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Home My WebLink AboutBLDE-23-003477 Commonwealth of Official Use Only L. , '(1 Massachusetts Permit No. BLDE-23-003477 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:12/23/2022 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) 8 AMY LN Owner or Tenant TRUGLIO KRISTEN L Telephone No. Owner's Address 19 WINCHESTER ST#811, BROOKLINE, MA 02446 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 AFCI breakers, replace receptacles to TR. 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 10 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 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: 12/20/2022 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: BRUCE M COFSKE Licensee: Bruce M Cofske Signature LIC.NO.: 11963 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 112 COHASSET ST,WORCESTER MA 016043241 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: $300.00 ti/A /Z/Zeltt% z..- Zl7I (I P lit g (4nrsrt . Tecti. ) Mtn.E ?s eDk c-7(z- if Ce-- 0 RECEIVED DEC 2 2 2E,1 COnrnronlVratth of tt/adelOCAUdritd Official Use Only Y ' s Permit No. 623-3 477 BUILDING tic m .)+1 r/vartnrnt of w rrvicrd BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _��,. [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /2 —Z v --ZdZ> City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her inteni on to perform the electrical work described below. Location(Street&Number) 4 nt,,v i /�� Owner or Tenant x,,y 5N J Telephone No. Owner's Address Is this permit in conjunction with�r building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building )NCCj LP /"'-i 1.-e Utility Authorization No. Existing Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,_,2_0, INS I� v)1- ..} g-�.11-e rs +fie Pk��.d Rem Pia.c S 723 Pk/-- 0.-es t3-6,,,,---- i Completion of the followintle may be waived by the In ctor of Wires. Ui No.of Recessed Luminaires No.of Ce1L-Soap.(Paddle)Fans ° Total Transformers KVA C.N. No.of Luminaire Outlets No.of Hot Tuba Generators KVA pool Above ❑ In ri❑ No.of Emergency Lighting A-. No.of Luminaires Swimming yrnd. grnd. Battery Units No.of Receptacle Outlets /0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Detection and K — Tota No.of Gas Burden Initiating Devices 11-t No.of Ranges No.of Air Cood, Tons No.of Alerting Devices No.of Waste Disposers Rest Pump Number,_Togs_,.._.KW _ 'No,of Self Contained Totals:_ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 0 BOND 0 OTHER 0(Specify:) I cerdh,under the ,ins and penalties r o paltry,that information oo this plication is true and complete.FIRM NAME: a.. /� f `t :c�1 �QG C V� �4cZY` 1 l c�LIC.NO.: Licensee: ( �)Cs (G/ 5 Ke Signature p (If applicable,enter"exempt"in the license number line.) L NO.: 9 6?-8 Address: Bus.Teel.l,No.•COss 13 sj 32_, Tel.No.: '''Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance covet-age normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ , 'OZ I