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Home My WebLink AboutBLDE-23-002445 Commonwealth of Official Use Only _44) Permit No. BLDE-23-002445; Massachusetts 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:11/3/2022 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 electrical work described below. Location(Street&Number) 138 SEAVIEW AVE Owner or Tenant MARK HOWDY Telephone No. Owner's Address 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: Septic pump&alarm. 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 1 Totals: Detection/Alerting 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 Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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: THOMAS E CUNNINGHAM Licensee: Thomas E Cunningham Signature LIC.NO.: 8410 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO Box 48, Leicester MA 015240048 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: $50.00 41,7/ I W i i l eilnej 1 In s. in-ra r �:� Commonwra(ih o`rrlaasachasatid Officiall Use Only // I� :Y:: / cc''77�� c77 ((�� Petmit No, �J'may S e_,.;. lrroartnunf of Jim Serviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev,l 07j (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: /1 2—Mr' City or Town of: YARMOUTH To the inspector of Wires: By this application the undersigned gives notice of his or per intention to perf the electrical work described below. Location(Street&Number) 3 $ v/& / /9 Owner or Tenant /lQ/C ff✓9/D y Telephone No.S4 Sal-(/zcZ Owner's Address -Siq r le"/{( i > Is this permit in conjunction with a building rrpit? Yes ❑ No " (Check Appropriate Box) Purpose of Building f�L—S (a e Utility Authorization No. Existing Service Amps / Volts Overhead❑ Uud rd g ❑ No.of Meters _ New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: C1,//45— SG'eRG R.,/09 s yS/, v �� Completion of the following table maybe waived by the Inspector of Wires. WNo.of Recessed Luminaires No.of C�.eIL-Soap.(Paddle)Fans KVANo.of Total Transformers VA No.of Luminaire Outlets No,.4f Hot Tubs Generators KVA %i' No.of LuminairesS�wimmiag pool Above In- Alto.of Emergency Lighting i Hrmd. grnd. Battery Units „ o.of Burners f ' No.of Receptacle Outlets / Nf O . _ FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of lletectlon and 11 Initiating Devices No.of Ranges No.of\Air Cond. iota No.of Alerting Devices Toils No.of Waste Disposers Heat Pump I Number[Toni KW No.of Self-Contained Totals:J f"j"—'"{ Detection/Alerting,Devices No.of Dishwashers Space/Area Heating KW Local[]Municfpal — No.of Dryers _ Heating Appliances Z KW Security Systems:* mac* � No.of Water , No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: OTHER: No.of Devices or Equivalent gap/ Attach additional detail if desired,or ar required by the Inspector of Wires. Estimated Value of Electrical Work: (Whenrequired by municipal policy.) Work to Start: n--3''" Z 2— 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 n BOND 0 OTHER I cerNjy,under the andpenalties o rma(Specify:) painsjperJury,that the Information on th' pplicaNan is true and complete FIRM NAME: l� �L SUC q Licensee: Al L.,/ LIC.NO.: // Signature LIC.NO.: (1fapplicable,enter" a pt•nlep�ry waferli lined Address: r% tir ID� r1 -/- Bus.TeL No: 1 Per M.G.L.c 147 s 57-61,security work requires Department of Public SafetyS"License;Alt'TeL No.�S J OWNER'S INSURANCE WAIVER: I a aware that the Licensee does not have the liability insurance nce coverage normally required by law. By my signature below,i hereby waive this requirement. I am the(check one ■owner Owner/Agent owner's went. Signature Telephone No.—_