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Home My WebLink AboutBLDE-21-003612 I Commonwealth of Official Use Only :if Massachusetts Permit No. BLDE-21-003612 ^-� 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:12/31/2020 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) 12 COPLEY PL Owner or Tenant VERMETTE BERNADETTE R TR Telephone No. Owner's Address THE RICHARD H VERMETTE REV LVG TRUST, 12 COPLEY PL,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: Rewire areas of residence due to fire. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 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 Lighti grnd. grnd. Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS N of ones '-‘, No.of Switches 26 No.of Gas Burners No.of Detection an Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting evi s O4.` Tons 3 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Con d O Totals: Detection/Alerting Devices 1Q No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal'- Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* "� No.of 15evices 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: STANLEY D ANDREWS Licensee: Stanley D Andrews Signature LIC.NO.: 15248 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:201 HEAD OF THE BAY RD, BUZZARDS BAY MA 025325640 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 SignaturesaTelephone No. PERMIT FEE: $75.00 Vat i (7/7/(4(-- If FisL ‹)81-)-( - c /� yy� / �� C..ornmoxwaa o///ta.t�sachueaCl4 Official Use Only i' Ifc'� Permit No. - -? ( 7-----' c� as _ opartmenl of}Ira_Earviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) x APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC 527 C?ytR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION)61 Date: / ,�9 2 0City or Town of: \i< vh c„ LLB To the Inspector of Wires. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number) Jv2 Cop/' y WC .0 f' -� Owner or Tenant Vr4-'-t- >t Telephone No. Owner's Address S:.,w'~--C_ —L Is this permit in conjunction with a building permit? Yes ES1 No C (Check Appropriate Box) vti Purpose of Building ,.. I,1„ v,a Utility Authorization No. / 2i/C Volts Overhead{ Undgrd L� Existing Service it L' Amps l )-0 i No.of Meters / NNew Service Amps / Volts Overhead Undgrd — No.of Meters Number of Feeders and Ampacity ...4 Location and Nature of Proposed Electrical Work:'Yv,i,r_� 1 a F/1,40; 1,�r-D, CC 11�vnoir� 3 A. i-.. , Ft-c. r:+t-t. C </y j s , Completion of the following may be waived by the Insirector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Z / Transformers KVA No.of Luminaire Outlets i _� No.of Hot Tubs Generators KVA KJ, No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. Battery Units ,J No.of Receptacle Outlets 3 L) No.of Oil Burners FIRE ALARMS No.of Zones 't Flo.of Detection and g. No.of Switches .•No.of Gas Burners Initiating Devices Total t I1( No.of Ranges i No.of Air Cond. Tons No.of Alerting Devices Heat No.of Waste Disposers Tottmp Number Tons KWals: Detection/Ale tln&Devices No.of Dishwashers 4 Space/Area Heating KW Local 0 Conn 0 Other No.of Dryers 1 Heating Appliances KW N-gee u o ty Systems:* of Devices or Equivalent , No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Equivalent y g 1 No.of Devices or Equivalent OTHER: Attach additional derail if desired,or as required by the Inspector of Wires. Estimated Value of Blectrical Work: 1 -� ` (Wben required by municipal policy.) Work to Start: (.l( '2 .2G' 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 ig BOND ❑ OTHER ❑ (Specify:) I certi, v,under the pains and penaltie jof perjc',that to information on this application is true and complete. /� J FIRM NAME: � :z �5 �Sc4-'11%-Ie t i-rr` «- LIC.NO.: I 357 /7 ` Licensee: S ♦1 r /'• i t 7 ►�,x(,r-e�S Signature ‘, ..-�,_. LIC.NO.:/5s>14- (If applicable,enter"exempt,'"in the lice num r tjne. Bus.Tel.No.. —7 C'/ 2/0e Address: ;x i Nre,e( CI fk{ '-'y 'A.c{ ,,z?sx 4'I rctS ' I llc"- 01 i 741- Alt.TeL No.:,.2)'._64 r--/Y7.7 *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. PERMIT FEE: $