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Home My WebLink AboutBlde-19-007141 � � Commonwealth of Official Use Only ''� Permit No. BLDE-19-007141€ Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:6/19/2019 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) 44 KATES PATH VILLAGE Owner or Tenant MCCULLOUGH RICHARD Telephone No. Owner's Address WABAUNSEE RISSA,44 KATES PATH,YARMOUTH PORT, MA 02675 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 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: Kitchen&bath room remodel. 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 Transformers KVA No.of Luminaire Outlets 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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 0 OTHER 0 (Specify:) 1 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 (If applicable,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: $125.00 \\ .64ri ) [24, (& ij / (Li (, '7(z3( q - -= Commonwealth of��7]//a3sacf! • /Of�S/cial Use Only :7 t.\\ �• i `.1JaparE„sarcE c[ yirs Jers�ite! Permit No. �'7 r!�f - I _f I =�— Occupancy and Fee Checked /25 JD BOARD OF FIRE PREVENTION REGULATIONS (R.cv. 1/OT] --- .: (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN ArK OR TYPE ALL INFORM4TIO Date: (MEC),/ l OAR 12.00 City or Town of: YARMOUTH� ��`1 By this application the ersi ed To the Inspector of Wires: find gn gives notice of his or her intention to perform the electrical work described below. Location (Street&Number Owner or Tenant Q'' Vle L, i InAr\ 7- ' Telephone No. �dQ--`�Z � Owner's Address IA ~--- Is this permit in conjunction with a building permit? Yes I No ❑ (Check Appropriate Box) - Purpose of Building \ .' 3-, �� e1 Utility Authorization Na. T ' :�, Existing Senice Amps J / Volts Overhead ❑ grd Uad ❑ No.of Meters f New Service Amps / Volts Overhead❑ Undgrd r tt' ❑ No.of Meters Number of Feeders and Anipacity z Location and Nature of Proposed Electrical Work: to I ` t.2o,„ N. i Completion of the following table may be waived by the Inspector of Wires. No,of Recessed Luminaires Z No.of CeiL-Susp-(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Swimming Pool Above ❑ la- ❑ No.of Emergency Lighting uud. arnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Na of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons 1 I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Omer No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent of No. Heaters ' No.of Data Wiring: Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent - Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal oli Work to Start: Cipjit I iP F cY•) 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 unl the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The ess undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Egj BOND ❑ OTHER 0 (Specify) I certify, under the aims d perialties of perjury,that the information on this application is true and complete. FIRM NAME: r"L re. Sbr. kdr (i) LLC LIC.NO.• ^ Licensee: � - 7�/J� Signature �� LIC.NO.: (If applicable,enter " empt"in the license number line.) Address. �• ��r, Bus.Tel.No-: _ .> y t I J Per M.G.L. c. 147,s. -61,security ork requirescty Alt-Tel.No.. ez OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No. S required by law. By my signature below,I hereby waive this requirement I am the(check on insurance coverage normally- Owner/Agent ❑ wrier El owner's a Signature ent I Telephone No. PERMIT FEE: $