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Home My WebLink AboutBLDE-23-001209 \ Commonwealth of Official Use Only i a Massachusetts Permit No. BLDE-23-001209 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:9/6/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform theelectrical work described bclo . Location(Street&Number) 12 BURCH RD l Q�� h � Owner or Tenant Telephone No. Owner's Address 12 BURCH RD, SOUTH YARMOUTH, MA 02664 `P. {�4 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 102795261-- Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters iL\ 11 f'W New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 81 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 20 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 100 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 40 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent 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: Michael M Post Licensee: Michael M Post Signature LIC.NO.: 14727 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:52 WELSFORD ST, BROCKTON MA 02302 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: $180.00 ( ) fl/ C(1i2 Se-n.Vl e, 1.<4 je1,7\ e-4 (atj ) ' t 3( Y tasizvzz SE70.✓i4' — 66 rE4).vAi,r SGht la i..V8IY Q,t g( z e- (etla-k--QP60.Q.1 IN 'au), 4ax 1 --, e►vtifziO Commonwealth o/Mamachusetts Official Use Onl 1=- =1 c� Permit No. �1_ 2 c7e artment 0/ ire Services _;!LW"' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave 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: �S/�O1 Z City or Town of: t//,-,.,,c,lt To the Ins ect�ir of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 12 81, Owner or Tenant ?bt.,i f;f Z pi,4-,zj Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building j?4,1,'(4,,,r , Utility Authorization No. /(Iv 95?6 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service ;Zr,; Amps ,24, / ; (' Volts Overhead❑ Undgrd ❑" No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: it r i, e ��i,... h, 2 / � h..„_ i ,?�i4 ..Cw,ze •Completion of the following table may be waived by the Inspector of Wires. tal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans • Tf �'� Transformers KVA No.of Luminaire Outlets 2c No.of Hot Tubs / Generators KVA No.of Luminaires i G Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets /00 No.of Oil Burners FIRE ALARMS No.of Zones 9C No.of GasB Burners No.of Detection and No.of SwitchesInitiating Devices _ No.of Ranges No.of Air Cond. 1Tons ,/'j�s No.of Alerting Devices No.of Waste Disposers C Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers / Space/Area Heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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: hi 410 Cc'C (When required by municipal policy.) Work to Start: 9/L/,2ri 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 age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ( BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /I►` t.‘,'1 Aft .0,14-,L. 1vc., LIC.NO.: _Cf4 Licensee: ,-, • ! ,' P,,rj,L Signature LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: Address: dy P/A,,, .0. ist,'%(L�'u ' ('?IWi Alt.Tel.No.:774-)7(45V f" *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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 1 a 4.elec k%I,/re C-16.1.cc--)