The URL can be used to link to this page

Home My WebLink AboutBLDE-19-001701 a Commonwealth of Official Use Only Permit No. BLDE-19-001701 'E. Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:9/20/2018 City or Town of: YARMOUTH To the nspector of Wires: By this application the undersigned gives no ice o is or cr to en ion .per oe ec iea work de ribed below, Location(Street&Number) 16 KEEL CAPE DR V I N C-, N Owner or Tenant LOVE MARY R TR Telephone No. Owner's Address THE MARY R LOVE TRUST, 16 KEEL CAP DR,SOUTH YARMOUTH,MA 02664 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovate kitchen,add bath room fan,&upgrade service. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 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 b Aove ❑ In- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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. p CHECK ONE:INSURANCE 0 BOND ❑ OTHER 0 (Specify:) er 67212- /t5 I I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �/ FIRM NAME: Brandon R Phillips Licensee: Brandon R Phillips Signature LIC.NO.: 14966 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:21 RURAL AVE,MEDFORD MA 021552917 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 v61-4 ke Pa Qhs ( rr- w 3 4Vv ege4 91 1'8 tc-r (Aa FII-t�cT C.�7t C, N /1491 &r,.) a//fB i?/2 I ('QJ (ie'KG / -Finnfry r 'id, s ie , . 1 !r ttyy��,�� • (h1 k 1, Commonwealth e`///aeeacluuetb Crg1°1' OnI7) 0 1 (4:.:4 c cc77 pp 1t/�� ' 1e, 2)epari Merriment c/Yin JervicesOccupPermit No. I \�' Vi" BOARD OF FIRE PREVENTION REGULATIONS BII�a(l Fee Checked 11 ,tom- _. 71 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 ts (PLEASE PRINT IN INK OR TYPE ALLINFORMATIOI'O Date: 9-1418 City or Town of: Yarmouth To the Inspector of Wires: • By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 16 keel cape drive 0 Owner or Tenant ying sun# Telephone No.Ccii3—aw`— (23 g$ Owner's Address 16 keel cape drive Is this permit In conjunction with a building permit? Yes Q No 0 (Check Appropriate Box) rj Purpose of Building single family Utility Authorization No. Existing Service 100 Amps 120/ 240 Volts Overhead Q Undgrd❑ No.of Meters 1 New Service _ Amps " / Volts Overhead 0 Undgrd 0 No.of Meters oe Number of Feeders and Ampadty C Location and Nature of Proposed Electrical Work: wire new kitchen, add bathroom fan,add gfi and rewire basement a. bathroom,change 20 space panel to 30 space,ground water meter,add laundry in basement Completion of the followingtable stay be waived by the Inspector of Wires. Nolb No.of Recessed Luminaires 6 No.of Ce14Snap.(Paddle)Fans Transformers KVAI Cl ! No.of Luminaire Outlets No.of Hot Tubs Generators KVA I "4 No.of Luminaires Swimming Pool Abovefired, In- Li grad. 0 No.of Emergency Lighting . 1 No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones F ! No.of Switches No.of Gas Burners Battery Units 1 No of Detection and n its Initiating Devices No.of Ranges No of Air Conal. TotalnNo.of Alerting Devices J ' HaTons t Pump Number IIKW NO.ofSelf-Contained No.of Waste Disposers Totals: r-- Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipaleeectlon 0 OtherCo "---Ftp.of Dryers 1 Heating Appliances KW 'Security Systems:* No.of Devices or Equivalent 0z Ab.of Water No.of No.of Data Wiring: (d,(.((�m I Haters KW Signs Ballasts No.of Dvices or Equivalent \ o F" M,.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDacor Ling: .�" c I No.of Devices Equtvdeet LL! 3/ O w OTHER: 4 D i Attach additional detail ifdesire4 or as required by the Inspector of Wires.. 1't W `Edimated Value of Electrical Work: $6,000 (When required by municipal policy.) u en a W6rk to Start 9.11r-18 Inspections to be requested in accordance with MEC Rule 10,and upon completion. C4 '5'INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless tfie 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 thep°ins andpena�ofl Iver ury,that the bif,nnation on this application Is true and complete FIRM NAME: PRPt Cho r\til 11QS t Let I rt i L LIC.NO.: 14966 , Licensee: Brandon Phillips 1 Signature X p,A.PA1-f LIC.NO.: 14966 (Ifapplkable,enter"exempt"in the license number lined Bus.Tel.No. 657-212-9151 Address: 21 Rural Ave Medford Ma 02155 Alt TeL No.: *Per M.G.L.c. 147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hove the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner ❑owner's agent Signature I PERMIT FEE:S /S.Signature Telephone Na. 0