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Home My WebLink AboutBLDE-22-000546 Commonwealth of Official Use Only r , Massachusetts Permit No. BLDE-22-000546 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:7/30/2021 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) 26 CAPT WEILER RD Owner or Tenant DANFORTH RUTH A Telephone No. Owner's Address DANFORTH ROBERT C,26 CAPT WEILER 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC, receptacle for water heater,&split NC. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 2 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 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 unde[signed 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: Licensee: Matthew Kane Signature LIC.NO.: 55328 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:35 Harvard Street, South Yarmouth Ma 02664 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 j/ f/ Telephone No. PERMIT FEE: $50.00 �y I A'rvAL /v//l 61 hi boil C*/slcr 6:-: •— Sw*P w� I dor 7 SC) /�/07:-1. vL E c. C4.J �t?t%/z�JI+I Ali u)14 v' c.. too.2-- 2 (-( ® Comnanwea/A 4 amac Official Use Only _ Permit No. C✓'Z�—c5 2e ,� gl~s.,��., ,_ partnre o Occupancy and Fee Checked JUL "'' : OARD OF FIRE PREVENTION REGULATIONS [Rev. 1 1/07] (leave blank) BUILDING DEPa � t ATION FOR PERMIT TO PERFORM ELECTRICAL WORK ey_ 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: 7�a sc 14 I • City or Town of: t' &tC MOOi-te‘. 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) a G Ccp- t`,rt (4.)e l k e( 0 . SO. yc,,r rn t,.,i-i, Owner or Tenant c rr�ro t~1 ' Telephone No. Owner's Address t2.(, (''pkct.e 1,0e�ket- isa Is this permit In conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorisation No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Servile Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity _1 Location and Nature of Proposed Electrical Work: Rep(ice',r,e!'d7 f v,iG / cr Hoo Ham.tcr/ fnlni -SfIH- Ac Completion of thefollowtnatab!e may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans or Total Transformers KVA , No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmingpool Abarnd.ove [a- Loiter Rmer Lighting 0 grnd. ❑ Batten Unitsgency No.of Receptacle Outlets No.of Oil Burners FiRE ALARMS IN..of Zones Na of Detection and — No.of Switches No.of Cu Burners initlatlnt Devices ZNo.of Ranges No.of Air Cond. $ I Toni No.of Alerting Devices Heat Pump Number Tons KW Na of Sell-Contained No.of Waste Disposers Totab:_ i Detectio&Alerdn``Devices Mal s No.of Dishwashers Space/Area Heating KW Local 0 Connection ❑ Other - k No.of Dryers Heating pp Appliances KW m Security Spstes:" No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts Nflio.of Devices or Equivalent No.Hydromassage!Bathtubs No.of Motors Total HP l eiecommenkations Airing:No.of Devices or Equivalent OTHER: 'Y' 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 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 it 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 ❑ (Specify:) Q i certi/y,under the pains and penalties of perjury,that the Information on this application Is true and complete: -.4 FiRM NAME: f944+ Kane Elec "T it Lit.- LIC.NO.: 553ak S i Licenser: frkii gone- Signature I7 c..---- LIC.NO.:55 Zak y t�' ),„) (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 35 fiat facd S c�cr irte�f t S Sc,c mvAN o 't Alf 09-664" Alt.Tel.No.: 'Per M.O.L.c. 141,s.57.61,security work requires Department of Public Safety"3"License: Lic.No. ZOWNER'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 Signature Telephone No. PERMIT FEE: S 3'b--