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Home My WebLink AboutBLDE-19-001790 : -...o Commonwealth of Official Use Only ‘,..oe Massachusetts Permit No. BLDE-19-001790 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked VRev.1/07) 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:9/25/2018 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. Owner o(Tenatt Number)KEN18 VINEBA K RD Owner or Tenant KENNEDY STACI A Telephone No. � Owner's Address LOGAN LOIS L, 18 VINEBROOK RD,SOUTH YARMOUTH,MA 02664 0)4 )31t31 Is this permit In conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) 4 Purpose of Building Utility Authorization No. 2297967 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service,replace some receptacles&add kitchen receptacles. 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 0 In- CINo.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 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 O 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 Siens 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:) . I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Mark H Chase Licensee: Mark H Chase Signature LIC.NO.: 8669 (Ifapplicable,enter"exempt'in the license number line.) Bus.Tel.No.: Address:21 DRAKE ST,YARMOUTH PORT MA 026752204 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 A I®iill8 C2mer;orzwealg pf/,Iaisaeha at& _ O>-/octal Use Only ;= aP . .I l — ( � / 1= '- cc7� �'Jr� [� Permit No. l *JAI— ..(.1 arfiner,t p ..Piro JawieeJ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 1/07] . (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacb:seta Electrical Code(MEC) 527 12.(10 (PLEASE PRINT IN INK OR7TPEALL INFORM4170Y) Date: Q/2.y �g City or Town of: YARMOUTH To the Inspector ofWirer . By this application the Indersigned gives notice of his or her intention to perform the elect is al work described below. Location(Street&Number) I S Yl.IF. R kook left. S; Ya Q cJ �IQ, Owner'orTenant .S'/"4 /�'p,tCj 100 TelephoneAA' No.�� g�jc, Owner's Address 19 Viu gernk , S, y� frit— /pray o a w Is this permit in conjunction with as building permit? Yes ❑ No Ll1 � Purpose of Bwlding /��o ,� _. ❑ (Check Appropriate Box) > �� /� U athorization No._- 224�I'96 q wExisting Service lap Amps lit 12u7 Volts Overhead le— Undgrd❑ No.of Meters / a to LLl cm 1o New Service 2M0 Amps lm/MO Volts Overhead Ir.---Undgrd❑ No.of Meters / V 8 • i I Number of Feeders and Ampacity 3 nett H. W Location and Nature of Proposed Electrical Work: (4044 e. S•. `� Apia ,0OA ,..2E704 C'�'- -' yince(1¢ I, ; .. - P-- Scam r,,,F(e s Rett K.lrGeu polerts) - - -----..-• ••— • - . . -. . Completion of the followinr table may be waived by the Inspector of Prim No.of Recessed Luminaires INo.of CetZ-Snap•(Paddle)Fans N°•°f Total Transformers ICVA No.ofLuminaire Outlets I No.of Hot Tubs 'Generators li'VA ' No.of Luminaires (Swimming Pool Above ❑ agrad- 0 Ban- INotteryU.of Lmergency Ltgnnng — "rnd- nits No.of Receptacle Outlets . No.of On Burners 'FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges INo.of Air Cond. Tons Iota' No.of Alerting Devices - No.of Waste Disposers (HeatTotPumakp:I Number 'Tons KW No D .of Self-Contained -I etectionfAlertfno Devices Z No.of Dishwashers • Space/Area Heating KW' Local❑ConnMaait7pain 0 �� , ectio ? No.of Dryers Heating Appliances KW Security Systems:` SINo.of Water KW INo.of No.of Dallo.Wi ences or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total• HPTelecommunications Wiring: No.of Devices or Equivalent k OTHER: — Attach additional detail if derired or as required by the Inspector of Wires, V Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 92,51/ Inspections to be requested in accordance with MEC Rule 10,and upon completion INSURANCE CO RAGE: 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 4) I certib, under the pains and penalties o 0 OTHER 0 f ) P fP�f rY,that theninformation on this application is true and complete. FIRM NAME: e14 A-5 F a(� zieto ( A. •10e. LIC.NO.: 9i q A- Licensee: TAkQK CNgsg Signature fitacie4se.ey LIG NO.: ghaveL (If applicable,enter"exempt"in the license numper line) Bus.Tel.No.: ti!IP n// Address: P.D. Rev /(yy Sr 0a'�LS nA-• e pe60-/I`P7f Alt TeLNo.:j2!_ zy lcog j `Per M.G.L.c. 147,s.57-61,security work requires Dedartment of Public Safety"S"License: Lic.No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normallyOwtiredd by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner 0 owner's aunt.- er/ 1 Signature Telephone No. I PERMIT FEE: $ 6 b I