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Home My WebLink AboutBLDE-22-006794 Commonwealth of Official Use Only LI% Massachusetts Permit No. BLDE-22-006794 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:5/24/2022 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) 30 CRANBERRY LN Owner or Tenant CASEY WILLIAM M Telephone No. Owner's Address CASEY JUNE,30 CRANBERRY LN, SOUTH YARMOUTH, MA 02664-1005 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. 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. TTotal No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: Michael D Hollister Licensee: Michael D Hollister Signature LIC.NO.: 10071 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:85 N DENNIS RD,S YARMOUTH MA 026641017 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 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: $75.00 v kJ RECEIVED J -j `' o oak o`rriaeeachcwette Official Use Only ,� il p ' �r M AY 2 3 202 c7 Permit No, t D 6 if �: * _ nt of ire Services �R A• :t. i D I Occupancy and Fee Checked �� - -EVENTION REGULATIONS [Rev. 1/07] (leave blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK V All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 R 12.00 J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5 2 Z. City or Town of: YARMOUTH To the Inspector of Wires: `U By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. '11 Location(Street&Number) TQ e'it Ai/ e;E.1— �,/ c' Owner or Tenant '�i t_i._ ' 1[j/v i� e et c` ( Telephone No. CG'u 7?Z tx 31 1 l Owner's Address lt) Is this permit in conjunction with a building permit? Yes E d No Nil0 (Check Appropriate Box) V Purpose of Building 0 �t� /t(�v Utility Authorization No. 1� Existing Service 'Zyji Amps 2/ t/C'Volts Overhead❑ Undgrd I g ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters c) ) Number of Feeders and Ampacity C._L1 eyy tg c Vs'\0v�� .4_ 'gI Location and Nature of Proposed Electrical Work: C1\ a y No Completion of thefollowing table may be waived by the Inspector of Wires. vr No.of Total U No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA '; No.of Luminaire Outlets No.of Hot Tubs Generators KVA A No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool Rrnd. ❑ 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 11` No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number........"...._ KW 'No.of Self-Contained Totals: """"'""' " . Detection/Alerting_Devices No.of Dishwashers Space/Area HeatingKW Municipal P Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.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 E tric I Work: O (When required by municipal policy.) 2 Work to Start: S ` O '2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E: 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: I k 1 C I-A 61 I) lib L C t S 76 - LIC.NO.: /00 7 I— 13 Licensee: y✓i ilC,6.' Signature LIC.NO.: (If applicable,en er"exempt"in the license number line.) i Q Address: ys Al,p nt.f..1/ S ,�~q Bus.Tel.No.; 7'� (D S 7 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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/AgentI Signature Telephone No. I PERMIT FEE:$ 7S