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Home My WebLink AboutE-19-5311 Commonwealth of Official Use Only ' 4- , Massachusetts Permit No. BLDE-19-005311 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:3/25/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perforT the electrical wo escribed below. Location(Street&Number) 3 KEEL CAPE DR ✓�1 --. ( . — Owner or Tenant GAidetEcTIFEtAtiicaPitiSE G Telephone No. Owner's Address A, 3 KEEL CAPE DR, SOUTH YARMOUTH, MA 02664 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: Install sub panel&wiring for basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 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- I: No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 33 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 18 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 2 Total 3 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 3 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 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: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC.NO.: 34454 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 TROUT BROOK RD, MASHPEE MA 026492063 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 4 '( /r 9 (2,QA.3-64t 3[4649 !cam lr0/nmoI7.w,a o////addaciaideftd • Offs se Only_ i i y g t =- �i_ apartment 01 Serviced Permit No. f— Occupancy and Fee Checked �-,l BOARD OF FIRE PREVENTION REGULATIONS {Rev. I/07] 1 11.1 ; �' (leave blank) �' APPLICATION FOR°PERMIT TO PERFORM ELECTRICAL WORK ca j 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 0 -7iJr- I IX m City or Town of: YARMOUTH To the ector of Wires: By this application the undersigned gives notice of his or her intention to perform the�ctrical work described below. Location (Street&Number) ?, J e ..• �1z Owner or Tenant m4_ � , ,� f� Telephone Noz �y Owner's Address ,rc" �� =�� Is this permit in conjunction with a building permit? Yes No „ El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd gr ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gr ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: WeA eG,,,,t' 434ve ` .W�� ,/ 17 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires AD No.of Cei1 Susp.(Paddle)Fans No.of Total Traasformen KVA _ No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- ❑ No.of Emergency Lighting Ernd. Qrnd. Battery Units No.of Receptacle Outlets 3.3 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches /6?- No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. a Tons rt No.of Alerting Devices • No.of Waste Disposers HeatPmp KW No.of Self-Contained Totals:I Number Tons I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Municipal L0� Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters KWNo.of Data Wiring: 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 Wort (When required by municipal policy.) Work to Start: —n/9f' 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 covers a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: h,14 ----�. Q/ Signature ! ' LIC.NO.:sk:_t_= (If applicable,enter "exemptthe licens, +gnbe li C_ . Address. /y 7 �, u�U G 0�. G, Bus.Tel.No • J Per M.G.L. c. 147, s.57- ,securitywork re i �Y/ Alt.Tel.No.: requires of Public Safety"S"License: Lic.No. ,sz— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— o—rm�- S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent d Signature Telephone No. l PERMIT FEE: $