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Home My WebLink AboutBLDE-22-004465 �'�, Commonwealth of Official Use Only fi . Massachusetts Permit No. BLDE-22-004465 �tCr�� 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:2/10/2022 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) 16 TEMPLETON PL Owner or Tenant BENJAMIN ALISSA A Telephone No. Owner's Address 16 TEMPLETON PL,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes❑ No 0 (Check Appro x 4:› Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.o I A. New Service Amps Volts Overhead 0 Undgrd 0 No.of Me O_wh A Number of Feeders and Ampacity -'r"/ Location and Nature of Proposed Electrical Work: Install generator panel&receptacle&add lights&receptacles to put •: (Ol basement. (SC Completion of the following table may be id,,se Ins.- res. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ! To! 0 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- El No.of Emergency Lighting grad. grnd. Patten,Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones I No.of Switches No.of Gas Burners No.of Detection and Initiating Devices (L), No.of Ranges No.of Air Cond. TotalTon No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection fr` 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 Sinus No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: F7 Attach additional detail if desired,or as required by the Inspector of Wires.Y' Estimated Value of Electrical Work: (When required by municipal policy.) Q Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. ¢L 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: Mark L Avery Licensee: Mark L Avery Signature LIC.NO.: 13272 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:77 AGNES RD,SOUTH DENNIS MA 026602814 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 e-rleCA. i 3X we Q— e -, Commumwea/th o/ Ma.4oacI usettj Official Use Only t ' c� Permit No. R E _�!vii_= D 2iepartment o/Jire �ervice6 T - °°�:� ' Occupancy and Fee Checked FEB[ �—�_ ,,,. 2 RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING HI 'hITION FOR PERMIT TO PERFORM ELECTRICAL WORK 11 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: 2/9/2022 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) 16 Templeton Place W. Yarmouth MA 02673 Owner or Tenant Alissa Benjamin Telephone No. 508-326-7002 Owner's Address 16 Templeton Place W. Yarmouth MA 02673 Is this permit in conjunction with a building permit? Yes n No ■ (Check Appropriate Box) Purpose of Building Single Family Residence Utility Authorization No. Existing Service 100 Amps 120 / 240 Volts Overhead n Undgrd n No. of Meters 1 New Service Amps / Volts Overhead n Undgrd n No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add receptacles and recess lights in the South side of the basement Generator panel interlock with power inlet outside. Completion of the following table may be waived by the Inspector of Wires. NoNo. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans TransTot Tr formers 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. oIn Detectionn 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 ❑ Connection Other No. of Dryers Heating Appliances KW Security Systems:* y No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent I 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: 2/13/2022 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 ❑■ BOND El OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Mark L. Avery . NO.: Licensee: Mark L. Avery Signature z____,, LIC. NO.: 13272 (If applicable, enter "exempt'. in the license number line.) Bus. Tel. No.: 508-896-8890 Address: 77 Agnes Road, S. Dennis MA C2660 Alt. Tel. No.:• 774-994-0626 *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS-002294 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) El owner ❑ owner's agent. Owner/Agent $,�i 75 Signature Telephone No. PERMIT FEE: Glib