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Home My WebLink AboutBLDE-23-005370 Commonwealth of Official Use only Massachusetts Permit No. BLDE-23-005370 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07j 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) 238 SETUCKET RD Owner or Tenant PRENTICE SMITH Telephone No. Owner's Address 238 SETUCKET RD, YARMOUTH PORT, MA 02675 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: Attic air handler&exterior condenser. 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 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 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:) 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 qf 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 A/i 1/ ern a-t 1 i RECEIVED �h � r�y� 5-0•M �Q MAR 3 0 204 o`1//aaeac"11-s Official Usc Only V �"F_ _ '?� JJJIII Permit No.E3/3—5370 ILDING DEPART _ of ol3�.52.ovic'H _ Occupancy and Fee Checked ti. EVENTION REGULATIONS [Rev.I/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK QDate1 All work to be performed in accordance with the Massachusetts Eectrical Code(MEC'1.5'_7 CMR 1'_.00 Vi,/1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) : 3 —3 c) —23 c City or Town of: 'If4f2 vUpvTL To the Inspector of Wires: By this application the undersigned ivcs notice� of his or her intention to perform the electrical work described below. Location(Street&Number) a 3 Q0 S e_To eKe7- fka () Owner or Tenant f 2Q,(s' i Ir C e_ 5 MA_a ill Telephone No. Owner's Address ,,-,/ / , Is this permit in conjunction with a building" permit? Yes ❑ No s (Check Appropriate Box) l`W Purpose of Building RQS r d.42. i.(4 L Utility Authorization No. ,..", Existing Service 200 Amps 12D /2c(U Volts Overhead❑ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity / Location and Nature of Proposed Electrical Work: 14 1/Zp_ ,n.l p t,t/ '4 jj'f�C 4tz.. ,& . L ANd Coa de..Ius22 o v oal2S Completion of the/b/lowin fable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cell:Sus.(Paddle)Fans Transformersr.n KVA P KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above (] In- ❑ No.of Emergency Lighting grod. grnd. Battery Units No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners 'No.InDete Initiating ng Devices No.of Ranges No.of Air Cond. I Tuna L No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons KW "No.of Self-Contained Totals: .L... _. _ Detection/Alertiuu1�Devices Loc al❑Municipal n 0 Other Connectio No.of Dryers Heating Appliances KW Security Systems:* No.of bevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromsssage 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: /O W (When required by municipal policy.) Work to Start: 3-30 -Z3 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 ❑ OTHER 0 (Specify:) I ratify,under the pains and nahies ofperjary,that the information on this application is true and complete. FIRM NAME: r I' A'•' LIC.NO.: Licensee: TFlb$AAS A LvA ignature ✓ LIC.NO.:, y60� (If applicable,enter"er mIv'/y�rh j4ert,c number!intl. �/ Bus.Tel.No.: Address: 9. f 0 G S[ U0� I1 ' 023 ZZ Alt.Tel No.: 8.Tsre 6g6 1 'Per M.G.L.c.147,s.57-61.security work requires Department of Public Safety"S"License: Lie,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 ant the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:S Lt11 iikiy