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Home My WebLink AboutBLDE-23-000514 �1 l Commonwealth of official Use Only _ Massachusetts Permit No. BLDE-23-000514 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:8/2/2022 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) 9 KATES PATH VILLAGE Owner or Tenant SCOTT MELVIN H Telephone No. Owner's Address 9 KATES PATH VILLAGE, YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Master bath washer,dryer, &outlet. 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 2 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 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 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: DANIEL 0 WILKEY Licensee: Daniel 0 Wilkey Signature LIC.NO.: 32288 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 168 CENTER ST, SOUTH DENNIS MA 026603744 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 i E11vY ReCAOhl //�� l..,ommonweaa o/lillamacliwettd Official Use Only R E - 1�/ c{� Permit No. �► -�_=: E D 2epartment o� ire Serukea Occupancy and Fee Checked —_� = 5� P Y _ `�� ^ B A•D OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) AU 022 _ ..__.APPLI ION FOR PERMIT TO PERFORM ELECTRICAL WORK t BU IL.DING DEPARTM F ITµ rk to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CMR 12.00 uY. W ' ' INK OR TYPE ALL INF RMATION) Date: 11L>�•; L a Z City or Town of: To the Inspector of Wires: By this application the undersigned gives notice of is o er intention to perform the electrical work described below. Location(Street&Number) 44Lcj , ._____ Owner or Tenant M f. 1 VI I\ 30C '\'' Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes R No ❑ (Check Appropriate Box) Purpose of Building CC [' % Utility Authorization No. Existing Service JQ % Amps /21-7 / Volts Overhead n Undgrd K No.of Meters 1 New Service Amps / Volts Overhead U Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nat re of Proposed Electrical Work: il(1 d tzt Ithir '' Pcb 0o4 C UQn( / /cc Completion of the following table may be waived by the Inspector of Wires. o. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Trranan KVAsformers 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 g Tons • No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained • P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local L. ConneMunicip ct ioal n ❑ Other s No.of Dryers Heating Appliances KW Security.Systems:* No.of tevices or Equivalent No.of Water K`,I, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDeieor Equivalent g No.of Devices Equivalent OTHER: 7, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1 CC) ' _ (When 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 EL BOND El OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuty,that the informati on th' applicati is true and complete. FIRM NAME: LIC.NO.: Licensee: ( E - Signature LIC.NO_j3 t?2 (If applica a er " r mpt"i li r nnn{ber line.), /� Bus.Tel.No.: Address:�� i 1 ' A I ! [4�G Alt.Tel.No.: 'c(.3t.?Lfb *Per M.G.L.c. 147,s. 57-61,security work requ es 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 PERMIT FEE: $ 75- Signature Telephone No. t T� 1 t r1* f.f'e',d.`,, .a ✓tf,i • - . r j 4o a r • IT. rt-i ;f ,..t`. iit •': _:.�7 ♦ t°�� -_;_ '.,..t;� ; • .F •t., .. r ,r.. F r :fl( rq-+f: I.. ,xl,.^--.{ r. + .: a t�i: ':. .r ,... ♦ T }` l: .. s 'ik. , i 11![a,Y' x: I: