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Home My WebLink AboutBLDE-22-001275 aCommonwealth of Official Use Only ti--. _ Massachusetts Permit No. BLDE-22-001275 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:9/6/2021 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) 49 PLEASANT ST Owner or Tenant KELLEY ROBERT D Telephone No. Owner's Address KELLEY LAURA D,49 PLEASANT ST, 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: Wiring of porch addition. 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 grnd e ❑ IIrnd. ❑ No.of f Emerge' 4i, Y BatAitk No.of Receptacle Outlets No.of Oil Burners FIRE ,s '. J No.of Switches No.of Gas Burners No.of Det•.r n Initiating Dev'.: O No.of Ranges No.of Air Cond. Tonal No.of Alerting De ice 0 Heat PumpNumber Tons KW No.of Self-Contained O No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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: Charles K Swanson Licensee: Charles K Swanson Signature LIC.NO.: 12895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:718 CEDAR ST,W BARNSTABLE MA 026681300 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: $75.00 240062,t( 9(6 . RFEIVE ® SEP i)3 20221 �f '" Com., atilt o`MaeeachcUeotIe Official Use Only � i" b �,/ I L D i N G DE,AR T ii NT cc77 n�7 Permit No. Z— (2:7S/ OA.,..i: .., of o��irs Spaced Occpanc P I BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]y and(leave blank cked ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 tl, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: "i-- 3 - a u 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) 1147 p l'ec j u,.. t `j l 3 l�i,J`w‘„✓ I\ Owner or Tenant P n Z kc.a yc Telephone No. Owner's Address Is this permit in conjunction with a building permit?) Yes No 0 (Check Appropriate Box) Purpose of BuildingUtility Authorization No. Existing Service LI — Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Upocr�(n 4J i'6-60A 5 A- G r Completion of the following.table may be waived by the Inrector of Wires. l!! No.of Recessed Luminaires No.of Ceil.-Soap.(Paddle)Fans No.of Total ! Transformers KVA _ C.\ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Ii mergency Lighting g gird. ❑ gird. ❑ Battery Units ':,-! 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 _ 11.1 No.of Ranges No.of Mr Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW o.of Self-Contained Totals: — .._...KW .." Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Munidp 0 Other Cyonnection No.of Dryers Heating Appliances KWSecurity No. f Devices or Equivalent No.of WaterKW 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: oft_. 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: 9-3-2 ( 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 r BOND 0 OTHER 0 (Specify:) I certify,under th fns and penalties o rjury,that the information on this applic on is true and complet c FIRM NAME: ,,--(-..S �G v 5 (..1,\ LIC.NO.: ( l 4) Licensee: �'Y—'� Signature /�� LIC.NO.: 1 C (If applicable, r"exAnptin the license number line.) /� ' Bus.Tel No... Address: ( c�v�t-- ' t L.> y C�+'�51,--c /fit Alt.Tel No.: l'G *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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ S QC/