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Home My WebLink AboutBLDE-21-004711 Commonwealth of Official Use Only 1—..X 70 Massachusetts Permit No. BLDE-21-004711 • 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:2/19/2021 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) 3 CHASE GARDEN LN Owner or Tenant Skip Eaton Owner's Address 3 CHASE GARDEN LN, YARMOUTH PORT, MA 02675-1570 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose (Check Appro • te Box)of Building Utility Authorization No. - Existing Service Amps Volts Overhead 0 Undgrd 0 '� .o of •New Service Amps Volts Overhead 0 Undgrd 0 � , + ��. • Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: Renovation to garage and area over garage. • , Completion of the following table may be waiv•: I, • ,• t No.of Recessed Luminaires 7 of Wires. No.of Ceil:Susp.(Paddle)Fans 1 No.of � C Transformers No.of Luminaire Outlets No.of Hot Tubs Generators K` . No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 2 Total Tons 2 No.of Alerting Devices 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: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to start: (When required by municipal policy.) 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 34454 Address: 14 TROUT BROOK RD, MASHPEE MA 026492063 Bus.Tel.No.: *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)) ❑ owner ❑ owner's agent.Owner/Agent Signature Telephone No. I PERMIT FEE: $100.00 I g4 Commonwealth 4//laeeachwatte Official Use Only yrt, .a .t `� f Ji 3 Permit No. i! spar nt o cn srvrese r;' Occupancy and Fee Checked r,..� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: ` --j0c)-f 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) ? C,4 e �ii-g / Owner or Tenant c/6j /T67 �l E 73 Telephone No. ( (j/y/ Owner's Address _S-4,er)e Is this permit in conjunction with a building permit? Yes El---No ❑ (Check Appropriate Box) Purpose of Building 64 z`e, ,1660a aae,- Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd No.of Meters New Service Amps / Volts Overhead E Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ", ��b - l e, ctt f �� ,fd am etion of the following table may be waived by the Inspector of Wires. : No.of Recessed Luminaires ', No.of Cell.-Sus . No.of asp p (Paddle)Fans Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires r Swimming Pool Above ❑ In- No.of 1 mergency Lighting grad. grnd. ❑ Battery Units No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS [No.of Zones No.of Switches i No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Total g No.of Air Cond.ATons , No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals' 1 Detention/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: L/j c9 j 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 same to the permit issuing office. CHECK ONE: INSURANCE ®---"'BOND ❑ 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: LIC.NO.: Signior (If applicable.enter"exempt"r e lic ei ber line.) LIC.NO.: Address: Bus.Tel.No.:<(U1 ,?/ 3' *Per M.G.L.c. 147,s.57-61,security work requires Department of Public SafetyS"License: Alt.Tel.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)❑ Owner/Agent Signature owner ❑owner's a_ent. Telephone No. PERMIT FEE:$