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Home My WebLink AboutBLDE-22-003048 Commonwealth of Official Use Only IfE Massachusetts Permit No. BLDE-22-003048 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:11/24/2021 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) 22 CAMPION RD Owner or Tenant VERMETTE RICHARD R Telephone No. Owner's Address VERMETTE KIM B, 22 CAMPION RD,YARMOUTH PORT, MA 02675-1560 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: Upgrade panel&remodel kitchen. 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. Tons Tot No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices Space/Area HeatingKW Local ❑ Municipal ❑ Other: No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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.) y' 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. Q^ ,�-� CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) �e 7j7 q- l I certify,under the pains and penalties of perjuiy,that the information on this application is true and complete. FIRM NAME: Ray W Bombardier LIC.NO.: 33621 Licensee: Ray W Bombardier Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N Address: PO BOX 2443, MASHPEE MA 026498443 *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 'PERMIT FEE: $50.00 I Signature Telephone No. \1 .. 9 1 28 k OV �cast _ �o/ '/adeac`uioe� Official Use Only ommottwea Att c� 3 t l;i-C = 11'j epartmenf of'.tire�eruicei Permit No. t f Occupancy and Fee Checked - . BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07} (leave blank) o APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK o All work to be performed in accordance with the Massachusetts Electrical Code(MEC),Ill 527 CMR12.00 (PLEASE PRINT IN INK OR TYP ALL INFORMATI N) Date: I) la-1 d City or Town of: 'A-0-jVt.0'` To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ls' Location(Street&Number) Map Parcel# Owner or Tenant (1l C iC- V&r'- i-ram Telephone No.f ?7 2 c t{ Le o-Zg I Al Owner's Address ro..a- cfrinA-r(0,4 (Al Q%.74 Is this permit in conjunction with a building permit? Yes —No ❑ (Check Appropriate Box) Purpose of Building jL l-I-�.N t;p) (Z-€w o J(2 t Utility Authorization No. 1ExisService/00 Amps /a-0 / adf nVolts Overhead ❑ Undgrd El No.of Meters / ting New Service Amps / Volts0 Overhead 0 Undgrd 0 No.of Meters J Number of Feeders and Ampacity 3 ( 0 i Location and Nature of Proposed Electrical Work: i T CN e-i‘D R e wt 0 vp.a_l t (2 .P(./4-Gt n pe Jtctj5, 0 t)I r) C o e- 1 i,)al R pet;.( ►aNet—5 ,P 5 N•_-eare c) teePl.&c.tN) Mu41N PA-n 4 't (VI+A Vt IZVA, i~oA.N e..." CA 2C 0(..r5 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No ranf TVal 3 Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.at Emergency Lighting grad. ❑ grad. ❑ 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained - Totals: Detection/ w Devices No.of Dishwashers Space/Area Heating KW Local❑ Mnnionnectiodero n 0 1 C No.of Dryers Heating Appliances KW 'hecurity Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters SignsBallasts No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommumlcations Wiring: } No.of Devices or Equivalent OTHER: �^ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E ectri 1 Work: 7,C'(2(2 (When required by municipal policy.) Work to Start: // Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and cotnple. FIRM NAME:t' A Oia 9! -Q ocrl_c.v..C %u i 640 LIC.NO.:1::--3 302 G i Licensee: ) 1(4 ( - 2 Signature/41,,c A-w 1 LIC.NO.: of applicable,enter"exempt"in die license number line.) Bus.Tel.No..;6t 1 l( lY( Address: '• %,,,,►fASL.`V t/•Y W Al f i,,f ',t+{i l' i 0114 O.),.t,,1I j Att.TelNo.:a ct 4,114f r . *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 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/Agent I PERMIT FEE:$ 6-0 Signature Telephone Na. IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed by the FD having jurisdiction: