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HomeMy WebLinkAboutBLDE-22-003148 �.%• Commonwealth of Official Use Only � �� Massachusetts Permit No. BLDE-22-003148 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:12/2/2021 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) 24 KATES PATH VILLAGE Owner or Tenant Roger Deromedi Telephone No. Owner's Address 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: Kitchen renovations 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 0 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 Initiatine 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 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. '/' �� �1�� CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) f" 1 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Matthew P Dennen Licensee: Matthew P Dennen Signature LIC.NO.: 21609 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 88, BUZZARDS BAY MA 025320088 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: $75.00 Qs-u Ce_4A- /7113jv i .,, (9 ertairk ig-oX a. Mai t-el-`cr- " 61.4) 'FI'lL1340 ci,r ,_%-.7-- 6(,--21,7_,rz ckb Az 471,-0/046a1-0 .I Si 2 /13/772✓ 0 Com-menu/ea&o f Maddachudettd Official Use Only CI 1 I in= Permit No. Liu „ r1�= eparlmenl o/3ire Serviced CV e 1` Occupancy and Fee Checked o c N; BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07]• � CV,.� Lij '' - ! • PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK e 1 v All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12,00 L ! , ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12/1/21 Lft J T Cityor Town of: YARMOUTH mTo the Inspector of Wires: is application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 24 Kate's Path Owner or Tenant Roger Deromedi Telephone No, Owner's Address 24 Kate's Path Is this permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) Purpose of Building Residential Home Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead n Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of lights,plugs,outlets for kitchen renovation 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 Above El ❑ No.of Emergency Lighting No.of Luminaires Swimming Pool grad. grad. 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 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons Icy_ No.of Self-Contained Totals: "" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Co nnectio niection 0 Other, ' Co No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Datao.of Vices 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: 2,500.00 (When11/28/21 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 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 placation is true and complete. FIRM NAME: Commercial Electrical Solutions Inc. LIC.NO.: 21609-A Licensee: Matthew Dennen Signature 1G LIC.NO,: 12687-B (If applicable,enter"exempt"in the license number line.) �� Bus.Tel.No.; 508-388-6169 Address: P.O. Box 88 Buzzards Bay, MA 02532 T*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 75.00 wendy@cesinc.biz