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Home My WebLink AboutBLDE-19-001389 Jr ✓ Commonwealth of Official Use Only ��a. Massachusetts Permit No. BLDE-19-001389 �� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.1/07j 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:9/6/2018 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) 16 WIDGEON LN Owner or Tenant COOK JEFFREY A Telephone No. Owner's Address COOK LINDA,98 DRIFTWOOD LN,SOUTH YARMOUTH,MA 02664 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 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for two bedroom closets. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 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 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 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 0 (Specify:) CDT Z� -gf f, I certify,under the pains and penalties of perjury,that the information on this application is true and complete. - u 7C] �S FIRM NAME: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC.NO.: 34454 of 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:$75.00 c GL4- 2i « r8e- l J `✓it Ate`'-` ' As 1N3W12bVd3O ONIOlina /s { 9ioi3s sa a„ttnonav Mesa etches tri Official Use Onfr ry, a� - 13 9 . _n.= 2eparfmsnt LIZ 3 3 H Permit No. (S ' �4�4 ic.5 Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS ;Rev. (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-6-4r City or Town of: YARMOUTH To the Inspector of Wires: . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Wed n 76 eror Tenant rje-(tin //"7.1Z ca,,c ,f^ Telephone Noe*9%379•-r'lyd f Owner's Address (14&t Is this permit in conjunction with a building permit? Yes 0 No Q'Check Appropriate Boz) ' Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: to 4re va4a$v.vt c'ljl ic,11. • Completion of the followinpitable may be waived by the Inspector of Wires. No.of Recessed Luminaires ot— No.of Ce6.-S addle Fans No.of [oral urP•� ) Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires n2Swimmin Pool Above ❑ In- Swimming n- ❑ No.of Emergency Lighting g grad. grad. Battery Units No.of Receptacle Outlets 3' No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches / No.of Gas Burners No.Ifnitatinon Devices No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices — • No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of DishwashersSpace/Area Heating KW' Local❑Connection ❑ �'Fr No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: • KW 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 additionl detail ifderired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start 5:-.g.-7/7FInspections 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 SND 0 OTHER 0 (Specify:) I certify, under rhe pains and penalties of perjury,that the information on this application it true and complete. FIRM NAME: LIC.NO.: Licensee: hit.rd/drir4 Signatura LI C.NO.:3YyCS�ef- pfapplica a tete nC' thy a(ice is n Ar/rn . Bus.Tel.No.F . 4 creriet Address !� 1 /`fjllt7� t <r Qcg �7� Alt.Tel.No.: j 'Per M. L.c. 147,s.57-61,security work requires Dep ent 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/Agent PERMIT FEE: S jSignature Telephone No.