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Home My WebLink AboutBLDE-21-007341 1r Commonwealth of Massachusetts Official Use Only Permit No. BLDE-21-007341 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:6/17/2021 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) 41 COTTAGE DR Owner or Tenant KOHNFELDER DANIEL A TRS Telephone No. Owner's Address KOHNFELDER MARGARET P TRS,41 COTTAGE DR,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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of garage(Work done in May 2021) Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices al Munici No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other: Heatin A liances KW Security Systems:* No.of Dryers g pp No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts 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.) 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: Mark L Avery LIC.NO. 13272 Licensee: Mark L Avery Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:77 AGNES RD,SOUTH DENNIS MA 026602814 *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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $250.00 I Signature Telephone No. 47 17 t7 7,4-- i;, 1 ° Commonwealth o f MasdacLetto Official Use Only i _ i_ cx l Permit No. �( 0, i p epartm,eni ol ire erviced 1 c----_se l Occupancy and Fee Checked ,,, , , �'., � i'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: June 16,2021 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)41 Cottage Dr,W.Yarmouth MA 02673 Owner or Tenant Daniel Kohnfelder Telephone No. 413-218-0272 Owner's Address 41 Cottage Dr,W.Yarmouth MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No ❑■ (Check Appropriate Box) Purpose of Building Single Family Residence Utility Authorization No. Existing Service 100 Amps 120 / 240 Volts Overhead❑ Undgrd❑ No.of Meters 1 b ,.j New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters t Number of Feeders and Ampacity U Location and Nature of Proposed Electrical Work: Wiring of detached garage S note:work was done by others in May without a permit. Will remove all devices and fixtures for rough inspection and re-install for a final. Completion of the following_table may be waived by the Inspector of Wires. q No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf T Transformers KVA cZ. No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ ❑ 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. Total No.of Alerting Devices Q Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices V No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other ?, COnnection HeatingAppliancesSecurity Systems:* No.of Dryers PP KW No.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP - Telecommunications Wiring: No.of Devices or Equivalent OTHER: -I 1/44 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) E. Work to Start:May 2021 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Mark L.Avery LIC.NO.: Licensee: Mark L.Avery Signature . LIC.NO.:13272 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:508-896-8890 Address: 77 Agnes Road,S.Dennis MA 02660 Alt.Tel.No.:774-994-0626 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. SS-002294 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: $250.00