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Home My WebLink AboutE-19-806 ./ 'k N Commonwealth of Official Use Only 145\ ®`\ Massachusetts Permit No. BLDE-19-000806 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:8/9/2018 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) 9 PAULA LN Owner or Tenant BELANGER JERRY Telephone No. Owner's Address BELANGER IRMGARD, 18 HIGHW00D AVE,OAKVILLE,CT 06779-1528 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler,water heater,CO detector. Install light over boiler. 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 grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Mr Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number , Tons KW No.of Self-Contained 1 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 1 KW No.of No.of Data Wiring: Heaters Signs Ballasts 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 is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Frank 0 Korpela Licensee: Frank 0 Korpela Signature _ LIC.NO.: 34454 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 TROUT BROOK RD,MASHPEE MA 026492063 Mt.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 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 11 __ l rt urrortw.anh o f tr/msachmatts and Use Only p '�� • _ Y 1J.ParGnsaE al�irr Services Permit No. (On &) �o Vl :n I it- Occupancy' BOARD OF FIRE PREVENTION REGULATIONS and Fee Checked [Rev. von (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: 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) 9'/2.-1/44/4 4 Owner'orTenant J rn&i Rt,/4„ P,,..— Telephone No.,n,,9;/ lri Owner's Address c_r4-'e Is this permit in conjunction with a building permit? Yes 0 No Q-----(Check Appropriate Box) ' Purpose of Building Utility Authorization No. Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters New-Service _ Amps / Volts Overhead 0 Undgrd ❑ No.of MetersCeb— _ Number of Feeders and Ampadty IJ.Nre. I;oca0on and Nature of Proposed Electrical Work _ .. -,i,17-ire ” I e9O r 6)/{�t�'e ��re /; ., OPer-Ala,,-- ...,1 Gr O'a V Co • than ofthefoll table maybe waived the cO1P1nY by_ Inspector of Wirer. t_� Pio.i f Recessed Luminaires No.of CeiL Snsp.(Paddle)Fans No.of Total IVTransformers KVA _ ELI C Ni.�f Luminaire Outlets No.of Hot Tubs Generators KVA lv 1 No.of Luminaires / Swimming Pool Above El .. d. ❑ No.ertmergency Lighting grid. grid. Battery Units NoThi Receptacle Outlets eD,. No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches / No.of Gas Burners No.of Detection and Initiating Devices • No.of Ranges No.of Air Con& Total No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number (Tons I KW No,of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' /seal Municipal Q Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.)to Start: p'glt� 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 covers in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cemfy, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: P.-34 fl 4 Signator /a LW.NO.: r t/tj(Let- (If applicable, ente42.aemptn the fry tatmb line.) c Bus.Tel.No.t V(Y �YYyf Address: /G/ .}-,l .Do �I . dmf S j *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — gc required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. s Owner/Agent 0.I Signature Telephone No. I PERMIT FEE: $ 5 D