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Home My WebLink AboutBLDE-23-002608 Commonwealth of Official Use Only �. Massachusetts Permit No. BLDE-23-002608 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:11/10/2022 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. �� ryl4l�� Location(Street&Number) 9 GILBERT ST 7( �IJ Owner or Tenant MARK HANDY Telephone No. Owner's Address SOUTH YARMOUTH, MA 02664 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: Septic pump&alarm. 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- ElNo.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 Initiatine 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 1 Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: THOMAS E CUNNINGHAM . Licensee: Thomas E Cunningham Signature LIC.NO.: 8410 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO Box 48, Leicester MA 015240048 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 G.2\___.&' . I( (C �*ZKE- SZECEIVED NOV l 011122 ConNnonwaat'.1h -;... .,,,4, 0/Maeeachueatte Official Use Only BUILDING , k :•Ti:•wyi,� NT '�'L� �� giro Permit No. `— By .ik -s, alvartnuni of giro Serviced + Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC3, 52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f-�l/ /2 Z- City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned eves tide of his or her intentio perform the electrical work described below. Location (Street& Number) /C5L /Lr 5 Owner or Tenant /6 t �( �� 7L� Telephone No. �-��-- Owner's Address L/ /4--r Is this permit in conjunction a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building geT 714- 71 Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd it El No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: l f// - rG�/7( / /I `j� Completion of the followingtable may be waived by the Infector of Wires. tit. No. of Recessed Luminaires No.of Cell:Saa . No. of Total (`! p (Paddle) Fans Transformers �t No. of Luminalre Outlets KVA �\ No. of Hot Tubs Generators KVA ,t No. of Luminaires Swimming Pool Above ❑ In_ No. of Emergency Lighting \, / _ grnd. and. Battery Units No. of Receptacle Outlets' No.of Oil Burners 'FIRE ALARMS fNo(Zoues — v. Bunten +No. of fletection an No. of Switches No.of Gas Bn 11 r No. of R#ngea / Initiating Dev es No.of Air Cond. Total Tons No. of Alerting Devices / Heat Pump Number Tons _ KW_ - `No. of Self-Crontained No. of Waste Disposers Totals: No. of Dishwashers Detection/Alertin Devices Space/Area Head Local 0 un c pa No. of Dryers Connection ❑ ��' t'Y Heating Appliances KW ecu ty stems: o. o a er o. o No. of Devices or E uivalent Heaters KW o•o Data Wiring: Si ns Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecommun ca ons r g OTHER: No. of Devices or E uivalent Estimated Value of Elee "cal Work: �U. Attach additional detail if desired, or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) ��- / 2 Z Inspections to be requested in accordance with MEC Rule 10, and upon co INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work completion. the licensee provides proof of liability insurance including "completed operation"coverage or its substantial may issue unless undersigned certifies that such coverage is in force, and has exhibited proof of same to thepermit issuingequivalent. The CHECK ONE: INSURANCE Er BOND 0 OTHER office. I certlfy, under the pa sand penalties o 0 (Specify:) FIRM NAME: ` f pe ury, that the information o this it4 ,/(/� (• 4,'Z j PP 'cation-is true and complete. Licensee: ,t/��0L LIC. NO.: gy/v (If applicable, enter Signature 9 p�' n�e li enlgO�number line. ! LIC. NO.: Address: /( /o Bus. Tel. No.• *Per M.G.L. c. 147, s. 57-61, security work requires Department f Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does trot hav Alt. Tel. No.: r va J 3 required by law. By my signature below, I hereby waive this re a the liability insurance coverage normally Owner/Agent quirement. 1 am the (check one owner owner's a Signature .ent. Telephone No. PERMIT FEE: $ ()-- C(C- 370 I _ j