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HomeMy WebLinkAboutBLDE-23-001784 a w Commonwealth of Official Use Only f[eH Massachusetts Permit No. BLDE-23-001784 j �—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:10/4/2022 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 electoral work described below. Location(Street&Number) 78 HERITAGE DR Owner or Tenant DENNIS MURPHY Telephone No. Owner's Address 78 HERITAGE DR,WEST YARMOUTH,MA 02673 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: Permit to close out expired permit from another E.C. 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. 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 0 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 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. iLy ,�^ � CHECK ONE:INSURANCE 0 BOND 0 OTHER ID (Specify:) 6960 � �(Q 2. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lawrence E Hanna Licensee: Lawrence E Hanna Signature LIC.NO.: 20191 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:19 MULBERRY LN,SOMERS CT 060711320 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 J¢ ti( wVI 60 54. £7,0 t idt, BAR — Coy tip gnsu.iuvr tilll2{AXa- � s to sYtt9—J Rtn pea. ,t44 fA-34714-PAeU) 4(7(u' ce41 -P.‘eacik, R_ c:E ' if�J. D // Official Use Only - �y _�"� Commonwea/t/ o 1aacL4ietti ,* /, Permit No. OCT r �cre Seruice� 1C2-3 ' V'T ti""--k. --u.-�--- ePartmr�t o _._�_f_= i Occupancy and Fee Checked _ = OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 BUILDING DE , ,!� `,10 FNT (leave blank) to By _ ________._---- APP ATION 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: 10/3/2022 E City or Town of: West Yarmouth To the Inspector of Wires: o By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 78 Heritage Drive •� Owner or Tenant Dennis Murphy Telephone No. (413) 433-361 1 as it Owner's Address 26 Oxford Lane, East Longmeadow, MA 01028 % Is this permit in conjunction with a building permit? Yes E No III (Check Appropriate Box) to Purpose of Building Residence Utility Authorization No. s 1 0 Existing Service 200 Amps 120 /240 Volts Overhead n Undgrd A No. of Meters 2 = New Service Amps / Volts Overhead I I Undgrd II No. of Meters ea ic 3-4/0 AL 200Amp t Number of Feeders and Ampacity Li fa Location and Nature of Proposed Electrical Work: Most of work performed and inspected with another electrician. Electrician has .:i retired and unavailable. Added (3) recessed lights in kitchen bar. Looking to get CO for owner R. Completion of the following table may be waived by the Inspector of Wires. Total No. of Recessed Luminaires 3 No. of Ceil.-Susp. (Paddle) Fans TrNo sf KVA Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA N . of Luminaires SwimmingPool Above ❑ In- ❑ No. of Emergency Lighting o grnd. grnd. ,Batten 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. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons , KW 1No. of Self-Contained p Totals: ; Detection/Alerting Devices Municipal No. of Dishwashers Space/Area Heating KW ; Local D Connection ❑ Other No. of Dryers Heating Appliances KW Security Systems:* rY No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent Bathtubs No. of Motors Total HP Telecommunications Wiring: No. HydromassageNo. of Devices or Equivalent OTHER: $500.00 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: Present 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 LI OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: Hanna Electric, Inc. LIC. NO.: 20191 A Lawrence Hanna r Licensee: Signature ,..�,, , LIC. NO.. 37363E (Ifapplicable, "licable, enter "exempt" in the license number line.) No.: p Bus. Tel. (860) 305-6032 PO Box 588, Dennis Port, MA 02639 Address: Alt. Tel. No.: *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 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 LI owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ SD .0D