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Home My WebLink AboutBLDE-22-001587 00 Commonwealth of Official Use Only E., Massachusetts Permit No. BLDE-22-001587 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:9/20/2021 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) 79 CURVE HILL RD Owner or Tenant LAPTEWICZ WALTER J JR Telephone No. Owner's Address LAPTEWICZ NANCY E, 34 BROOK LN MEADOWBROOK VLG, BERLIN, MA 01503 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 ❑ 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: Repairs to underground service. 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 Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. 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 Initiatine Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Ballasts Data Wiring: Heaters Siens 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: RAYMOND E LAFLEUR Licensee: Raymond E Lafleur Signature LIC.NO.: 16814 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:355 Old Jail Ln,PO BOX 253,Barnstable MA 026301426 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: $50.00 ' ,,,, /� n OIlicial Use Only (.omnwnamma of Marmac s� 1 -_-_:::r_==,,/ c� Permit \o. E--..z-z..- (7 ..Usparlmant o/_tin Serv>cs4 M ,� ° Occupancy and Fee Checked ,. visBOARD OF FIRE PREVENTION REGULATIONS 'Rev. 107 (Ieivc blank)� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code(N1k('). 527 CMR 12.00 (PI,L'.IS1;PRINT LV INK OR T)7'li ALL INl•'l)R%IATIO,V Date: City or Town of: SOU Rt r lootk To the Itavec/or of if'ires: By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below. Location (Street & Number) 1 41 C Ug..V . 141(1 R b \lap Parcel it )caner or Tenant W Mie R j.,, A 0'eu is Z _ Telephone No. co.1?..1".2Y0-6g3o �eCe�' ,a )wner's Address .. ei? S �S � i s this permit in conjunction with a building permit? Yes I No I 4 (Check Appropriate Box) g o • N i I 'purpose of Building Utility Authorization No. • O Ili ! C\2 2 .xisting Service 100 Amps 120 /240 Volts Overhead L__) l ndgrd �� r No.of Meters 1 01 a'W Z Hew Service Amps I Volts Overhead r I l:ndgrd No. of Meters _ __ I t� -9 !Number of Feeders and Ampacity W m m .ocation and Nature of Proposed Electrical Work: P•ef t Ace, L7roke01) (i1Jaer C�Y.dt3/�� 52 ,. V Completion tit the to/hnriii table hitt he waived ht'the Inspector o(11"ur,'c No.of Recessed I.uminaires No.of(.'cif.-Susp.(Paddle) Fans No. s f Total Transformers K\'rA No.of Luminaire Outlets No.of Hot Tubs Generators K\'rA Above 1—i In- ❑ No. of Emergency Lighting No. of Luminaires Swimming Pool grnd. grnd. Battery Units , _ No.of Receptacle Outlets No.of Oil Burners FIRE ;ALAR!\9S No.of Zones No. of Detection and No.of Switches No. of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tota)Pons 'No.of Alerting Devices Heat Pump Number Tons KW No. of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices , No.of Dishwashers Space/Area I!eatin g K\1' Local 'Municipal 1 1, n Connection 17-1 Other Security.'vctems:* No.of Dryers Ilcating Appliances k\\' No,of 1)w ices or Equivalent 'Vo.of WaterK\\' No.of No. of Data Wiring: heaters Signs . Ballasts No.of Devices or Equivalent No. flydrornassage Bathtubs No.of Motors Total I11' Telecommunications\Viring: No.of Devices or Equivalent OTHER: .I t/oc'h uckhnunal der,-ii/i/desired. or to required htthe Inspec-tor of 1t ire., Estimated Value of'Electrical Work: (When required by municipal policy.) \\'ork to Start: Inspections to he requested in accordance with ME(' 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. ('IHE('K ONE: INSURANCE ai BOND ❑ OTlIFR ❑ (Specify:) I certiji',under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: R & S LaFleur LLc _~ LIC. NO.: 16814A Licensee: Raymond LaFleur Signature .� �� /, . ).• 15675E tifopp/icab/e, enter -exempt-in the license number lose I Bus.Tel. No.: (508)775-6814 / _ Address: _ Alt.Tel. No.: *Per M.(; I . c. 147, s. 57-61,security work requires Department of Public Safety S" license: Lie. No. OWNER'S INSI RANO F: \VAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally required by law. By my signature below. I hereby waive this requirement. I am the(cheek one)❑ owner ❑owner's agent. Owner/Agent Signature 'Telephone No. l PERM11.FEE: S • IMPORTANT: A separate permit is required for the installation of smoke detectors. Fire Alarm inspections are performed by the FD having jurisdiction