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Home My WebLink AboutBLDE-21-004216/ � �. � el Commonwealth of Official Use Only E.,t " Massachusetts Permit No. BLDE-21-004216 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:1/28/2021 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) 15 OAK BLUFFS RD Owner or Tenant Rob Keough Telephone No. Owner's Address 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, bath room, &living room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 10 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators O +/,, KVA No.of Luminaires Swimming Pool Above ❑ In- 0 No.of4,,,ii ncygrnd. grnd. Batter `),No.of Receptacle Outlets 16 No.of Oil Burners FIRE A .,�i4 •. t e e ` No.of Switches 7 No.of Gas Burners No.of Detectio , n Initiating Devices U No.of Ranges No.of Air Cond. TotaTons No.of Alerting Device O No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices O No.of Dishwashers Space/Area Heating KW Local 0 Municipal o 4 . . 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 Siens 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: Barry T Swain Licensee: Barry T Swain Signature LIC.NO.: 33983 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:248 OLD COUNTRY WAY, BRAINTREE MA 021848334 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 Signature Telephone No. PERMIT FEE: $75.00 -0/? (Srti-1 GC('gg &i/-d b2 A Litt) Commonwealth of Massachwestts Official Use Only i�; ;rr Permit No. Com( �- 4 z1.C, a 2ispartmant otins Serviced Occupancy and Fee Checked 1/4 " 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: /- 4a-2 / City or Town of: Soma 1, Y4,,,,auii To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perforin the electrical work described below. Location(Street&Number) /5 Oo k e---1)1/.l,S -t,o • Owner or Tenant--3‘010 A p oil h Telephone No.(P//-9io 74 / -15' Owner's Address /5 0 ak 7)/u hl S +0G d Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building �1 oSlolerlilk.C Utility Authorization No. Existing Service /oo Amps /Lo /2%p Volts Overhead 1® Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty �l Location and Nature of Proposed Electrical Work: f 5)1 C h QQ - ..2)(1 7111 RUo,n - LA a i„-g - 2rGvwi tL R Completion of the following table m be waived by the Infector of Wires. A Na.of Total No.of Recessed Luminaires /0 No.of Ceil.-Susp.(Paddle)Fans Transformers KVA 4 No.of Luminaire Outlets Z.. No.of Hot Tubs Generators KVA No.of LuminairesSwimmin Pool Above ❑ In- ❑ No.of Emergency Lighting 3 g and. grad. Battery Units '4? No.of Receptacle Outlets /. No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Na.of Gas Burners ?,14).of Detection and Initiating Devices II-:' No.of Ranges . No.of Air Cond. Tons No.of Alerting Devices iy Heat Pump Number_Tons KW No.of Self-Contained No.of Waste Diapo 3 Totals: Detectlon/Alertln Devices No.of Dishwashers Space/Area Heating KW Local 0 Monnectuniection 0 °that, C No.of Dryers Heating Appliances KW Security Systems:4 No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W ir No.of Devices or Equiv nt OTHER: 1_ --64,4, ptg,N Lig h-T Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: .*.3,) (When required by municipal policy.) Work to Start: i..z I-2./ 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 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:(-6a cis S Gib t,0 LIC.NO.: 3396'3 g Licensee: oS atur� _ LIC.NO.: 33953 g (If applicable,enter' pt"in the license number line Bus.Tel.No.-76/-CO3-92 7. Address: 2.cIS' 6101 Cor..,-1r4 61A¼/ ,Q,,9.t,A ' MA. Q2/d'4 Alt.Tel.No.: *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:$