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Home My WebLink AboutBlde-18-005830 - �cz I. Commonwealth of Official Use Only Permit No. BLDE-18-005830 fill% 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 INFORM4TION) Date:4/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm elec al work describe Location(Street&Number) 32 ABELLS RD / '—'1) �i x---� Owner or Tenant AHRENS LINDA R Telephone No. ,I Owner's Address 9 HIGH RIDGE DR, LINCOLN, RI 02865 3( 0,—' /4(g Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr, ,rr e Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 *4111itbe New Service Amps Volts Overhead 0 Undgrd 0 M� Number of Feeders and Ampacity O 4782 , Location and Nature of Proposed Electrical Work: Remodel basement �Completion of the following table may be wat `�ctf Wires. No.of Recessed Luminaires 22 No.of Ceil:Susp.(Paddle)Fans No.of Transformers No.of Luminaire Outlets No.of Hot Tubs Generators IMF No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 30 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 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:) 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 iSignature Telephone No. PERMIT FEE: $75.00 i•-- . (Ai2 Spu ce,3 iti/mb Lip) /0/4-46 /- Lorr..rmora/ca. fs of f I/¢3S¢c/.ue% Orneta Use OIII =' 1= cc7'� Permit No. ' LJ 30 l_ aparfrnrnt o f�uv�crvicre _— Occupancy and Fee Checked • =;Y �G,' BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07] (leave blaril) d N. APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C1R. 12.(a0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: ARMOUTH To the Inspector of Wires: • By this application the pndersiped awes notice of his or her intention to perform the electrical work described below. • Location (Street&Number) 31 Abe.11s RI Nest u - 7 Owner or Tenant Alberto Teibel Tr, Telephone No. (Spg 3 Owner's Address 3a. hells Rd , West Yarmouth % MA— 02613 0-9 18 Is this permit in conjunction with a building permit? Yes ® No _ (Check Appropriate Box) Purpose of Building Finisk flit basement Utility Authorization No. g Existing Service Amps / Volts Overhead _ ❑. Urdgrd No. of Meters New Service — (� Amps / Volts Overhead❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: basement rat v Completion of the follawinz table may be waved by the Inspector o f Wires. No.of Recessed Luminaires_ la_ No. of Cer7..�usp.(Paddle)Fans No.Q1 Total TranSfOrmers KVA .. ' No. of Luminaire Ont::le 5 i No. of Hot Tubs Generators kVA No. of Luminaires Swimming Pool Above ❑ la- .No.of Emergency Ltgaung •‘ °tad _Ern& ❑ gatter4IInits 1 NJ No. of Receptacle Outlet No. of Oil Earners �r ��1 3� F'PhE ALMS No. of Zones - V No. of Switches_ `O Na.of D tertian and No.of Gas Burners Initiating Devices No. of Ranges Na of Air Conti Total . ._. Tons INo,of AlerC g Devices No.of Waste Disposers Heat Pump Number Tons I KW 1Na. of Self-Contained Totals: I Detection/AIertins,Devices No. of Dishwashers SpacelArea Heating KWLocal❑ Municipal Connection ❑ Odeer No. of Dryers Heating Appliances Security Systems:* No. of Water No.of Devices or Equivalent No. of No. of Heaters H Data Wiring: Sims Ballasts No.of Devices or Equivalent t No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring; OTHER: No.of Devices or Equivalent Attach additional detail if desired, ores required by the Inspector of Wires. Estimated Value of Electrical Work 3.500100 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with IvIEC Rule I0,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 S ci I cer , under the pairs and penalties'ofperjury, that the information fy on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: Signature LIC.NO.: (Ifapplicablet"in the license number line.)enter "exem P . Address: Bus.Tel.No.. �— j 'Per M.G.L. c. 147, s. 57-61,security work requires Department of Public Safety"S"License: Alt Lie No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage n— o ly 5 required by law. By my signature below, I hereby waive this requirement. I am the(check one)g owner o t Owner/Agent ❑owner's a ent Signature (Sag)36a-q�118 01 Telephone No. PERhTIT FEE: $ 7 C