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Home My WebLink AboutBLDE-19-005259 or."` Commonwealth of Official Use Only li-. Massachusetts% Permit No. BLDE 19-005259 517, _ 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•3/19/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorn�the electrical escri below. Location(Street&Number) 25 POWERS LN y�\y)^J f/ -1 Owner or Tenant Telephone No. ��pp� Owner's Address , MA 02601 / e12V"l mg 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 -- 1 . New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 50 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 70 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 2 No.of Detection and Initiating Devices No.of Ranges 1 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 ❑ Municipal 0 Other: Connection No.of Dryers 2 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 certif.,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: DAVID BALFOUR Licensee: DAVID BALFOUR Signature LIC.NO.: 22363 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 STARBOARD DR, MASHPEE MA 02649 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: $180.00 ZOrGe 62 ) s/ f(? C AZ ce prep 619014 .$yes (revP sk ,qt) 6-itkicap cti=41- sl 9 k // h4-L- f71u rig • _` Commonweal al M//asaachudafts Official Use Only A. -'�i=; epartment C� Permit No Serviced 3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ':`'`�,`�' ,[Rev. 1/07] (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 7 CMR 12.00 w (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 I Q i 9 q � City or Town of: YARMOUTH To the Inspector f Wires_ a YZ y this application the Iutdersigned gives notice of h' or her intention to perform the electrical work described below. 1V `''1 ¢ leocation (Street&Number) wner or Tenant /16V- e,, Telephone No. Q 7K7 z t weer's Addressx 1 L.1..j 1 _ this permit in conjunction 'the building ? , _,..... �. g Permit. Yes �No 0 (Check Appropriate Box) 7 Purpose of Building /&_cameo Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd hr ❑ No.of Meters New Service ,2-(Z) Amps )t Volts Overhead❑ Und d � 0 No.of Meters / Number of Feeders and Ampacity 1' --c-, "`{XJ �?2f�,� /] _zi Location and Natur of Proposed Electrical Work: �� / �-� -fie c /l/,9 7`di),A G/ SS✓YXi� Completion of the follawinvable may be waived by the Inspector o Wires. No.of Recessed Luminaires 5-0 No.of Cet1-Susp.(Paddle)Fans No,of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires t 8' swimming pool Above ❑ In- No.of EmergencyLighting Qrnd Qrnd. ❑ Battery Units No.of Receptacle Outlets 70 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches k5.-- No.of Gas Burners No.of Detection and Initiating Devices m No.of Ranges No. of Air Cond. To / Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained J Totals:l } Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW• Local Municipal ❑Connections No.of Dryers t? GQ Heating Appliances KW Security Systems:* No.of Water S No,of Devices or Equivalent of No. No.of Data Wiring: Heaters KW 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 desires;or as required by the Inspector of Wires. Estimated Value of Electri al Work 46 ai0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. c.1 INSURANCE GE: 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 covera is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE TW-BOND 0 OTHER 0 (Specify:) NI certrfy, under the pains and penalties of perj ,that the information on this application is true and complete. FIRM NAME: J LIC.NO.: q Licensee: Signature -LIC.NO.: .�a3� 1 (If applicable, ter "exempt"in t e lic a be I e.) Bus.Tel.No.: . Address. 1 99lijjli Orr S OJ Per M.G.L. 147 s.57-61,securi work re Alt.Tel.No.: leity quiresr,,,,,,,L, partment of Public Safety"S"License: Lic.No. -3S"U - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner El owner's agent. Owner/Agent i Signature Telephone No. f PERMIT FEE: $ ��'Q • Elliott, Ken From: Elliott, Ken Sent: Tuesday, May 7, 2019 8:59 AM To: 'david@coastalphc.com' Subject: 25 Powers Lane Spacing of receptacles on third floor&first floor. Boxes removed and wires hanging on third floor. Removed light rough-in trim in first floor bathroom. Check for needed nail plates various places. K. Elliott Inspector of Wires Town of Yarmouth, Building Department 1146 Route 28 South Yarmouth, MA 02664 (508) 398-2231 (Extension 1263) kelliott@yarmouth.ma.us 1