The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002598 • Commonwealth of Official Use Only tom.. Massachusetts Permit No. BLDE-23-002598 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.l/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:11/10/2022 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 dfp s�''bed bhlow. 1 j Location(Street&Number) 71 CAMELOT RD —I�� Owner or Tenant CICCOLO JOSEPH E JR t( Telephone No. Owner's Address CICCOLO LAURIE A,20 LURIE CIR,STOUGHTON,MA 02072 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: Remodel master bedroom&laundry.New smoke detectors 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 ❑ ln- ❑ No.of Emergency Lighting gird. Kind. 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 Inrtiatine Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ CMunicipalonnection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Univalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sipns No.of Devices or Eouivalent 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LIC.NO.: 18182 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 WAQUOIT RD,COTUIT MA 026353517 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:$75.00 RECEIVED �. NOV 0 9 202 DD``�� Official Use Only o r.waadth o/�a�oachuoeT j� _- C� r- *; el, Permit Permit No. v 3 269 2 'r! _ `s DING DEPART aPineant of Sire �erviceo _�_� = y _ Occupancy and Fee Checked ,=-; : • . a' I • - `REVENTION 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: 11/08/2022 City or Town of: YARMOUT 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) 71 CAMELOT Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes NfAt No ❑ (Check Appropriate Box) Purpose of Building RESIDENTIAL Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No. of Meters New Service Amps / Volts Overhead C Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: MASTER BEDROOM -BATH -LAUNDRY REMODEL WITH NEW SMOKES Completion of the following table may he waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No.roof TotalA Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above In- No. of Emergency Lighting No. of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones of No. of Switches No. of Gas Burners No. Initiating Devices Totallo. of Ranges No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No. of Self-Contained No. of Waste Disposers Totals: _ Detection/Alerting Devices Municipal No. of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other No. of Dryers Heating Appliances KW Security Systems:* rY No. of Devices or Equivalent No. of Water Kam, No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. H dromassa a Bathtubs No. of Motors Total HP Telecommunications Wiring: Y g No. of Devices or Equivalent OTHER: 9800. 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: 11/09/2022 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 [ 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: TOM SULLIVAN ELECTRIC LIC. NO.: E31011 Licensee: THOMAS SULLIVAN Signatur LIC. NO.: A18182 (If applicable, entcrl o�r►},p(Jj tgi4rennitiz Ox.) Bus. Tel. No.: Address: I l•t 11 I ttU C. 'V' Alt. Tel. No.: *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) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.