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Home My WebLink AboutBlde-19-004728 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-004728 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 0Rev.I/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:2/20/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 32 CONSTANCE AVE Owner or Tenant THORNTON MALACHY 0 Telephone No. Owner's Address THORNTON CARYN F, 32 CONSTANCE AVE,WEST YARMOUTH, MA 02673 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: Remodel kitchen &dining room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 4 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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 ❑ 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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: $75.00 CC)fal 3(6 ( rJR. 2 ( di 2 ti e2sitlfi te Commonwealth of MaddachZu ctt ,Official Use Only �t Apartment cc77� n[� ACC? 7 � -i11= 5 Apartmenl oi.y-ire Jarvice5 Permit No. - -- ` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked -:., �v. 1/07) (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /6' - F/ 2 6i9 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) 3Z COJS Iti(1 4UE, f w'a S7 YAAMaiTIl Owner or Tenant Ivi/}L ACH'l TOO r IiTed 1 Telephone No.S-08 3 � �776 Owner's Address 5-40 6 Is this permit in conjunction with a building permit? Yes, No ❑ (Check Appropriate Box) Purpose of Building tglii . P/3M1(4 146t/SC Utility Authorization No. Existing Service 2 )t) Amps (20 / litll Volts Overhead. Undgrd 0 No.of Meters New Service Amps I Volts Overhead❑ Undgrd t;r ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: if 1 Tc 14 E 41 t✓ V 6 � Ar, a hec 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 No. formers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Lt. Swimming Pool Above ❑ in_ Ell No.of L mergency Lighting ernd.. grnd. Battery Units No. of Receptacle Outlets B No.of Oil Burners FIRE ALARMS 'No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.. of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump] Number I Tons !KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal ,Local❑Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent - Attach additional detail tf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ..OC' do (When required by municipal policy.) Work to Start: Fe 11 ` (? 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 ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete; FIRM NAME: MPit.4CH TUo V?eN LIC.NO.: Licensee: Signature4 (If applicable,enter"exempt"in the license number line.) LIC.NO.: 0, ' Address Bus.Tel.No.: La, •��7 J Per M.G.L. c. 147,s.57-61,securityrequiresAlt.Tel.No.: work Department of Public Safety"S"License: Lic.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— o-rmm ally required by law. By y signature be o I►hereby waive this requirement I am the(check one)-owner ❑owner's agent. 1 Owner/Agent �/� I Signature JI, Telephone Not6?: �� 2-7)1 l PERMIT FEE. $ 1