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Home My WebLink AboutBLDE-21-004747 Commonwealth of Official Use Only It Massachusetts Permit No. BLDE-21-004747 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:2/22/2021 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) 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. 6 v Li 9 0 3 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No. ' . ers 1 New Service 200 Amps Volts Overhead 0 Undgrd 0 o. i 4 r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire existing house. Completion of the following table ma ,,i e 4 df , . Wires. No.of Recessed Luminaires 48 No.of Ceil.-Susp.(Paddle)Fans No.of Transformers V No.of Luminaire Outlets 12 No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 100 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 35 No.of Gas Burners No.of Detection and Initiating Devices _ No.of Ranges 1 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 1 Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts 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: Richard L Serpone Licensee: Richard L Serpone Signature LIC.NO.: 6910 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 183 PINE ST,YARMOUTH PORT MA 026752374 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 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:$180.00 c7-11,0641. 47(l c9(7,( / (e+-ea , f °"S -A!�1(P 1 Z) - 4 u. e (A.g Py Aietio tf= 2 ' Q d) i%Z' dj 7 f,3/74 Commonwealth of MaMachueaf.h Official Ulsee O-nnlly ,y Ct cc� c7 Permit No. ' 2 - —t Lf7 _- ' 2e artmsnt o . ire Serviced "'1` ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1p/07cy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK • All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: dZ/I //;z/ 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) .7 g C e j 4 e, ham, V'� Owner or Tenant 1. h v1 13. v P • Telephone No. t Owner's Address . iIs this permit in conjunction with a building permit? Yes ❑ No ❑ {Check Appropriate Box) Purpose of Building Utility Authorization No.Existing Service ) Amps /,(a 'Volts Overhead ❑ Undgrd ❑ No. of Meters New Service 10e, Amps /QC)/ Pe) Volts Overhead ❑ Undgrd g No. of Meters )k't Number of Feeders and Ampacity 1 / Location and Nature of Proposed Electrical Work: le�,`re ey, S/iy cP bD'5 e ✓,co,,,,y12L,,, i J • Completion of the following table may be waived by the In ector of Wires. .viiTotal b No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransformersNo of KVA "/. �� KVA `-.1 No. of Luminaire Outlets /,Z No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 4,t� Irrnd. grad. Battery Units ..1 No. of Receptacle Outlets ,00 No.of Oil Burners FIRE ALARMS No. of Zones No. of Detection and No. of Switches 3 5 No.of Gas Burners Initiating Devices No.of Ranges 1� No.of Air Cond. t/ Tonsl No.of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW *No.of Self-Contained Totals: �' Detection/Alerting Devices No. of Dishwashers i7 Space/Area Heating KW Local 0 Municipal ❑ Connection Otiler No. of Dryers i - Heating Appliances KW Security Spstems:1 No. of Devices or Equivalent No. of Water KW No.of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total H'P " Telecommunications Wiring: - I .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: 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 cove ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify, under the pr'c an penal 'es o perjury, that the information on this application is true and complete. FIRM NAME: ' Qi Hoyt O!i LIC.NO.: 4 q 0 Licensee: Signature LIC.NO.: g/4,db6t (If applicable, enter "exempt"in the lie a number line.) Bus. Tel. No.: ,' -3S ' fs j35' / Address: / fv 3 ik•- 57 ry ioivv f Sf j m N f Alt.Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Depent 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $