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Home My WebLink AboutBLDE-23-004323 #a oCommonwealth of Official Use Only E Massachusetts Permit No. BLDE-23-004323 �—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07j 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 PRINTININK OR TYPE ALL INFORMATION) Date:2/6/2023 City or Town of: YARMOUTH To the Inspector of Wirer: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 30 HEATHER LN Owner or Tenant PAUL SAWYER Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ 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: Back side addition w/laundry 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 ❑ I n- No.of Emergency Lighting grad. grad. 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 KWNo.of Self-Contained Totals: Detection/Alertine 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 Sieas No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total III' 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: William H Allen Licensee: William H Allen Signature LIC.NO.: 13699 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:35 CAMMETT WAY,MARSTONS MLS MA 026481508 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. I PERMIT FEE:$75.00 I 21812.Str VE +oi ' c E 1 -•----�" o ntuaa aeaar .tio Official Use Only '�i, ft Permit No. _� ? :H;'..h - .,� t B 0 3 2023 ��.swi<.a I �'� Occupancy and Fee Checked ,ilY BOARD OF PREVENTION REGULATIONS [Rev. 1/07 •�''—'iv, n, ,,--i'AH r r E I (leave blank) "AppLiek R PERMIT TO PERFORM ELECTRICAL WORK ,�\ All work to be performed in accordance with the Massachusetts Electrical Code(MEC ,527 CMR 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 I ' 4 City or Town of: YARMOUTH To the Inspect r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) it., tf�i-T►tevz ` (,,n J Owner or Tenant T',r}LA__ .t.- 41/`ram/LS '5 4,,,) ! Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd❑ No.of Meters dNumber of Feeders and Ampadty 2 Location and Nature of Proposed Electrical Work: g?IN-C.Le, S.i D /1 c+l tV Ly¢V,1 Din—I t, 1 uvv Completion of the following table mcy be waived by the In vector of Wires. Total .it No.of Recessed Luminaires No.of Ce11.-Susp.(Paddle)Fans Transformers KVA �/ Transformers KVA t No.of Luminaire Outlets No.of Hot Tubs Generators KVA 1 d No,of Luminaires pool Above In- No.of Emergency Lighting Swimming grnd. ❑ grnd. ❑ Battery Units - '. No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ~�- Switches No.of Gas Burners No.of No.of Detection and Initiating Devices IX! No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number-Tons KW 'No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ � Connection No.of Dryers Heating Appliances KW Security * Nof Devices or Equivalent No.of Water KW No.of No.of Data Wiring: HeSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Me—communications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f El trical Work: (When required by municipal policy.) Work to Start: , j '� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE RAG : 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 co erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 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• c. LIC.NO.: /3ey J-, Licensee: (At, 1 I e ,a_ ' 1 I, Signatur� LIC.NO.:(If applicable,enter"exempt"in the license number line.) l j{; 3 C. Address: Bus.Tel.No.:Stu s-S' o -a T*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie•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, 1 am the(check one)0 owner Owner/Agent 0 owner's agent. Signature Telephone No. I PERMIT FEE:$ I