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Home My WebLink AboutBLDE-21-005273 �°r Commonwealth of Official Use Only E , Massachusetts Permit No. BLDE-21-005273 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:3/15/2021 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) 17 EDDY ST Owner or Tenant MARK AND DARLENE HANDY Telephone No. Owner's Address 2801 SW 38TH ST, CAPE CORAL, FL 33914 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Wiring of addition. 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 Ab 0 In- ElNo.of Emergency Lighting grnove d. 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 it No.of Ranges No.of Air Cond. Total No.of Alerting Devices 1 Tons k 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: zri 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DARNELL CAULEY Licensee: Darnell Cauley Signature LIC.NO.: 11662 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:54 CAPTAIN BESSE RD, S YARMOUTH MA 026642805 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: $100.00 awiti31(7(24 CtIP-e- qct,(ZA (.,onunassvenii of clamaacke its Official Use Only 2rpartirrrat o1..tiK Jrevicsa Permit No. l i�— Z7 3 nd BOARD OF FIRE PREVENTION REGULATIONS .i/07� cy a 1 , Oecn' (leavFeee trChlaak)ecked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the h4assachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3-I a'(9. City or Town of: VosTnet,ser\ To the Inspector of Wires: By this application the undersigned gives notice, his or her intention to perform the electrical work described below. Location(Street&Number) (1 " s's 9' Owner or Tenant jt4&a W*ri& t Telephone No. 508-Soq -tl j(6 Owner's Address Is this permit is conjunction with a buildhg permit? Yes VI No ❑ (Check Appropriate Box) Purpose of Building Home- Utility Authorization No. Existing Service 2OO Amps )60 046 Volts Overhead❑ Undgrd 0 No.of Meters 1 New Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /Vey ca+ior Completion of I� No.of be waived by the Inspector of Woes. otal No.of Recessed Luminaires No.of Cell.-Sup.(Paddle)Fans Transformers TKVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ Bo.of Ltmnits t.rgihitng �. �- Bey Unit: No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones lisitiallal Devices No.of Switches No.of Gas Burners No.of No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW `No.of Self-Contained Totals. Detection/AaertazDevices No.of Dishwashers Space/Area Heating KW I ❑ ,� Comedies 0 Other No.of Dryers Heating Appliances KW SecNor ofSDevices or Equivalent No.of Water KW No.of No.of Data Wes: Heaters Sips Ballasts No,of Devices or Ep� No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Eel 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: 3-S a l 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 10 BOND 0 OTHER ❑ (Specify:) I cenify,ands the and o perjury,that the information on this application is true and complete FIRM NAME: /,/f f LIC.NO.: f� Licensee: \ Signature .1 r�'J�-- C,�� LIC.NO.: )( a' 6 (lfapplicable.aster-exempt"in the t minrber ' Bus.Tel.No.- Address: .54 C4,914�n attissC yo.)f s. Y�r N. ,N� oa44y AIL TeL No.: 11 W'565-1969& *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 hove the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:$ r s