signature LIC. NO.:3 3 9,R'3 r (If applicable, entei"exempt"in the license number list) Bus. Tel. No.:7S/- O3-927i Address: (fier. Old rjtip /iv G✓ rQ i n It tr /'Yl t 0 Jig c Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, securit 1 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) II owner 0 owner's agent. Owner/Agent PERMIT FEE: $ S Signature Telephone No. EW4