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Home My WebLink AboutBLDE-22-007197 p4 Commonwealth of Official Use Only Ev, N.) Massachusetts Permit No. BLDE-22-007197 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:6/14/2022 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) 6 GEORGETOWN LANDING Owner or Tenant Patrick Dunn Telephone No. Owner's Address 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: Rewire kitchen receptacles. 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. Total No.of Alerting Devices Tons 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 ❑ 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 Signs 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Timothy M Cayton Licensee: Timothy M Layton Signature LIC.NO.: 28200 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:251 DAVIS RD,WESTPORT MA 027903439 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 k i // ern.61_4 l RECEIVED i cifitaria /rl AA�� JUN 13 2022. „,,4 CommontvoatUt o` a 4Ls 4J G DEPAR PA R �` (/ I' Official Use Only Ci -ai . �c7 _ �_ o. X22-7( _:" (I-_J elvarfhunE o Jiro .ewicee BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ `—� Rev. 1/07) !cavo blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC), R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMOUTH Date: By this application the undersigned gives notice of hention to perform the electriTo the tcal work described Location(Street&Number) .�04.4/► below. Owner or Tenant i6j/I r G�i1 if Owner's Address • `, Telephone No. .rii _ Ga Gtj a v Is this permit In conjunction with a building permit? Yes g. No Purpose of Building ❑ (Check Appropriate Box) rzS i n N Utility Authorization No. Existing Service Amps p __ Volts Overhead❑ Undgrd iii; New S_e_rvi�e g ❑ No.of Meters Amps _/ Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty t Location and Nature of Proposed Electrical Work: ,>, n GA IV I- — 1 - ' r, .4.- k._A� .rlr 0 ��d �fW Coma letion o the ollowin: table m be waived b the Ins,ector o Wires. No.of Recessed Luminaires .,LiiNo.of Ceil.-Beall.(Paddle)Fans °•o ota '�t No.of Luminaire Outlets Transformers KVA Z No.of Hot Tubs Generators KVA' No.of Luminaires , Swimming Pool rnd e ❑ n- 'o.o mergency g n No.of Receptacle Outlets ' nd• 0 Bette Units g No.of Oil Burners lanNo.of Switches ' ' No.of Zones No.of Gas Burners `o.o r etec on an t No.of Ranges Initiatin, Devices No.of Air Cond. ota Tons No.of Alerting Devices 'eat 'ump `um er ons Totals: '' `o.o e opt: ne• No.of Waste Disposers No.of Dishwashers No. Devices Space/Area Heating KW Local 'un c pa No.of Dryers Heating Appliances ecu ty Cystems:ion ❑ Other KW No.of ystems; `o.o Heaters KW °•o .° o Devices or E,uivalent Sins Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E•uivalent No.of Motors Total HP a ecommun ca•ons " r ng: OTHER: No.of Devices or E•uivalent Attach additional detail ifdeslred,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: p`L (When required by municipal policy.) SURANCE OV Inspections to be requested in accordance with MEC Rule 10,and upon completion. G : 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 Taw is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEND 0 OTHER cify:) I certfy,under tains and penalties of pe it that the information on this application is true and complete. FIRM NAME: " 7 or?j t. LI _ ,744 Licensee: G 111121 c r LIC.NO.:�� (Ifapplicable.enter"exempt"in the license num e'i r line.) Signature �� Address: LIC.NO.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License; Bus.Tel.No.• �� Alt.Tel.No.: OWNERS INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. BymysignatureLic.No. .--- OWNER'S below,I hereby waive this requirement. I am the(check one • owner ■ owner's a ent. Signature Telephone No. PERMIT FEE: S'O'rCKi O) /)f 47;ofr