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HomeMy WebLinkAboutBLDE-22-003627 , Commonwealth of Official Use Only V'1 ft.. ; . flii Massachusetts Permit No. BLDE-22-003627 _., � 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:12/29/2021 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) 24 ORCHID LN Owner or Tenant CLEARY MILDRED Telephone No. Owner's Address 34 MELBOURNE RD, HYANNIS, MA 02601 Is this permit in conjunction with a building permit? Yes 0 No 0 fir l!'ivpd Purpose of Building • f Utility Authorization Nov, Y iterib Existing Service 100 Amps Volts Overhead 0 Undgrd Ir New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade to 200A service, upgrade grounding electrode system, install light and receptacle at panel. 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 d. ❑ g rnd. ❑ No.of Emergency Lighting rn Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Data Wiring: Signs No.of Devices or Eauivalent 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 S eci fy:) I certify,under the pains andpenalties ofperjury, ( p that the information on this application is true and complete. FIRM NAME: James R Keighley Licensee: James R Keighley Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 15740 Address:24 RANGE HEIGHTS RD, LYNN MA 019041538 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)) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERI MIT FEE:$50.00 I/r4 & ptzm § 4A kr Cinmonwea/h a/maisac i Official Use Only -_`� y —LJepcu'tinent o�,ti+'e Permit No. C'2Z-.—31 Z.7 C__ Services _� 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 Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 2/ 1 5/2 0 2 1 City or Town of: Yarmouth To the Inspector of Wires: By this application the undersigned gives notice of his or her intention top perform e electrical work described below. Location(Street&Number) 24 Orchid Ln Owner or Tenant Mildred Cleary Telephone No. 781-592-7779 Owner's Address 24 Orchid L n Is this permit in conjunction with a building permit? Yes ❑ No © (Check Appropriate Box) Purpose of Building Residential 7£ { co 7 1 Utility Authorization No. Existing Service 1 0 0 Amps 1 1 0 / 22o Volts Overhead 0 Undgrd❑ No.of Meters I i' New Service 2 0 0 Amps 1 1 0 / 2 2 0 Volts Overhead ❑ Undgrd ❑ No.of Meters I \. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: p Re lacement of Federal Pacific fuse panel with new 30 ckt panel.Outlet by panel.Light L by panel.Grounding rods.Meterbank disconnect. Upgrade to 200 Amp service. 'h Completion of the followin&table may be waived by the Inspector of Wires. LI 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 grad. grad. ❑ Battery Units CA No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones 1 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total kti Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number Tons I KW No.of Self-Contained el Totals:l f f Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances , security Systems:* No.of Water KW Heaters Signs Ballasts. allasts No.of No.of Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 4 b20.00 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: 1/5/2022 (When required by municipal policy.) 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: K Security Systems es Licensee: James R. Keighley LIC.NO.: Signature LIC.NO.: 15740A (Ifapplicable,enter "exempt"in the license number line.) Address: 543 Boston St, Lynn, MA 01905 Bus.Tel.No.: 781-592-7779 Alt*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lici•No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability ,I hereby waive this requirement. I am the(check one ❑owner coverage normally required by law. By my signature below, 0 owner's a ent. Signature Telephone No. PERMIT FEE:$