HomeMy WebLinkAboutBLDE-24-1274 Commonwealth of Massachusetts Official Use Onl
Permit No.: �
)11 of
1 ' Department of Fire Services Occupancy and Fee Checked:
BOARD OF FIRE PREVENTION REGULATIONS , [Rev.1/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
City or Town of: YARMOUTH Date: 8/16/24
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 37 turtle cove rd Unit No.:
Owner or Tenant: Thomas Fricker Email: tomfricker64@gmail.com
Owner's Address: same Phone No.: 508-561-0719
Is this permit in conjunction with a building permit?(Check appropriate box)Yes IN No 0 Permit No.:bid-23-003416
Purpose of Building: 1 family Utility Authorization No.:
Existing Service: 100 Amps 120 /240 Volts Overhead❑■ Underground❑ No.of Meters: 1
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: final electrical permit on addition
Pen- �23 -77 90
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets:12 No.of Switches: 8 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 9 No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps:1 Total KW:2 Total Tons: 1 Fire Alarm System 0 No.of Devices:
Swimming Pool:In-Gmd.❑ Above-Gmd.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2❑ Level 3 0 being, 1---
OTHER: RECEIVED
Attach additional detail if desired,or as required by the Inspector of Wires. pa'14U 1 5 20LL4
Estimated Value of Electrical Work: 2000 (When required by n • i po icy
Date Work to Start: 8/15/24 Inspections to be requested in accordance with MEC Rub _, mt ��tt�
K�ENT
FIRM NAME: A-1❑or C-1 �-- ---
Master/Systems Licensee: LIC.No.:
Journeyman Licensee: Thomas R Fricker LIC.No.: e29250
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: 37 Turtle Cove rd-S.Yarmouth, MA
Email: tomfricker64@gmail.com Telephone No.: 508-561-0719
I certify,under the • nalties of perjury,that the information on this application is true and complete.
Lice Pri Name: Thomas R Fricker Cell.No.: 508-561-0719
INS E:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liabili eluding"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 0 OTHER I 1 Specify:
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: Tel.No.:
Signature: Email.: