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HomeMy WebLinkAboutBLDE-22-001844 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001844 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:10/1/2021 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) 14 FOX HOLLOW WAY Owner or Tenant KITTILA RAYMOND 0 Telephone No. Owner's Address 14 FOX HOLLOW WAY, 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: Retrofit troffers, in basement,to LED lights 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 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 Eauivalent 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: WILLIAM W GREER Licensee: William W Greer Signature LIC.NO.: 19867 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:275 OCEAN ST, HYANNIS MA 026014740 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 O� 0(,572/ 114 Commonwtat o/niamachtutsild Official Use Only '� `/ c�r� 1 t c7 Permit No� --- l 4_4 , e;• 2epartmanL o`.. ire Strviced O % r Occupancy and Fee Checked Q 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 EC).527 CMR 12.00 ' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: v Cityor Town of: � 30 ��� YARMOUTH To the Inspector of Wires Irc k C E IV E D - By this application the undersigned gives notice of his or her intention to perform the electrical work desc ibe�e ow. t Location(Street&Number) r l f F02( 1-1 t}iid,.,; (,,o w-1 SEP 3 0 2021 yOwner or Tenant Kw „�0,1,Q (c t{ tti- Telephone No.. L Owner's Address Sc1/4.'.W Rini WING DEPARTMENT Is this permit in conjunction with a building permit? Yes 0 No [. (Check Approptlife--Rax)---- -- 1 Purpose of Building ne„....)NI t t'+,^, Util ty Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: A y't r c, r-;t Q...4-4�? '. S,t, N ` tc 1r© laY_S i ' �rt.w,4ti.1 too . ' ria �- (_Et"3 I 'Lc t...vi-' Completion of the following table may be waived by the I for of Wires. iii No.of Recessed Luminaires No.of Ceil.-Sasp.(Paddle)Fans Transformersf �l (I KVA _ 471.CA. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Pool Above In- No.of Emergency Lighting Swimming and. ❑ and, ❑ Battery Units _ :j No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and v. Initiating Devices i I! No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons KW -No.of Self-Contained Totals: —`�— Tons Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 CoMnicljnnectial on 0 Other Co No.of Dryers Heating Appliances KW Security No. f Devices or Equivalent _ No.of Water KW No.of No.of Data Wiring: s Ballasts No.of Haters SyDevices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications iris No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o Electrical Work: (When required by municipal policy.) Work to Start: 7 . d Lo ),( 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 ft BOND ❑ OTHER 0 (Specify:) I certify,under the painfsiiand penalties of perjury,that the information on this application is true and complete. FIRM NAME: k) t i l i ec+1A ( %l L t'- L(,t c.lc,r:c`,u,,,N LIC.NO.:p 19 s'6.7 Licensee: (,J ". u,vt. a.,..%a e"' Signature (..,‘/,,W.44,_• , A4.4._ LIC.NO.: (ifapplicable.enter"exempt"in the license number line.) dBus.Tel.No.:S10 q .2 o Gc ç'& Address: V....1'S- 45 C Q cLv. 51.-.. ff ct�I 5 ®1�b t Tel.No *Per M.G.L.c. 147,s.57-61,security work requires Departmentet.4t 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)0 owner 0 owner's agent. Owner/AgentI Signature Telephone No. I PERMIT FEE:$