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Home My WebLink AboutBlde-20-002559 e,` Commonwealth of Official Use Only 0Massachusetts Permit No. BLDE-20-002559 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:11/1/2019 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) 62 KEEL CAPE DR Owner or Tenant MOORE BARBARA L Telephone No. Owner's Address 62 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: Remodel kitchen,dining room, &foyer. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 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 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 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: RICHARD T MCKENZIE Licensee: Richard T Mckenzie Signature LIC.NO.: 28006 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:55 BARQUE CIR, SOUTH DENNIS MA 026602359 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 ci it 's(f t 4 �� EL- kl-f Lti 1 ciii— Commonwealth c t'/taddachudslld Official Use Only r9 cc�� cc77 {{�� Permit No. `—,r� - r. `,t 3sparlmsrsl o/.}irs&rotted �� i—�J�✓ 1_1 �Occupancy and Fee Checked 17S ` BOARD OF FIRE 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0 ^ 9/ ' /2 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned Ives not' of hi or intention to perform the electrical work described below. Location(Street&Num er) a.__ Owner or Tenant ii�I3�/,f -e %e -' Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes I No E (Check Appropriate Box) Purpose of Building Utility .uthorization No. Existing Service 2 ) Amps 619 /R ff3 Volts Overhead pQ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /)//1/ 7( A:1 eite /34_4740/ `` Completion of the following,table may be waived by the Inspector of Wires. • No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No ranf Total _ Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of t.:mer cy Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 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 No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW al❑ Connection ❑ other HeatingAppliancesSecurity Systems:* H-- No.of Dryers pp KW No.of Devices or Equivalent _ ) 1,' l�o.of Water KW No.of No.of Data Wiring: Lil;3 m I Heaters Signs Ballasts No.of Devices or Equivalent i"4- 1~ IN o.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDeDevices or Wiring: No.of Devices Equivalent i ci I li -_� i bTHER: L �„ U Attach additional detail if desired,or as required by the Inspector of Wires. Cs 17- Estimated Value of Electrical Work: (When required by municipal policy.) LIJ '' Pi to Start: CO-3/..f Inspections to be requested in accordance with MEC Rule 10,and upon completion. Ie m URANCE COVERA Unless waived by the owner,no permit for the performance of electrical work may issue unless tthlicensee provides proof of liability • surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that s cove a is in force,and has exhibited proof o ame to the pe ii i u' office. �i CHECK ONE: INSU E BOND 0 OTHER ❑ (Specify:) � ifi <!6 .5-014 I certify,under the s nd penalties of ury t at the inform ti n on his ap lication is true dfid complete. FIRM NAME: , i`z. /� � "/1,_ g eC/ /`l ?Q?� LIC.NO.: Ea261:544 Licensee: Signatu e� _ LIC.NO.: (If applicable,enter"e pt"in the t se.n ber/i Bus.TeL No.',r0e, 77L'"./36/ Address: , ( i si% a .�,C/e.to 7• /I/!/-� 0 Alt.Tel.No.: *Per M.G.L.c. 147,s.F-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSU• • CE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 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 Signature Telephone No. PERMIT FEE: $