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Home My WebLink AboutBLDE-23-001286 _` Commonwealth of Official Use Only itiAmMassachusetts Permit No. BLDE-23-001286 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:9/12/2022 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) 3 PUMP HOUSE LN Owner or Tenant KOWALSKI EDWARD J JR Telephone No. Owner's Address PARENTEAU KATHRYN B, 3 PUMP HOUSE LANE,WEST YARMOUTH, MA 02664 , ' ` 6, f? vslpk Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)�Y ,(1L ��2„ Purpose of Building Utility Authorization No. 9895536 J� Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 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 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 Sians 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 ik 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: $50.00 . RECEIVED SEP 09 2022 ..... Commonwealth.o///M�/asiac/iueetta clifficial Use Only BUILDING DEP e23 — l b►� !t Permit No. By — . , �, cc�� , �,= a 2epartment ol 3ire Services 1y Occupancy and Fee Checked _' _ BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 ( j (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: 9/9/2022 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) 3 PUMPHOUSE RD Owner or Tenant KOWOLSKI Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes [a No ❑ (Check Appropriate Box) Purpose of Building RESIDENTIAL Utility Authorization No. 9895536 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service 200 Amps 240 Volts Overhead rf Undgrd n No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: UPGRADE SERVICE TO 200 AMP Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf 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.on Initiating on Dete and Devices No.of Ranges No.of Air ConiEULLIVAITIVECTRIC No.of Alerting Devices o No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW LLocal Connection ❑ Other No.of Dry ers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6500. (When required by municipal policy.) Work to Start: 9/9/2022 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 proo •f same to the permit issuing office. CHECK ONE: INSURANCE 1 BOND 0 OTHER ❑ (Spec'' I certify,under the pains and penalties of pedury,that the inform, , , t ' plication is true and complete.E31011 FIRM NAME: TOM SULLIVAN ELECTRIC LIC.NO.: Licensee: THOMAS P SULLIVAN eeIVAN e� Signs .r LIC.NO.: A18182 fapplicable,e71rWAQUOpt"ITtROAD license number MA 02635 Bus.Tel.No.: Address: 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)0 owner 0 owner's agent. Owner/AgentPERMIT FEE:$ 0 Signature Telephone No. tJ