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Home My WebLink AboutBLDE-22-004028 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004028 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:1/21/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce of his or her intention to perform the electrical work described below. Location(Street&Number) 1 UNCLE JIMMYS LN Owner or Tenant Dale Cook Telephone No. Owner's Address 1 UNCLE JIMMYS LN,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appry s�(e Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 461111A0, .f New Service Amps Volts Overhead 0 Undgrd 0 r+ e Number of Feeders and Ampacity A Location and Nature of Proposed Electrical Work: Install generator O Completion of the following table m al r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of / 1 Transformers v� No.of Luminaire Outlets No.of Hot Tubs Generators 1 �` 3 A 22 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. 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 Jnitiatine Devices No.of Ranges No.of Air Cond. Tonal 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 ❑ Municipal 0Other: 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 Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LIC.NO.: 18182 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 WAQUOIT RD,COTUIT MA 026353517 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 R0441 iCAirtt, 474/7.0244 IRECEIVED _ r ,7RECEIVED D I Official Use Only -_ o wealth o/ fflaiiachuielL JAN 202Permit No. e-�2' 4Z ) =_ial eU pa &nent o/.ire �eruiceS S�__=W e fLDIIJG DEPARTMENT Occupancy and Fee Checked __ �__ t ' ,.y . .BOARD- OF-FILE REVENTION REGULATIONS [Rev. 1/07] (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 INFORMATION) Date: 1/20/22 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) 1 UNCLE JIMMYS Owner or Tenant DALE COOK Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No [a (Check Appropriate Box) Purpose of Building RESIDENTIAL Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead [l Undgrd ❑ No. of Meters Number of Feeders and Ampacity GENERATOR Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators 1 KVA 22 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 Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges No. of Air Cond. Total Tons 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 ❑ Municipal ❑ Other Connection R, No. of Dryers Heating Appliances KW security Systems:* No. of Devices or Equivalent No. of Water Kam, No. of No. of Data Wiring: Heaters Signs Ballasts 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: 15000 (When required by municipal policy.) Work to Start: 1/20/22 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 2 BOND 0 OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury, that the informatio on this application is true and complete. FIRM NAME: THOMAS SULLIVAN ELECTRICIAN LIC. NO.:E31011 Licensee: THOMAS P SULLIVAN Signatu / LIC. NO.:A18182 (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.:508/477/3300 Address: 71 WAQUOIT RD COTUIT MA Alt. Tel. NO.:508/280/5616 *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 E owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No. $