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HomeMy WebLinkAboutBLDE-23-001097 ttu tO Commonwealth of Official Use Only ,t111 Massachusetts Permit No. BLDE-23-001097 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:8/30/2022 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) 62 HOMESTEAD LN Owner or Tenant SAWYER BRADLEY C Telephone No. Owner's Address SAWYER DIANA A, 62 HOMESTEAD LN, YARMOUTH PORT, MA 02675-1221 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: Remodel basement area. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 1 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 13 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 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 3 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 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.CHECK ONE: INSURANCE ❑ BOND 0 OTHER ❑ (Specify:) `,�7 /'I 1 e 3c' / I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Robert R Chaves Licensee: Robert R Chaves Signature LIC.NO.: 50560 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 MOUNT VERNON TER, LAWRENCE MA 018431914 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 Lc/ /LL etv9iL C./SC£Z/SE t..o►nn o,uuaafth oil Masseaclutiatis Official Use Only • :_'� c� c7 Permit No.1 J a_ a 2apartman#o�_tire�sruices 2, -1 C 97 `1- -�� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 �?��ry .1 (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 0 z PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date: a a a0;9(9, w City or Town of: I a_rt.�•o.)�nRa To the In pc 'tor of Wires: W �N { cv I- y this application the undersigned gives notice of his or her intention to perform the electrical work described below. 1 N cii a ocation(Street&Number) 6 J. t1 to t�.. \¢ 0.c v k. reMW � 0 wner or Tenant N1r>- Telephone No. V QGD Z SN wner's Address c&. .Q ;�d 0 thispermit in conjunction with a buildingpermit? Yes� ,j R Non (Check Appropriate Box) 5 urpose of Building e:_aitA i ctA Utility Authorization No. Ce mm .isting Service /OD Amps /at I a(/Volts Overhead ❑ Undgrd K No.of Meters / New Service Amps / Volts Overhead❑ Undgrd U No.of Meters Number of Feeders and Ampacity / ci, g (},2Q / /00/2A Y Location and Nature of Proposed Electrical Work: gt SR,, ng p,.,,1Sh (20OM Completion of the followin&tah/e mats he waived hi,the Inspector of Wires. o.No.of Recessed Luminaires Trranansformers KTVA No.of Ceil.-Susp.(Paddle)Fans Tf c� VA 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 / '3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 17/ 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: l }} No.of Devices or Equivalent OTHER:joq� SM /1//b I 410%.Q •t (ii / l2 Ovr;fia. l( Attac• additional detail if desired,or as required hr the Inspector of(t'ires. Estimated Value of Elect 'cal Work: . �0 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V GE: 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 T4 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: CI1 ctio eS E fed) f l Se V ic-e L L5 LIC.NO.: a.- (7/@ T4 Licensee: kojj2FrChaVe6 Signature #W� LIC.NO.:51)\566 (It applicable.enter"exe,mIpt"''in//the license number/ li .) ® ,, ,/ Bus.Tel.No.: 71 i 1701007 Address: a/ / .VO rV7�t 1f/a j JSJJ rG{I — ©n�ZC�c) Alt.Tel.No.: *Per M.G.L.c. 147.s.57-61,security work requires Department of Public Safety"S"License: 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ ff.} • - + ._ Y 9 e I v.: • • • ti t r t