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Home My WebLink AboutBLDE-22-002691 Commonwealth of 1 Official Use Only ft- ::411 Massachusetts Permit No. BLDE-22-002691 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:11/10/2021 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) 33 THACHER SHORE RD Owner or Tenant SWANSEY JOHN D GENERAL PARTNER Telephone No. __.._ Owner's Address CIO BASLER JAMES& NANCY TRS,42 VESPER LN, YARMOU ORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 o 0 (Check Appropriate Box) Purpose of Building Utility uthorization No. Existing Service Amps Volts Overhead 0 ndgrd 0 leters New Service 400 Amps Volts Overhead 0 Un 0 . I . 6.1 etcrs Number of Feeders and Ampacity ` Location and Nature of Proposed Electrical Work: New residence. '"° �1A'j V Z Completion of the following table mk�bf v t e i ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ' !/ Transformers ; f ~' No.of Luminaire Outlets No.of Hot Tubs Generators N. {��.`.' VA 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. 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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:) '?7t(_ 2l W -0 2.S7 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. 1 FIRM NAME: CORY J WALKER Licensee: CORY J WALKER Signature LIC.NO.: 54207 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 Sheffield Rd, Brewster MA 026312860 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 o(t(7,,a 4 12t) tsit4_ it (N leg_J RECEIVED ev✓�iI1 Vl CiVIce RECEIVED Cloyryy n QQ� �yy// 'I/ NOV o 4 2021 dQl'cy�tn 8 e i/\ �IOV 04 20M, Comrnonwaa[Iho`trladdat t DI NG DEPARTMENT Official Use Only R _ , ('J I y--- -------- - C22-24 l BUILDING DEI' 2aparlmanl a ""r'rrT�' ay. i `Jiro Jon/iced BOARD OF FIRE PREVENTION REGULATIONS [ e .Occupancy/00 ] and Fee Checkednk i ) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: O]I y/21 City or Town of: YARMOUTH To the Inspe for f Wires. By this application the undersigned gives notice of his or her intention to perform the electrical1 work described below. Location(Street&Number) , d a �CAA..r 5�ce l�lo09 Owner or Tenant ' 3 m .ac TSkf. Telephone No.SC.g-42;, 93)) Owner's Address Lit \kS Lang, 9otr l�uD ll}� r Is this permit In conjunction with a building permit? Yes ck No E (Check Appropriate Box) Purpose of Building S j rcJ 1,9 FjL ;t -Pvssicia,r,<, Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service 40 o Amps )Lo /240 Volts Overhead❑ Undgrd IS1 No.of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New C.oyu-f(A)G-t i On i'�p Si dQri c2 •5ze2-r-� Completion of the following table nury be waived by the Inspector of Wires. '! No.of Recessed Luminaires No.of Cell:Susp.(Peddle)Fans No.or 7 oral Transformers KYA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In. 0 No.of Emergency Lighting trod. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detecon and - • No.of Switches No.of Gas Burners No.Initiating Devices No.of Ranges No.of Air Cond. onsl 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 D Muntci Connectiopal n Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Data Wirin Heaters Signs Ballasts e' 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: 75—,00 0 (When required by municipal policy.) Work to Start: 1 I/o//Zj Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: Coy Te�vyl W,1k(' Ettt_f!1 c ia.✓s LIC.NO.: 5 2O7-Ji Licensee: C.ov j lk a c- Signature C.--0C3\A„7�1---_ LIC.NO.:(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.• ?74-21b S/7 �Z Address: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic1 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,1 hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I ci v..v 4/12/23,3:38 PM -f J 7�-1 'r fe Accela Automation ;1`Zip( E Accela Civic Platform > YARMOUTH E \/ BLDE-... 0 STATUS LOCATION CONTACT WORKFLOW New resid... > Issued > 33 THA... > CORY ... > 5 total Ta. 11/10/2... SOUTH ... •... BLDE-22-002691 Menu Manage Inspection Delete Search Select Record To Copy From Edit Flol MWIEl Clm,10 0 "Record Inspections" 0 Related Records Inspections Showing 1-5 of 6 ❑ Sched Date Inspection Type Status Insp Date Department Insp. ❑ 11/01/2022 Rough Passed 11/01/2022 Building Kent ❑ 07/05/2022 Service Passed 07/05/2022 Building Kent ❑ 05/27/2022 Ground Work Passed 05/27/2022 Building Kent ❑ 11/23/2021 Ground Work Passed 11/23/2021 Building Kent ❑ Rough Pending Page 1 of 2 > BLDE-22 -002691 https://yarmouth-prod-ay.accela.com/portlets/web/en-us/#/core/spacev360/yarmouth.blde22002691 1/2