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Home My WebLink AboutBLDE-22-002481 ;. Commonwealth of Official Use Only ill% Massachusetts Permit No. BLDE-22-002481 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:10/30/2021 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) 27 WADSWORTH LN Owner or Tenant RAINERI KIM D Telephone No. Owner's Address RAINERI MARY P,27 WADSWORTH LANE, YARMOUTH PORT, MA 0 675 Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ New Service Ampsg No.of Meters Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen&living room. 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 e ❑ grnd. ❑ No.of Emergency Lighting Above No.of Receptacle Outlets Battery Units p No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Siens Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 I certify,under the pains and penalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: TYLER W PAYNE Licensee: Tyler W Payne Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 22091 Address:5 JANS PATH, HARWICH MA 026452458 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 Owner/Agent ) 0 owner 0 owner's agent. Signature Telephone No. I PERMIT FEE:$150.00 I 2 Ur 1(I2-121 Commonwealth of Massachusetts ►� =rt Permit No. AI = .R Department of Fire Services I Occupancy and Fee Checked �., BOARD OF FIRE PREVENTION REGULATIONS ,,, -„‘, iRev.9/051 (leave blank) r 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 t.VFO MATION) Date: I l a-/ City or Town of: /CI mCtAA-VA 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) a'1 s La Owner or Tenant � I rW V1 Telephone N .7 7 Owner's Address Is this permit in conjunction with a building permit? Yes 7 No E (Check Appropriate Box) Purpose of Building .. '(i1L III h1 Utility Authorization No. e Existing Servic ) Amps tic oZ 4C9olts Overhead ❑ Undgrd'J No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ra-/ -t-- i fl ish e k e,,.��' lak_cikr4A c l►V n) ye)LA._ Completion of the following table may be waived by the Inspector of Wit es. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransNo 'lotal Tr formers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ i o.of Emergency Lighting grnd. g_rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners i 10.o l etection ana Initiag Devices No.of Ranges No.of Air Cond. Tns No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Munical No.of Dishwashers Space/Area Heating KW Local 0 Connect ion ❑ Other 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 E.uivalent 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: 10b-5 J 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 ►Zi BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information.on this application is true and complete. FIRM NAME:PIN PN NE 1... C�.P`C_f I IC , LIC.NO.:53OL�1-E Licensee: TN1 l-E \NI . •may NE Signature Itd�6—. LIC.NO.:" 2. (Ifa licable enter "exempt"in theQ license number line. _ Address: p O. BOX C01_1 SCUT ti tt F-`'V 1I..Li t IAA 02.4 W\ Bus.Tel.No.: Alt.Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: 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:$