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Home My WebLink AboutBLDE-19-003056 0. to Commonwealth of Official Use Only Massachusetts Permit No. BIDE-19003056 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:11/19/2018 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) 6 SOUTH WEST DR Owner or Tenant HILL LIZETTE Telephone No. Owner's Address HILL CHRISTOPHER,26 SHAWMUT AVENUE EXT,WAYLAND,MA 017784814 Is this permit in conjunction with a building permit? Yes ❑ No 0 (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 Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC ,receptacle for dehumidifier,&CO detector. 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 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Arnd e 0 Rrnd. ❑ No.toEmergency Lighting No.of Receptacle Outlets 4 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 Air Cond. 1 Total 3 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number , Tons KW No.of Self-Contained 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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:) 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 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. • PERMIT FEE: $50.00 1/440 ( rt k / a Cmt...unuvectid 1/I/aesacluaelti Use ly c-� cc77� p 0.5 Co 'Z, Permit No. BOARD OF FIRE PREVENTION REGULATIONS O /07ryandFee Checked Revv.. I/07] (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 EPRINT ININK ORTIPEALL INFORMATIOA9 Date: //-71--1/41 (� i I City or Town of: YARMOUTH To the Inspector of Wires: W , . $y 's application the pndersigned i notice of his or her intention to perform the electrical work described below. • , c 'on (Street&Number) 5/ eif , w Gtr//./J r� r'orTenant ///r TelepboneNo. '�/-Jtre 1Ca W a --I is Address drat/ � 0 $ .,, ;otlt permit in conjunction with a building permit? Yes 0 No Appropriate Box) tO W Pari se of Building Utility Authorization No. Ekis ng Service_ Amps / Volts Overhead Q Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead 0 Undgrd gr 0 Nd.of Meters Number of Feeders and Ampaclty Location a d Natureco_f Proposed Electrical Work it// / //ter et -, aci1.4 r I / . C�sL / \111. Completion of the foil. ' unable maybe waived by the Inspector of Wires. `� No.of Recessed Luminaires No.of Cal.-Susp.(Paddle)Fans Transformers Total No.of Luminaire Outlets KVA - No.of Hot Tubs Generators KVA No,of Luminaires 3 Swimming pool Abovgrnd. Be 0 In- Nao.ttomerg /, ency Lighting - ernd. ery liUnits — No.of Receptacle Outlets %� 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 Cond. / To-tal Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number ITons I KW No,of Self-Contained Totah: Detection/Alerting Devices No.of Dishwashers • Space/Area HeatingICW Municipal - I'o�Q Connection � �? No.of Dryers Heating Appliances KW Security Systems:' — No.of Water No.ofNo.of Devices or Equivalent No.of Heaters Signs Ballasts Data Wiring No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP telecommunications Wiring:No. No.of Devices or Equivalent OTHER: - Attach additional detail tf derire4 or as required by the Inspector of Wires. Estimated Value of Electrical World /1—,41.27/5 //J`�d requested(When accordance ay muwith MECal policy.)10 Work to Start: Inspections to be i¢accordaneb 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: LIC.NO.: Licensee: <rtf Signatur .w�4 (If applicable,enc r"-amp:" nthj�icense/uuj lin ) Lel.N0.:,3 y' Address. / ,/ LS/CYl/' "KA/ %dfQ e 4r 49C75 Bus.Tel.No. ��9� j Per M.G.L.c. 147,s.57-61,securitywork requires / Alt Tel.No.:�_ genres D ailment of Public Safety"S^License: Lic.No. it OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normallyitrequired by law. By my signature below,I hereby waive this requirement. T am the(check one)0 owner 0 owner's agent t Owner/Agent Signature Telephone No. I PERMIT FEE: $ 6D