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Home My WebLink AboutBLDE-23-004778 �IP Commonwealth of Official Use Only aft.` Massachusetts Permit No. BLDE-23-004778 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:2/28/2023 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) 46 GROUSE LN Owner or Tenant TERRY SHEA Telephone No. Owner's Address 46 GROUSE LN,WEST YARMOUTH, MA 02673 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: wiring of 1/2 bath(617-872-0008) 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 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. Tonal 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 0 Municipal 0 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: 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:) 617-67 - Od4 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DESMOND P CLIFFORD Licensee: Desmond P Clifford Signature LIC.NO.: 33276 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 MERRYMOUNT RD,W YARMOUTH MA 026734853 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 Lkie,47# ,l0(ZS CtiNaC- 1311- KtGtivs- •• 220 BUIL cQ 1rneta th of MassachusettPermit °'�3-00 S� No.: S _ ' BY' of Fire Services Occupancy and Fee Checked: i7 � 1el_ BOARD OF FIRE PREVENTION REGULATIONS [Rev.12023) �[/ — APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5?,7 C 12.00 City or Town of: YARMOUTH Date: /28'2o22 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 4C —/C u s F 401'f — Unit No.: Owner or Tenant: Teal v `- AO'L7 1j E4 Email: Owner's Address: Phone No.: ("/2) 2 t o -9 27( Is this permit in conjunction with a buildiqg permit?(Check appropriate box)Yes Er No ElPermit No.: Purpose of Building: ( Uti!j y Authorization No.: NA- Existing Service: I do Amps (to/ 2.24 Volts Overhead[EJ'Underground El No.of Meters: New Service: Amps_/ Volts Overhead❑ Underground 0 No.of Meters: Description of Proposed Electrical Installation: Ira s J(- 7/2 Bt - Completion of the following table may be waived by the Inspector of Wires. No.of Acceptable Outlets: 'Z No.of Switches: 3 Generator KW Rating: Type:. No.Luminaires: Z No.of Recessed Luminaires: 2_ No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Gmd.❑ Above-Gmd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount 0 Level I❑ Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as r quired by the Inspector of Wires. Estimated Value of Electr'al ork: i 12 0 0 (When required by municipal policy) Date Work to Start:ns 2 2-S.7.'22 Inspections to be requested in accordance with MEC Rule II),and upon completion. FIRM NAME: Og l� ( CI!'ec V) 7 A-1❑or C-1❑LIC.No.: 633274 Master/Systems Licensee: LIC.No.: Journeyman Licensee: LIC.No.: Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: IY M21-QiA3rot//��vf (-0 G,( fi��I/ nil C26 Email: DESMoNOC&fi-MOC (AL- Ctt4i TelephoneNo.:6/-7 172--too? I certify,under the pains and penaltiesp�p of perjury,that the information on this application/ � is true and complete. Licensee:f lC>/"`ee CCJ-t/ D Print Name: OE>H�^'O Caff-* Cell.No.( f7) '72. ' 2 INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof offs to the permit issuing office. S. CHECK ONE: INSURANCE i[j BOND El OTHER❑ Specify: Av c iV .3 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 El Owner/Agent: Tel.No.: Signature: Email.: