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Home My WebLink AboutBLDE-21-007045 Commonwealth of Official Use Only 0Massachusetts Permit No. BLDE-21-007045 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:6/7/2021 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) 26 WHIPPOORWILL LN Owner or Tenant HALL JEFFREY S Telephone No. Owner's Address HALL DIANE M GERAGHTY, 72 HIGHBANK RD, FRANKLIN, MA 02038 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&laundry. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 13 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating 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 Space/Area Heating KW Local ❑ Municipal 0 Other: 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 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 ofperjury,that the information on this application is true and complete. FIRM NAME: BRIAN A SMITH Licensee: Brian A Smith Signature LIC.NO.: 24307 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:20 GELDING CIR, BARNSTABLE MA 026301503 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: $75.00 PO'LY-0-0- q.(12-171C 7/z-c' i 1C- (Ptlikike., Ark rail 6 i t r3 Gr-e0 • - C,„;, nuJ..liz oI Y/1a33ac et& - -Oficial Use Only . `===cif+= r c� n s, PermitNo_ . t_; ..Uepdrfinent o e ervices %.,==-111–______------ 1- + r • Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS - v_U07J lleaveblank) • • APPLICATION FOR PERMIT TO-PERFORM ELECTRICAL WORK . A.11 work to be performed hi accordance with the Ma ae�„4++sc Electrical Code ,527 1200 (PLEA$EPRINT ININIKOR 111P .ATr INFORM NJ• � DaIO • te: ‘;:: .? G7Z.?,,r/ • -City or Town of • ` . . To.fhe.Inspecto of Wires: By this application the undersign gives notice of his or her intention to pedomi the electrical work described below. Location(Street&Number) a • J ,,,„,,/"/, //(, .� //G' Owner or Tenant .Tecipey. 'kite• . '/r Y Telephone No. - .Owner's Address 4.47•11.f. • • • • Is this permit in conjunction with a building permit?. Yes i'No [II (Check Appropriate Box) ' •- • Purpose ofBuilding /�!G'44t, - - • -- - - -. Utility Antkorization No. - 10 •Eng Service /eV Amps �,d / >yi Volts . -Overhead 0 - Undgrd❑ No.of Meters •New'Service •Amps / • Volts Overhead 0 Undgrd❑ • No.of Meters • .Number of Feeders and Ampacity. • • Location and Nature of Proposed Electrical Work: L&)/e//Nf 22497,1741.,C. /�J�. . J . %l Y :if /,e>/ e02) Completion o The following table may be waived by the Inspector ofWoes. No.of Recessed Lmm;na*res /3 No.of Cert-Snsp.(Paddle)Fans • Na of • Total . ._ Transformers . EVA. No.of Luminaire Outlets. No.of Hot Tubs - • Generators KVA - No..of.Lumuhaires.__ Poo Above In N o.of L+mergeacy i�igirtimg � ---. .��- .-- Battery II3tiLs• _ No.of Receptacle Outlets .' L • No.of Oil Burners • • -FIRE ALARMS No.of Zones No.of Switches • • No.of Gas Burners No:of Detec#inn and Initia�ugDevices' . . t • ' • No.of Ranges No.of Air Cond. Tons No.of Aler6mgDevices • No.of Waste Disposers• Heat�P Number Tons KW No.of Self-Contained Totals: •Detecfion/Alertnug Devices No.of Dishwashers / Space/Area Heating KWLocal0 CA�n El Othe. • . • • No.of Dryers Heating.Appliances KW • -Security§aLems.* Equi • • No.ofhes or vai�nt No.of Water Hearers KWNo.-of No.of •Data Wiring: ' • Signs Ballasts No.of Devices or Egniivalent • • No.Hydromassage Bathtubs No.of Motors • Total HP Telecon?mmairalions R' aTHF�R. No.of Device's or Equivalent •• _ • Q • .Attach additional detail¢wed or as revered by the Inspertorofdues • -V • Estimated Value of Electrical-Work (When required by mrmicipat policy.) Work to Starr • Inspections to be•requested in accordance with MEC Rule 10,and upon completion. N INSi3RANCE COVERAGE: Unless waived by the owner,no Permit for the performance of electrical work may issue unless . the licensee provides proof of liability insurance incIvding"completed erafion" undersigned des that such cove is im force,and has exhibited substantial equivalent. op coverage or its The _ proofof same to The perm issuing office. '. . .- CBECK.ONE:ANSURANCE $OND ❑ - OrEEK I❑ (Specify;) I certify,under they ' and ena fpm, the information on this , .,:,:n is true and Mete • FIRM NAME: •_ ref� v . M��7 / . "97) .------."------ LIC.NO.:p7ZW . Licensee: �'��r7�F • S�.� . (Ifapplicable,enter".• ..t" • license - NO.: • • - nrmrber line , � Aon' Bus.Tel.No.:yt`D�•- 77/5 `77 Address: ,/t I,Ar G=�,1, *Per M.G.L.c.147,s.57-61,security work requires Department ofPublie S Ah-Tel.NO.: • OWNER'S INSURANCE �S'"S"License: Lit.No. WAIVER: I am aware.that the Licensee does not have the liability insurance coverage normally re9.�ed by law. By my signature below,I hereby waivevites •Owner/Agent requirement. I am the(check one)(]owner ❑owner's agent Signature• •Telephone No. I pE:kill:IT :$