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Home My WebLink AboutBLDE-22-002550 Commonwealth of Official Use Only t�, Massachusetts Permit No. BLDE-22-002550 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:11/3/2021 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) 33 KATHARYN MICHAEL RD U Owner or Tenant James Avezzie Telephone No. Owner's Address YARMOUTH PORT, MA 02675 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 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Exterior meter main&feedersSHOUSE_#35)_ 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 ❑ grnd. ❑ No.of Emergency Lighting Battery ts 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 Ballasts Data Wiring: Heaters Signs 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: 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 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: $50.00 P ' k( SO.0a C-0,-S h Commonwealh of t/laedachuaalle Official Use Only l- J J k 16�' c� Permit No. Z .;�1, ., .2)vparlmsnl okra Saevicsd ,1 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j (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: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his a work described below. r her intention to perform the electr' Location(Street&Number) ` ��GIT 1GC yr1 / \ L'�ue (� Owner or Tenant -cyy1erj A VeZZC e / Telephone No. LI l -gcj 6- jq 76 Owner's Address Is this permit in conjunction with a building permit? Yes n No Z. (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Servie6.. mps 1 ao i yQ Volts Overhead Undgrd No.of Meters New Service/ " Amps !di) id C Volts Overhead p Undgrd E No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: A e /w -J 4 ;d e )l4 Q c-- ,( , CiS ► a. C V 4s..L -t--&d c tf Completion of the following table me 'be waived by the Inspector of Wires. l�No No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA �1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA r\ A No.of Luminaires Swimmin pool Above In- No.of Emergency Lighting K grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones -r-. No,of Switches No.of Gas Burners No.of Detection and Initiating Devices 111 No.of Ranges No.of Air Cond. Tong) 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 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 Stan: /I- / =02 1 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 ElOTHER ❑ (Specify:) I certify,under the pains and naities of perjury,that the information on this application is true and complete. FIRM NAME: t b.rnJ LIC.NO.: J/ (O ..- Licensee / � I �� 11'r �/ Signature ,�t/� LIC.NO.: (If applicable,enter/ •exe t"in the/licanse number 'n ��a l/ Bus.Tel.No.• Address: f l r 1 t\ )St' ->v�s1-{1 /Gc-r. o°—4 i M4 O).W{ Alt.Tel.No.: 714 -355 C-5`iG *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)❑owner I]owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $