HomeMy WebLinkAboutBLDE-23-003397 "ti Commonwealth of BLDE-23-003397
Permit No. Official Use Only
�rt) 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:12/19/2022
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) 40 MAYFLOWER TERR
Owner or Tenant BERG PAUL C Telephone No.
Owner's Address BERG LOIS J, 40 MAYFLOWER TERR, SOUTH YARMOUTH, MA 02664 a (,J 9'
Is this permit in conjunction with a building permit? Yes 0 No 0 ( •ck Appropriate : .xrv5p1`i
Purpose of Building Utility Authorization I o. 1138633846 �17,41
lb
Existing Service 100 Amps 240 Volts Overhead 0 Undgrd a N- of'ki ^'.+•I
New Service 200 Amps Volts Overhead 0 Undgrd 0 et• O�
Number of Feeders and Ampacity `
Location and Nature of Proposed Electrical Work: 200A service and rewire entire house. p
Completion of the following table may be waive8t pe P es.
�J /:
No.of Recessed Luminaires 50 No.of Ceil.-Susp.(Paddle) No.of /fotal
Fans Transformers KV
No.of Luminaire Outlets No.of Hot Tubs Generators KVA,O
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grad. grnd. Battery Units
No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 30 No.of Gas Burners 2 No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cond. 2 Total 4 No.of Alerting Devices
Tons
No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained 8
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 Ballasts Data Wiring: 5
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: 12/14/2022 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:) 3o16- 7
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: John Minh Duy Vu
Licensee: John Minh Duy Vu Signature LIC.NO.: 14291
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:44 CLAYTON ST, DORCHESTER MA 021222708 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
2ri I 1 I 6/2 3
' `) tom -1 tt of( , (6'e-A&M4,611__ {f&Atar k bJL v/t- ( L(514 f
_ Commonwealth of Massachusetts Official Use Only
Permit No. EZ3 3 3c7
Department of Fire Services
iukt s Occupancy and Fee Checked
�_,;, ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (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: 12/12/2022
City or Town of: Yamouth 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) 40 Mayflower Terrace
Owner or Tenant Peter Le Telephone No. 6175921630
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No E (Check Appropriate Box)
Purpose of Building Residential Utility Authorization No. 11386338
Existing Service 100 Amps 120/240 Volts Overhead❑ Undgrd❑] No. of Meters 1
New Service 200 Amps 120/240 Volts Overhead n Undgrd ❑ No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install 200 Amp Service & rewire the whole house.
Cr
Completion of the following table may be waived by the Inspector of Wires.
tal
No. of Recessed Fixtures 50 No.of Ceil.-Susp.(Paddle) Fans Tf
to Transformers KVA
VA
e No.of Lighting Outlets No.of Hot Tubs Generators KVA
No. of Lighting Fixtures Above In- No.of Emergency Lighting
g g 10 Swimming Pool Bernd. grnd. ❑ Battery Units
Ni No.of Receptacle Outlets 30 No. of Oil Burners FIRE ALARMS No. of Zones
NI
No. of Switches 30 No. of Gas Burners 2 No. of Detection and
Initiating Devices
' No. of Ranges No. of Air Cond. 2 Tons 4 No. of Alerting Devices
No.of Waste Disposers 1 Heat Pump Number Tons KW No. of Self-Contained p
Totals: Detection/Alerting Devices 0
No.of Dishwashers 1 Space/Area Heating KW Local n Municipal Connection Other
_ I I ❑
No. of Dryers 1 Heating Appliances KW Security Systems:
No.of Devices or Equivalent
No.of Water KW No. of No. of Data Wiring: 5
Heaters Signs Ballasts No.of Devices or Equivalent
No. I?ydro:nassage Bathtubs No. of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
' OTHER:
v
N. Attach additional detail if desired,or as required by the Inspector of Wires.
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 OTHER n(Specify:) Jo 01
(Expiration Date)t L
Estimated Value of
Electrical Work:$c 2,MO (When required by municipal policy.)
Work to Start:li/ 1 q/202Z Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:
LIC. NO.:
Licensee: 3-04n la Signature LIC. NO.:
(If applicable, enter "exempt"in the license number line.) Ai 2 5/ B
Address: Lj ��y ynnCp f ..� Bus. Tel. No.:
OWNER'S INSURANCE WAIVER: I am awarethat he P ce��does not have the liability insu ance coverage normally 651
required by law. By my signature below, I hereby waive this requirement. I am the(check one)❑owner Eowner's agent.
Owner/Agent
Signature Telephone No. I PERMIT FEE: $