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Home My WebLink AboutBLDE-21-003497 ,`l Commonwealth of Official Use Only 'tL Massachusetts Permit No. BLDE-21-003497 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:12/19/2020 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) 6 SOUTH WEST DR Owner or Tenant HILL LIZETTE Telephone No. Owner's Address HILL CHRISTOPHER,26 SHAWMUT AVENUE EXT,WAYLAND, MA 01778-4814 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: R&F for 2nd floor addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 6 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Batter,Units No.of Receptacle Outlets 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total 2 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC.NO.: 34454 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 TROUT BROOK RD, MASHPEE MA 026492063 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 , No PaV � �/` `� PERMIT FEE:$100.00 /06 ____, g4 CommonwsaLth al/flaoeachues l OffiThcialii Use Only, ''-.....'t Permit No. Z'. '— 3 L-r-irst Usvartmsnl ol}irs J7svrese:r F.• I i ;' 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: /01-1/- City /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) s _� iI �� ,r Owner or Tenant CA�/S %2� � —`1/ Telephone No. '2 Owner's Address _S— Is this permit in conjunction with a building permit? Yes [z....„-No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts, Overhead❑ Undgrd E No.of Meters New Service Amps / Volts Overhead E Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature ofrPrrooposed Electrical Work: /l. ¢ C .. , :� �" Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires :2, No.of Ceil.-Snsp.(Paddle)Fans Tof Tot Traa onK sformers VA No.of Luminaire Outlets No.of-lit/Tubs Generators KVA No.of Luminaires ' Swimming Pool Above ❑ In-d.L . No.of Emergency Lighting grnd. graBattery Units No.of Receptacle Outlets c No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches / Na.of Gas Burners 'No.of Detection and C� Initiating Devices No.of Ranges No.of Air Cond. / TonsTotal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ other, Connection No.of Dryers / Heating Appliances KW Security Systems:* No.of 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: 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: 42-—/0--a) 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•s in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: .e.://z( Licensee: �/l4//41-7,71-6Signatur LIC.NO.:3Vy yb"" y— (If applicable, te-r7"''�xe t l the/i ease mber line.) �j_ Bus.Tel.No.: e`,v-[ �os Address: '/ ✓ ? ,r f.9€e/�- �e' Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires D partrnent of Public Safety"S"License: Alt.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 0 owner's agent. Owner/Agentl Signature Telephone No. I PERMIT FEE:$