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Home My WebLink AboutBLDE-22-000545 . co t:411. Commonwealth of Official Use Only 4� Massachusetts Permit No. BLDE-22-000545 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) 45 CHANDLER GRAY RD Owner or Tenant MCFARLAND DOROTHY H Telephone No. Owner's Address 45 CHANDLER GRAY RD,WEST YARMOUTH, MA 02673 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: UYpgrade panel&grounding. 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. 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 Signs NQ.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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P p 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. 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 Telephone No. `PERMIT FEE: $50.00I ,��rEV C' t�w.4t. £''/Z/2t PA-14'73 — ��! i� ` Al(U1/452_, ?- E-1(9-6(-( J-R E C ' ` D Commonwealth oll;AmaxLab Otrcial Use Only ,;�_ cc�� pp Permit No. 's?jZ" 5 J U 1. r 2sparimeat o`.7ire. ervical Occupancy and Fee Checked : GARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING DEP:" MENT 6y - - ATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),327 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: VaitTlWfil 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) /5 Ghand ler 6- r6L)/ Rci Owner or Tenant 10 rob.*j IM C fa(16 ram-! Telephone No. Owner's Address i'S ci inci lf'r r rttj 12e1 WQSf tjcif ry oa 613 is this permit in conjunction with a building permit? Yes 0 No El (Check Appropriate Box) Purpose of Building Utility Authorisation o. Existing Service/00 Amps 40 / )Nv Volts Overhead El Undgrd No.of Meters j New Serving Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: pane/ on /riplaCerie .4 ncc,) 9rrvrk(S /�vrçr prof- Completion of thefollowinbtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CelL-Susp.(Paddle)Fans Tr or or Transformer KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingAbove 0 gr la- 'Pro.or emergency Lighting Pool arid. id. Batters►Units -1 No.of Receptacle Outlets No.of Oil Burners FiRE ALARMS No.of Zones vNo.of Switches No.of Gas BurnersN .of Detection and Initiating Devices d No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices ~ E No.of Waste Disposer Heat Pump Number Tons KW No.of Self-Contained v-i _ _ Totals: Deteetio&Mertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Con ecipti�on 0 oa r =r No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW 'No.of No.of Na of Devices or Equivalent Data Wlrin Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommankations Wiring No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. c 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 tf 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:) Q i certijit,under the pains and penalties of perjury,that the lnformadon on this application is true and completes -.‹ FIRM NAME: s 7a Ff. Kane, Clean C t',l,G LiC.NO.: 55 3 3' 8 J Licensees /rleiff fievt, ).(an a Signature .07,047?t✓ LIC.NO.: 553a 5 a H Of applicable,enter"exempt"in the license number lint) Bus.Tel.No.:17 V-995f-7c370 .� Address: 35 f trvard Si. s••yo,rrtn Yin r4 OZ{o 6`i Alt.Tel.Na: 'Per M.O.L.c. 147,s.37-61,security work requires Department of Public Safety"S"License: Lic.No. Z 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S