The URL can be used to link to this page

Home My WebLink AboutBLDE-21-003018 0 Commonwealth of Official Use Only Permit No. BLDE-21-003018 �, g Massachusettss 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:11/27/2020 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) 10 FAIRWOOD RD Owner or Tenant COTTER WINIFRED N Telephone No. Owner's Address 10 FAIRWOOD RD, SOUTH YARMOUTH, MA 02664 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: Wire kitchen remodel, add lights in bedrooms and living room. 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 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 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 Data Wiring: Heaters Siens 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:) 5'14,1.146:—36,10 ii-f(it I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MARK H CHASE Licensee: Mark H Chase Signature LIC.NO.: 8669 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:21 DRAKE ST,YARMOUTH PORT MA 026752204 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 k.064 511 7/24 14 Commons a l 4 Mamacitaduth Official Use Only • p• o Ar/ 2spartrn.at algins ServicedPermitNo. 6:73Z b"2.)- 30/YOccupancy and Fee Checked AI' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) •v $ 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: 11/ 5/46D-49 r: Cityor Town of: y42 d To the Insfor of Wires: r By this application the undersigned gives notice of his or her intention to perform the electrical work described below. \J Location(Street&Number) i4 N((LL000 a_ (Zcit \ Owner or Tenant u)'✓hI%€_ C tL - , _ Telephone No. (D 17—'ta—71'ZS- 4 Owner's Address 16 w° _ 120,§q-I .S Y '- -4 (1 yawl- Oa 4'(`1 jIs this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building /2.,a4.....-4.1"-t_ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters dNew Service Amps / Volts Overhead❑ Undgrd El No.of Meters .,S Number of Feeders and Ampadty c\ ts � / �A Location and Nature of Proposed Electrical Work: i/t�.e✓ A4+,,6Kt l_ Add ( 5 i 5-e ,t-mow r, ,c L Liv7 �v ` '[ Completion of thefolowingtable may be waived by the Iecfor of Wires. tb No.of Recessed Luminaires No.of Celt-Sump.(Paddle)Fans Transformers Total S' Ci No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- Pro.of Emergency LightingNo.of Luminaires Swimming Pool and_ Li grod. ❑ gaftery Units No.of Receptacle Outlets No.of Ola Burners FIRE ALARMS No.of Zones .` No.of Switches No.of Gas Burners "No.of Detection and Z Initiating Devices , 11 I No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Dlsposers Rest Pump Number otals: I Tops I KW -No.of cti Self-CoDevices ntained of Dishwashers Space/Area Heating KW ( Local 0 Co n�n 0 Other No.of Dryers Heating Appliances KW Securit * 1 of Devices:or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or nivalent _ No.Hydromassage Bathtubs No.of Motors TotalHP Telecommunications No.of of Devices or Equivalent OTHER: Attach additional detail if desirmI or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is tragi and complda FIRM NAME: 6Ki4r5E OLE-GM-LC Go- G- LIC.NO.: gf Lx p Licensee: t -iM- - li14 E Signature .- g G LIC.NO.:8Z6 A (If applicable. er"e pt"in the license man*line.) I Bus.Tel.No.: sig--3V---904 Address: f O [LI 61 S..4e04(S 47) o-2-4-co-1 l`( Alt.TeL No.: s -d-i5- t *Per M.G.L.c. 147,s.57-61,security work requires Defartment 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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$