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Home My WebLink AboutBLDE-21-006849 Alik) Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006849 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:5/25/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm 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 100 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: New feeder to detached garage. 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. 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW 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: 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 ❑ (Specify:) I certify,under the pains and penalties ofperjuty,that the information on this application is true and complete. FIRM NAME: MARK L AVERY Licensee: Mark L Avery Signature LIC.NO.: 13272 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:77 AGNES RD, SOUTH DENNIS MA 026602814 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 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: $100.00 Ft". 0a -11 eg C rtr 2EI . 9( / z = Commonwealth.o/Madaachuaetfa Official Use Only Permit No. t,-/-s ` o S LQ 9''_ i= t--0 2epartment° irs�eruiced Occupancy and Fee Checked .- _- 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: May 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)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 0 (Check Appropriate Box) Purpose of Building Single Family Residence Utility Authorization No. 0 Existing Service 100 Amps 120 / 240 Volts Overhead ❑ Undgrd g ❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters C) Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New feeder to detached garage disconnect. T (the garage is being done by others)\Two inspections one for the trench and one final. i QJ 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 V No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Above In- No.of Emergency Lighting Swimming Pool rnd. ❑ ❑ g y g g g grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Ranges No.of Gas Burners No.of Detection and Initiating Devices No.of Air Cond. Total J Tons 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 ❑ Other No.of Dryers Heating Appliances Kam, Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of J Heaters KWData Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER:E. 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:5/24/2021 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 El 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 Licensee: Mark L.Avery LIC.NO.: Signature..=-�-2 LIC.NO.: 13272 (If applicable,enter "exempt"in the license number line.) Address: 77 Agnes Road,S.Dennis MA 02660 Bus.Tel.No.:508-896-8890 Alt. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: L c.No 77SS 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 a_•ent. Owner/Agent Signature Telephone No. PERMIT FEE: $100.00