The URL can be used to link to this page

Home My WebLink AboutBLDE-23-005116 Commonwealth of Official Use Only EE, Massachusetts Permit No. BLDE-23-005116 r®� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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/N INK OR TYPE ALL INFORMATION) Date:3/17/2023 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) 32 FLINTLOCK WAY Owner or Tenant MICHAEL McDONNELL Telephone No. Owner's Address 32 FLINTLOCK WAY,YARMOUTH PORT,MA 02675-1107 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add additional lighting. 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. l;rnd. 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 lmtiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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: at s No.of Devices or Eauivalent 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Zachary Mancini Signature LIC.NO.: 57951 (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 Taft Road,West Yarmouth MA 02673 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 Telephone No. PERMIT FEE:$75.00 C �A► rQ S/-/2c3 k 6_ 4-60 t?tavnt..Q(_ , rN�l7l[Lf*� Ftkipt_ 446,3 1 RECEIVE D nwetalth ofMassachusetts Official U e On ly 1. _*. AR 15 2(1281, Permit No.: �• ( ).01:- t • Ckp•rtment of Fire Services Occupancy and Fee Checked: r er i Of FI"E PREVENTION REGULATIONS [Rev. 1/2023] � ,. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH • Date:3igi23 To the Inspector of Wires: By t is appli ation,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 1--1 i A t IoCk UPI /k-ILA CmC.j IN R:r I' Unit No.: Owner or Tenant:/ChCi i I MC 00t)WIC�I Email:/T7i y-Z(1�iq f 6E��fl7Ctl/, (orn Owner's Address:37 (i ri-toc� 1,01 Phone No.: 70/6 031e 6 2 l Is this permit in conjunction with a building permit?(Check appropriate box)Yes"No❑ Permit No.: Purpose of Building:A',c1?,v Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: 11.✓°lh/1/' /i15 c4 0 ((d)(/ -A,'' Add) ,' jj /��itt i n H- /Jf f-l3u! J Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: 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-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ 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❑ Level 1 ❑ Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:3r 60 a (When required by municipal policy) Date Work to Start: 3 f 6/Z 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME:r/fit T /'1' in,' e/itiri i-v- A-1 0 or C-1 0 LIC.No.: Master/Systems Licensbe: LIC.No.: Journeyman Licensee: 7 / S I -, LIC.No.: 57ct 5/-/3 Security System Business re uires a Division of Occupational Licensure"S"LIC. S-LIC.No.: l Address: I f i - A cl / +0�/140(. .enh Email:Z /he. a n.��y Mu.f.,i v,)-, Telephone No.: ii2 y q0 70 I cert f,under I e ' ljand penalties of perjury,that the information on this application is true and complete. License • �— Z—---' Print NameeCA)41 ,/�u It c/./ ; Cell.No.:(p/14/ZT 7 e I b INSURA E COVERAGE: Unless waived by the owner,no permit f&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 of s o the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0 Specify: j/►Ju f 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: Tel.No.: Signature: Email.: