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Home My WebLink AboutBlde-21-006521 ttta Commonwealth of Official Use Only 41% Massachusetts Permit No. BLDE-21-006521 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•5/11/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her Intention to pertorm the electrical work described below. Location(Street&Number) 47 SKYLINE DR Owner or Tenant LAINE ANDREW M Telephone No. Owner's Address 47 SKYLINE DR,WEST YARMOUTH, MA 02673 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install conduits for future house circuits. 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- ❑ No.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 ❑ 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 ❑ 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: MICHAEL J LEBLANC Licensee: Michael J Leblanc Signature LIC.NO.: 17423 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 Westwind Cir, Osterville MA 026551375 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: $50.00 MS 42-174 t 14 Coyy� munonw��i of 1�IaaoacIuie.tto Official Use JJOnly I• ' //i cx� Permit No. Z(/10J �'. i `Z.partment o`Jirt 3irvicee t i Occupancy and Fee Checked 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: 5/7/2021 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) 47 Skyline Drive Owner or Tenant Andrew Laine Telephone No. 774-212-0868 Owner's Address _ Is this permit in conjunction with a building permit? Yes ❑ No 121 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead' Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installing electrical conduit for future house circuits. Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Coll.-Susp.(Paddle)Fans No. insformers Total No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- ❑ No.or-Emergency ugntmg grad. Arad. 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 InInitiatingng Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of Waste Disposer: Heat Pump; Npm¢er„Togs KW No.of Self-Contained " Detection/Alert1 Devices No.of Dishwashers Space/Area Heating KW Local 0 la eefDp ctin 0 Other No.of Dryers Heating Appliances KW SecNp ms: of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eap�valent No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Devices o EWaWlluivalent 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: 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 ® BOND 0 OTHER 0 (Specify:) I csrtlfr,under the pains and penalties of perjury,that the Information th leaden is true and complete. FIRM NAME: Solar Rising LLC LIC.NO.: 821 Al Licensee: Michael LeBlanc Signature • LIC.NO.: (U'applkah/e,enter"exempt"in the Iionse number line.) Bus.Tel.No.' Mika-• :4 Address: 759 Falmouth Rd Suite 8 Mas pee MA 02649 Alt.Tel.No.: ULl rAfi 1 P 5 Per M.(;.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie,No. OWNER'S INSURANCE 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$