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Home My WebLink AboutBLDE-21-006823 Commonwealth of Official Use Only Permit No. BLDE-21-006823 E Massachusetts 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:5/24/2021 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 electncal work described below. Location(Street&Number) 379 WEIR RD Owner or Tenant KARRAS STEVEN J TRS Telephone No. Owner's Address KARRAS CHERYL A TRS,379 WEIR RD,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check App 'ate Be Purpose of Building Utility Authorization No. /,�J /� Existing Service Amps Volts Overhead 0 Undgrd 0 o.of i New Service Amps Volts Overhead 0 Undgrd 0 -,k11:111; JitNumber of Feeders and Ampacity Iiti/j Location and Nature of Proposed Electrical Work: Remodel kitchen, 1st floor bathroom, &new 2nd floor bath •' ,. +�� 8b Completion of the following table may be waive, i 7,- . of Wires. No.of Recessed Luminaires 22 No.of Ceil:Susp.(Paddle)Fans No.of ' dT Transformers i No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 14 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 11 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 ❑ 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: Daniel 0 Wilkey Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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: $150.00 40467 l.oniaioXw pa o/711063adttfoldid Official Use Only ', B' �r �spaabnait o�...7-ire Serviced No. L Z- R23 • 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 T PE ALL INFORMATION) Date: MA/`J I Qt City or Town of: TIfo U+k To the Inspe for of Wires: By this application the undersigned gives notice of his or herr intention to perform the electrical1_ work described below. Location(Street&Number)37 9 tc c`1tl. Av(�10 U'�l1pOS"r Owner or Tenant r� EC\ �qVC %S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes �:/ No ❑ (Check Appropriate Box) Purpose of Building On E 1"AfT1 t\y r�,1,{0 )f.,\( \� Utility Authorization No. Existing Service 11bb 1D Amps /04Volts Overhead 21 Undgrd 0 No.of Meters I New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity (7.1. Location and Nature of Proposed Electrical Work: . o : ,V.• • m 11 %. > LIA sr rl. ` hYOot t, w\c‘ Aim) 0 k di ` Completion of the following table may be waived by the Inspector of Wires. O No.of Recessed Luminaires a No.of Ceil-Susp.(Paddle)Fans No.of Total 0 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting _ g grnd. grnd. Units No.of Receptacle Outlets /q No.of Oil Burners FIRE ALARMS No.of Zones N nd No.of Switches ) ' No.of Gas Burners No.nib�atiing Deviceson No.of Ranges ' No.of Air Cond. Totall No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW Local❑ Coenicil)on ❑ Other Secu ' Systems:* c....1No.of Dryers / Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Cif Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: 0 No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent CC. OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: I a..06p,°O (When required by municipal policy.) Work to Start:PW 1fi i Ol 202.1 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 (l. BOND 0 OTHER 0 (Specify:) 1 certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: / // LIC.NO.: Licensee: All l til it! Signatu Ar�`� LIC.NO.:319101,03 E. (/f applica enter' empt"inff h ice�► e umber line.) Bus.Tel.No: �/ / Address: .d. (e M `C1lJt G1Qf��I M�. Alt.Tel.No.: �/cLLJtG� *Per M.G.L.c.147,s.57-61,security work requireDepartment 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 ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ . ,.- -. ..+ r :-