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Home My WebLink AboutBlde-21-002134 Commonwealth of Official Use Only t`_0Massachusetts Permit No. BLDE-21-002134 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:10/20/2020 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) 26 MINDEN LN Owner or Tenant RALPH LABRIOH Telephone No. Owner's Address YARMOUTH PORT, MA 02675-2028 Is this permit in conjunction with a building permit? Yes 0 No 0 (Che Purpose of Building Utility Authorization No. . . Existing Service Amps Volts Overhead 0 Undgrd 0 '',.'"F: "`' • '-; New Service Amps Volts Overhead 0 Undgrd 0 1.of Meters Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Remodel residence. Completion of the folio444"bia, '. • er of Wires. No.of Recessed Luminaires 16 No.of Ceil:Susp.(Paddle)Fans 3 No.ofn ,A 1 Transformer //` O A No.of Luminaire Outlets 20 No.of Hot Tubs Generators V A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lightin grnd. grnd. Battery Units No.of Receptacle Outlets 60 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 30 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 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/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Gray Anthony Signature LIC.NO.: 56744 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:34 Alexander Place, Scituate Ma 02066 Alt.Tel.No.: 8574177426 *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: $180.00 Quoi 41420 a G Z tLE r f i2(7 t, - 1 cx� Permit No. : of_liar�errviue 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 bilassachnietts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: \/t,,,..... 1-L Po, t- To the Inspector of Wires: By this application the tmdersig eel gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Z,6 I✓1. LA-v...— Owner or Tenant Z.,1,pk, L'-lo r+o L. Telephone No. Owner's Address I Is this permit in conjunction with a building permit? Yes 0 No ❑ ( - , a r t� , - 4, IPurpose of Building SY^4\� `11 rt'.s .l-�M Utility Authorization . '' I Existing Service Amps / Volts Overhead 0 Undgrd❑` M New Service -2‘p:-.:. Amps -Ltb ! two Volts Overhead A] Undgrd 0 „, I V E 0 1 Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: OCT U 2010 Nkcol Completion(like follawinttable , , loci d the 'of Wires. No.of Recessed Luminaires (-L No.of Cel.-Snap.(Paddle)Fans,3 Troansformers KVA . No.of Gumimdre Oadets No.of Hot Tubs Generators KVA n 4- No.of Luminaires . gig p I Above ❑ In- ❑ No.of Emergency Lighting erred. grad. Battery Units y No.of Receptacle Outlets .0 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches ) No.of Gas Burners No.oIni n a tiating � l%,I No.of Ranges L5 No.of Air Cond. Ton No.of Alerting Devices No.of Waste Dlbp Number`Tons KW ___No.of Self-Containedr� Totals: 1 - 1 Mlertl p,� No.of Dishwashers \. Space/Area Heating KW Local 0 Cog 0 "tier No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Defied;or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or uivalent ekcmmuications No.Hydromasage Bathtubs No.of Motors Total HP -T o e E Na o of f D Devices or Eq t OTHER: nvv Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Ili (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 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: G, C \.1,�,� F Lw1-r d L LIC.NO.: S C.1 `14- IS Licensee: 14.0 Signature LIC.NO.: I. - (Ifapplicable,enter"ehtthtiptA in these manber 1 Bus.Tel.No.• % - 1 c1 Lg Address: 3 ti ik t om, i'I,a.- S�J Lvat el... 0 Z, 6 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 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. I PERMIT FEE: 7 .-3(-2-ZZ