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Home My WebLink AboutBLDE-23-003271 Commonwealth of Official Use Only fcA "� Massachusetts Permit No. BLDE-23-003271 ARD 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:12/13/2022 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) 39 MAUSHOPS PATH Owner or Tenant ODOARDI MARY A Telephone No. Owner's Address 39 MAUSHOPS PATH,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: Install generator 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 1 KVA 14 No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons Kai 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:) tV3-9 t(p - 53 Z I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WILLIAM J BOOKER Licensee: WILLIAM J BOOKER Signature LIC.NO.: 22110 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1399 East St, Mansfield MA 020483416 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: $50.00 61 akdeSS : LAvi p oo 4_retQth c. s corn __ C,ommoruvaalt/i of i`Ja6,ach«jelta Official Use Only „ 3 -3 7 ( r 1 ' `I Permit No. ��2 Z �i il'X-- a Apartment of ire Serrdcee li!-' a Occupancy and Fee Checked r' �.-�,' BOARD OF FIRE PREVENTION REGULATIONS IRev. 1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MF.C').527 CMR 12.00 (PLEASE PIUNT IN INK OR TYPE ALL INFORMATION) Date: 12/06/4022. City or Town of: �(,1A To the Inspector of Wires: By this application the undersigned gives notice of his ur her intention to perform the electrical work described below. Location(Street&Number) (� S Path ra p Owner or Tenant /rn 000 a p Telephone, No.o. Owner's Address (3q moos�C2S ?car) '/6t IY '(A-`�J (1.&` 3 Is this permit in conjunction with a building pet mitt Yes (1 No V] (Check Appropriate Box) Purpose of Building 1 Utility Authorization No. Existing Service Amps ! volts Overhead C Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; _` � x- �'� �1 Cunrpletion of the following table stay 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 Tabs Generators ] KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergencyl.tghting _ __ p7rnd. 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. Tonsl No.of Alerting Devices fii:Tt No.of Waste Disposers Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers SpaceiArea Heating KW Local❑ Connection Municipal Other No.of Dryers Heating Appliances KW Security Systems:* No.of bevices or Equivalent No.of Water KN, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP "TelecommunicationsNofDeierWiring: Y g No.of Devices or Equivalent OTHER: Bloch additional detail ifdesired,or as required hr the inspector of Wires. Estimated Value of Electrical Work: 1Z,OD0 (When required by municipal policy.) Work to Start: i2 (.a/`22_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COtVEItAGE: 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on thi application is true and complete. FiRM NAME: Booker Electrical Services Inc. L1C.N0.:22110-A Licensee: William Booker Signature I. mil/ LIC.NO.:52627-B iljupplie•uble.enter "exempt"in the license mrnrher lima.; Bus.Tel.No.:508-964 3532 • Address: 1399 East Street Mansfield Ma, 02048 Alt.Tel.No.:508-813 2474 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety'`S"License: Lie.No. SS-002449 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.1 hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature __.Telephone No.