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Home My WebLink AboutBLDE-19-003032 Commonwealth of offeialUseOnly E_. Massachusetts Permit No BLDE-19-003032 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:11/16/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 101 PHYLLIS DR Owner or Tenant AVERY JOHN T Telephone No. Owner's Address AVERY TERESA M,48 DERBY LN,TYNGSBORO, MA 01879 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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 0 No.of Meters t, Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen& bathroom remodel.(WORK DONE WITHOUT PERMITS) 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- 13No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones • No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 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 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 ❑ BOND 0 OTHER 0 (Specify:) 147— OSP I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: BRANDON J COOK Licensee: Brandon J Cook Signature LIC.NO.: 21761 (lfapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 ANGELOS WAY, MASHPEE MA 026493063 . 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 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:$300.00 ritelmikra a(co&B g- &IA (24/tSt Co 49 SIA- too k6 l ke( i- i rem l.ammonurea[fh n f 7//auac .(, Official Usejoinly apartment 1 Thre.-ervicea Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked . 1ro7) ' (leave blank) — APPLICATION FOR.PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance wit the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT ININK ORTYPE ALL INFORMA770N) Date: Ii 13/11b 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) {V 1 ()IQ Ii S Or Owner'orTenant 5at_1c Telephone No. 9g •y=�y13Y Owner's Address J / ' Is this permit in conjunctio),t with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building S`rble c .1 $vi O J\src Utility Authorization No. Existing Service Amps I Volts Overhead Q Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead❑ Undgrd rd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: E', -ie. . r NO ea • S -,) no eet-rr,,+. We lulu work Wit ira,. ars - ...ital.,. I -,• fn Guire,st a) - Completion a the fgiable tidy be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cetl-Thisp.(Paddle)Fans • No.of Total Transformers KVA No.of Luminaire Outlets r/ No.of Hot Tubs Generators KVA No.of Luminaires Cf Swimming Pool Above ❑ ln- No,of Emergency Lrghang - orad. gnu!. 0 Battery Units No.of Receptacle Outlets /0, No.of Oil Burners FIRE ALARMS INo.of Zones No,of Switches /O No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges / No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons j KW No.of Self-Contained — • Totals: f Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW' Load Municipal — ❑Connection 0 other No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters 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: Estimated Value of Electrical Work Attach additional detail rderired or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: ////S//`G 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 proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND 0 OTHER 0 (Specify:) I certify, under the p•. and penalties o+perjury,that the information on this application is true and complete: FIRM NAME: •• c. it 50t\ Lle du c( , Hi, LIC.NO.: 7 f— A. Licensee: gn, \ by- .no ' Signature �y'GC% LW.NO.: (If applicable,enter' �ri�n the(Mena number 'ne.) Bus.Tel.No: -H -O t/ Address: C ciCay nos /vA 0z6� Alt.TeLNo.: / j 'Per M.G.L.c. 147,V57-61,security work requir s Deparmunt 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 r Owner/Agent _j Signature Telephone No. I PERMIT FEE: $ I 13 6 • t A 6 t � A � 3 • 4 nz A S d 1, L pravd >/-1o^7 a'A or 'lv a'r °) jtloaa 49 a; at � a,17;anq 4,40 lid Ad3,4 ptocq „frt. ; @ 16110/: rcld 5 -2,1•41 a41'0 ` tQw•aSU9 t- ;pAOQq f pH a& A X 3 n ptao° t /y/fven✓ C�ijti4 o�iZ f �� /� y h_! y s'' IIe a-Jac' t.! 71 /fr J ( ,/oLin V^) o.) ?V ° � �n .3 f dI ln�o' �+�� 479 IAs 'o'/agora / l aj `r 7p p v• a/ o, <7-rp O�f J •-r J'n,'7 ' v 1 �7 // ) V; nb �� 1 r "� ,rrr,f ,pit x& '(oq >^r� o � i yrd 0 s a,r1 w&4/S' O4'/lSI al -_CO2V"7 aZ/ /'a9/ 04" 0tiev,K1 4cp 5 14,toaer Z /l 'ef't 'fir mo9 K2) syt : fN,.t,f,'se7,/ irIMo+ o-F fao.7Vli-t77-7a7J tine "n 1),7 n.+t/�- 7J/' n ano .gra( J2 ; / r/14-?n.2 s'y /S f 31/'n779 iv') S/ 9f o O //zoo -L$h-hGH/ , npm� rvs 7>a)(7) 7/O0) NoCC) corn ) Zc-c . / 1/17 90'°J y o°G vig 5777A/`4/ /0/