The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002475 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002475 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:11/6/2022 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) 33 CAPT DANIEL RD Owner or Tenant BRIAN ALEXSON Telephone No. Owner's Address 33 CAPT DANIEL RD,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install split NC system. 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 Initiatine 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/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 Siena 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: STEPHAN M WOLFE Licensee: Stephan M Wolfe Signature LIC.NO.: 21259 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:59 MEADOW ST,FRAMINGHAM MA 017013540 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 6,lD*Lkag IYt th)A' 116 oil COS (1. �jP-zt/6) \ i '�_ �_ RECEIVED NOV 04 2022 BUILDING DEPARTMENT ay: • (.oaemonaveatth Q�II(uddachudsl� Official Use Ot>ty • S.' .• Permit No, t".`._'Z --�i.(7 , eparksent of g , ervicea l • T= I.;:_'tie Occupancy and Fee Checked v ,1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. ()cave blank) 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: `‘.\—LA - -D . City or Town of: J „ri,,, c,,\1.,‘ 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) 3 ol9 .'\,.x RAOwner or Tenant ;•-... \e V ._.... Telephone No. Owner's Address __ Is this permit in conjunction with a building permit? Yes ❑ No -(Check Appropriate Box) _, �___._ Purpose of Building e. :1-)‘(../\, , Utility Authorization No. Existing Service Amps / Volts Overhead ❑ 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: � �=r\��.\\ CV :� �..Viz.- s �- .� Completion f the following table may'be waived by the Inspector ofWires. • No. of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans l�;o.of oral • Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires ^ , swimmingPool `hove ❑ In- ❑ ,' o.or i�mergency Lighting ling • Irad. rnd. Battery Units No. of Receptacle Outlets No. �" of Oil Burners `FIRE ALARMS �o. of Zones iNo.or Defecfon and No, of Switchm No.of Gas Burners• Initiating Devices • No. of Ranges No.of Mr Cond. Tons No.of Alerting Devices . :• Heat Pump lumber Tons KW ;o.of Self-Contained No.of Waste Disposers • Totals: s W Detection/Alerting Devices • No.of Dishwashers Space/Area Heating KW Local❑ phi ❑ Other Connection HeatingAppliances Security S stems: .... . No.of Dryers App KW No.of Devices or Equivalent No.of Water KW No.of No.of Data ta Wiring: Heaters Sims No.of Devices or Equivalent • Telecommunications Wiringg: l HP No.Hydromassage Bathtubs - No.of Motors Tota No.of Devices or l•,cl uivalent OTHER: Attach additional detail ifdetired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: , . O (When required by municipal policy.) • Work to Start:-\7 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 coverais in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ErBOND ❑ OTHER ❑ (Specify;) I certify,under the pains and penalties of petittiy,that the information on this application is true and complete. FIRM NAME. 4:,,;,,c 3 _ £-\\: (.25 ',.. �•:•\. . �^ LTC.NO.. 3/1,),S`i w�: Licensee: .<-' _,�•,- � � a °x� Signature -- ' LIC.NO.: ..1(P$( ) L (I.f applicable en'ntterexempt"in the li ep s�e number line.) Bus.Tel.No.: S;i:`t'- '--(.<f,: Address: ` �:,, :, y ..,:1), ,-,:.: c, A ii • Alt. TeL No.: *Per M.G.L. c. 1.47, s. 57-61, security work requires Department of Public Safety"S"License: Lic. 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 am the (check one owner ❑ owner's °,:;eo.t. Oa nerIAgen�t PERMIT FEE: $ 1 • Signature Telephone No. __