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Home My WebLink AboutBLDE-19-003648 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003648 oliBOARD 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:12/17/2018 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) 38 CAPT NOYES RD Owner or Tenant ENGLERT EDWARD L JR Telephone No. Owner's Address ENGLERT CONSTANCE M, 128 COLBERG AVE, ROSLINDALE, MA 02131-2710 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen&bath remodel.Add recessed lights. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 15 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. 1 Total 2.5 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 ❑ Other: Connection No.of Dryers 1 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: Kenneth E Brown Licensee: Kenneth E Brown Signature LIC.NO.: 21117 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3 MICHAEL RD, FRANKLIN MA 020382565 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 (Sill LE13fc A& vieer6 Cominonwsa[th oif///amaefti Official Use Only ■ * >d ,/ 1Js arfinarsf o Permit N� Q 3 6- 6 1=7= '• ' Occupancy and Fee Checked .,- .- BOARD OF ARE PREVENTION REGULATIONS [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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: )2//l_l J/g City or Town of: YARMOUTH To the Inspector of Wires: By this application the pnde;signed gives notice of his or her intention to perform the electrical work described bet w. Location (Street&Number) .. .3 ' C(AQf p))J i,JOEs 50�7 l- i/p Umy Owner or Tenant CIA(Z1 S EN) [ 'r /I Telephone No. 07 -26'l,g'955Owner's Address �1 Is this permit in conjunction with a building permit? Yes [a- No • ❑ (Check Appropriate Box) Purpose of Building 143 1P1xS i 0 Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Und grd❑ No.of Meters — ,p New Service Amps / Volts Overhead❑ Undgrd.. grd ❑ No.of Meters �� - Number of Feeders and Ampacity �I_ Location and Nature of Proposed Electrical Work: 'Cl'1044 E7j-) (3r-14 j v p� t pP9/Nf Ft2ESSe' LIcRT'S fi 1.4C- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires j No.of CeiL-Susp.(Paddle)Fags No.of Total I Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting - grnd. ernd. Battery Units No.of Receptacle Outlets j No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and J Initiating Devices No.of Ranges / No..of Air Cond. I Tons r7—. No.of Alerting Devices No.of Waste Disposers Heat Pomp I Number I Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers I . Space/Area HeatingKW Municipal l i Low Q Connection ❑ �� No.of Dryers [ Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW SignsBallasts Data Wiring: - 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 lec ' al Worlc (When required by municipal policy.) Work to Start: I 6 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 Er- BOND 0 OTHER 0 (Specify:) I certfy, under the pains and pen s of perju ,that the information on this application is true and complete. FIRM NAME: d Nt"It-h 12-(jl,0N LIC.NO.: Licensee: K msi ,,va,.) Signature LIC.NO.: 2/ (If applicable,enter "exempt"i the icense tuber line.) G Bus.Tel.No.: . Address: 3 kW (C lq . (L 'je.(,1 N PA A -0 b)p Alt.Tel.No.: *Per M.G.L. c. 147,s.57-61,security work requires 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 normally S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE: $