The URL can be used to link to this page

Home My WebLink AboutBLDE-23-005368 Commonwealth of Official Use Only riA Massachusetts Permit No. BLDE-23-005368 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:3/30/2023 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) 36 KNOLLWOOD DR Owner or Tenant BECKER KAREN-SUCCESSOR TRUSTEE Telephone No. Owner's Address 36 KNOLLWOOD DR, YARMOUTH PORT, MA 02675-2064 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace &install heat pump. 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 1 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 KW No.of Self-Contained Totals: 1 _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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Thomas R Mulvaney Licensee: Thomas R Mulvaney Signature LIC.NO.: 35400 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 POND ST,AVON MA 023221624 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: $50.00 0 ( ""( Cam, V t J t/71 G-3- 7' 146 F % 6C idN W a & /4'i)<d S 146 Witt- 5' tt-iiT A- kitii- / iv,'i1�m a-s; JRWEb1 ;n �—� � I MAR 3 0 20L41a saUh o`///aeeactte Official Usc Only - Permit No. *�-3 5368 gILDING DEPART 'rt°��"'`�a uic. Occupancy and Fee Checked - `s•st _ = EVENTION REGULATIONS [Rev.1/07 (leave blank) l APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MOO.527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORAL4TION) Date: 3 -30 `2 3 City or Town of: VAn IA OUP N To the Inspector of Wires: By this application the undersigned givts nonce of his or her intention to perform the electrical work described below. c• Location(Street&Number) 3 6 k y,3- I(tw)OOrl ,D R. /var/ , c-VQ,s Owner or Tenant K even e Telephone No. Owner's Address v Is this permit in conjunction with a building permit? Yes ❑ No 12' (Check Appropriate Box) J Purpose of Building P.QS idety tY r"AL Utility Authorization No. (1) Existing Service Z00 Amps /4 2Yb Volts Overhead Ek". Undgrd❑ No.of Meters I J New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters D Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: lii/Z.e_ Nto GO (D/9,$ Fug")4e . Ars14 3 TOO l'teA i Po r.u° Completion of the follmrincoble mar be waived lnr the Ins ctor of Wires. No.of Recessed Luminaires No.of Ceil.-Su (Paddle)Fans Tra or Total sP• Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. 1-1 grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners I No.initiating Devices No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste DisposersHeaTPump Number Tons 3...._KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Monnection ❑timer No.of DryersHeating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent a Bathtubs No.of Motors Total HP Telecommunications Winn No.Hydromassa g No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: /DOD (When required by municipal policy.) Work to Start:3—2S-2.a 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 cave a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is tree and complete. _ FIRM NAME: LIC.NO.: , Licensee: T omilS ?Ku I.J vMlGy Signature T'— .�..e LIC.NO.: 3,5—yOO a. (If opplicahle.enter-rrempr'n(he cerua number fine./ Bus.Tel.No.'SaBS'i CY6I Address: g Qa zet 51" FLtbAJ ✓1sei 0 2312_ Alt.Tel.No.: STS.girt <1;6 t "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 ant 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 PERMIT FEE:S Signature Telephone No. • - • - - •• £ QS ');. Afr 5