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Home My WebLink AboutBLDE-21-004578 Official Use Only '� Commonwealth of 1E ,t Massachusetts Permit No. BLDE-21-004578 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•2/12/2021 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) 45 MORNING DR Owner or Tenant HUGHES JAY H Telephone No. Owner's Address HUGHES RAYMA J, 20 MORGAN HOLLOW WAY, LANDENBERG, PA 19350 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, bath rooms, laundry room, &add lights in 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 I 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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MICHAEL P YOUNG Licensee: Michael P Young . Signature LIC.NO.: 37999 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 CAPES TRL,WEST BARNSTABLE MA 02668 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 I • • g Commonwaawi o/I///y�j aaeac�iue.iie Official Use Only la. '/ n Permit No. S at •parfinsni oi.}i,Y Serviced V1 f..' Occupancy and Fee Checked .�� BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT T � All work to be O PERFORM ELECTRICAL WORK performed in accordance with the Massachusetts Electrical Code(MEC),527 R 12.00 ' , (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: i U 1 City or Town of: YARMOUTH To the Inspector o Wires: By this application the undersigned fives notice of his or her intention to perform the electrical work described below. Location(Street&Number) f G,fj� A; r biz,.. J '1 Owner or Tenant � '��'` s /.,-'_ Telephone No. ./j`'� u oi to Owner's Address ✓,, ,i, / �r„ /t��- / � - 3G� Is this permit in conjunction with a building permit? Yes Jam'' No "' .:, Purpose of Building ❑ (Check Appropriate Box) Utility Authorization No. Existing Service /.5—Z+ Amps ,2. / ,x'V6 Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,,e_e ' /4 h 4 ,J 3 - �i y Completion of the followinKtable may be waived by the In,pector of Wires. No.of Recessed Luminaires No.of CeiL-Snap.(Paddle)Fans No.of Total No.of Luminaire Outlets Generators s KVA �, No.of Hot Tubs Generators KVA 1. No.of Luminaires Swimming Pool Above ❑ In- 1Vo.of Emergency Lighting k`l No.of Receptacle'Outlets end' grnd. ❑ Battery Units No.of 011 Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and t I.r No.of Ranges Initiating Devices No.of Air Cond. Tons No.of Alerting Devices Heat PumpTons No.of Waste Disposers Number Tons J.KW No.of Self-Contained Totals:I' f�` --]~-~--- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municip No.of D era Connection 0 Other ry Heating Appliances Kw Security Systems:* o.o a er o.o No.of Devices or Equivalent Heaters �' o.° Data Wiring: S s Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ors gg OTHER; No,of Devices or E aivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work toStart: men required by municipal policy.) 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 satne to the permit issuing office. CHECK ONE: INSURANCE p[ BoND 0 OTHER 0 (Specify:) / eh//'�J - 4'f/6'.,,t/Z, ;0(� I certify,under the pains and l FIRM NAME; fpe1lury,that the information on this application is true and complete. t '.-;r 6-r c i71/61,-4 . ,. IZ,I .�v t° Licensee: / ' i` Z t/r ,:,j LIC.NO.: r Signature ;r,.7 , ; ' �., (If appikable,ent "e t n the license number line.) - LIC.NO.: Address: �� is �� , , Bus.TeL No.t�7�- `4 ,aI/ 1�Jlfjn.S��r'1y /YL, ..__,_ram.._. If fa Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normal y1 required by law. By my signature below,I hereby waive this requirement I am the(check one) owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$