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Home My WebLink AboutBLDE-21-005191 Commonwealth of Official Use Only E1 Massachusetts Permit No. BLDE-21-005191 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:3/12/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 964 ROUTE 6A Owner or Tenant John Nash Telephone No. Owner's Address 964 ROUTE 6A,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 ❑ 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, laundry, closet, bathroom, &exhaust fans. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 13No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiatine 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 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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 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: Todd M Ellis Licensee: Todd M Ellis Signature LIC.NO.: 21949 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 FOX HOLW, PLYMOUTH MA 023607737 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: $75.00 eQu_ctivielv eg toitv6__ elte(2,( l.o111ewaws[tai oi Maklachweits Official use only �( / ..-- ...,,t..... _, �_C/ �``�� ` /`/`77 Permit No. �'��J ` l r _ On' - �IPAR#IfIK JIIr/iCI! tI_r Occupancy and Fee Checked = BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: n/12./2 02 1 City or Town of: �I�-C MG 0+1� To the Inspector of Wires: By this application the undersigned gides notice of his or her intention to perform the electrical work described below. Location(Street&Number) g 6 q Cr Uri$o er r�/ H W`! 02‘75-- Owner or Tenant 'TO In rt JJct h / Telephone No. 6/7 -796-909i/ Owner's Address Is this permit in conjunction with a building permit? Yes lYj No ❑ (Check Appropriate Box) Purpose of Building Home Utility Authorization No. Existing Service jp() Amps 120 / 2_140 Volts Overhead is Undgrd 0 No.of Meters j New Service Amps --/----Volts n rd No.of Metv.J Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 'K;+chcA, (Ze..Jen odd 1 I_ctvn all C[JS e-f- i3r.khroc,fn ryl,ausi- &AAc Completion of the followinVable may be waived by the Inspector of Wires. No.of Recessed Luminaires ir No.of CeiL-Susp.(Paddle)Fans /- Transformers KVAI No.of Luminaire Outlets Z No.of Hot Tubs 7. Generators KVA No.of No.of Luminaires Z d.AbovSwimming Pool ❑ fid,i❑ Battery Units Emergency Lighting No.of Receptacle Outlets 10 No.of Oil Burners / FIRE ALARMS No.of Zones No.of Switches f( No.of Gas Burners / No.of Detection and Initiates Devices No.of Ranges / No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers "neato�talsp Number Tons IfW No.Detection/�rin Sg elf-Contained No.of Dishwashers I Space/Area Heating KW / Local 0 Monnn 0 Other No.of Dryers Heating Appliances �y� Na of Devices or Egaivalenl/ No.of Water / No.of No.of / Data Wiring: Heaters KlW - Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs / No.of Motors Total HP/ TeleN comf unisaes Wiring:ns or Equivalent OTHER: y Attach additional detail if desired,or as required by the Inspector of Wires. 3 — - Estimated Value of Electrical Work: 22vx' (When required by municipal policy.) Work to Start: 3/)42.021 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 p 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: 611.%5 E g e.j y / LIC.NO.: 2 i er4 c( Licensee:_J j)�() F_fI,'f / _Signature giij6r LIC.NO.: 1O 331 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 7-91-ct53 b,Z 7 Address: -3 Cv►MDli 55 Ci f c l e .h.l A c' i+h /VIA- C 2-5 3 6 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)❑owner Downer's agent. Owner/Agent I PERMIT FEE:$ Signature Telephone No.