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Home My WebLink AboutBLDE-22-000708 Commonwealth of Official Use Only Permit No. BLDE-22-000708 ' f€ Massachusetts 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:8/9/2021 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) 125 MAYFLOWER TERR Owner or Tenant KAYE JAMES S Telephone No. Owner's Address KAYE MERYL E, 58 CLUBHOUSE LN,WAYLAND, MA 01778 a Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap I •r�te * e Purpose of Building Utility Authorization No. o �O Existing Service Amps Volts Overhead 0 Undgrd 0 ' 4-111 : �r New Service Amps Volts Overhead 0 Undgrd 0 No.o :ere Number of Feeders and Ampacity Q Location and Nature of Proposed Electrical Work: Relocate alarm equipment. 84p Completion of the following table may be waived by th••t� , Wires. No.of ," Ri No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers K No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ Igrnd. ❑ No.Batter Emergency Lighting 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 Ton Heat Pump Number Tons 1 KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices ❑ Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Local Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or No. No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: BRIAN REZENDES LIC.NO.: 22213 Licensee: BRIAN REZENDES Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. Address:7 GOELETTE DR, PLYMOUTH MA 023601228 *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. I Owner/Agent I PERMIT FEE: $45.00 Signature Telephone No. Camntoruoeait o//Vo4dachueeth Official Use Only -� ri cc�� cc7/� n t�2-- --01(�'3 LI' Permit No.• Oce are and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.u1//07]y (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: 7 3Ut a City or Town of: ,sou*H NceyYN.ce.-� 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) I '5 Picti fi�o Well Ct_r __ Owner or Tenant J t r.1 1/(� .', Telephone No. Owner's Address 12..5 like- JoweV revncc.e, 5o4_,-A-11 Weed )` 1j AMO y Is this permit in conjunction w{ith, building permit? Yes ❑ No [J (Check Appropriate Box) Purpose of Building f26 i clevljtr- Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service ___ Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 N,csk{ e4(5 ui S G ic.y Nn �v 61 Fk yt i, Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T Transformeofrs KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting g 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. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Humber Tons KW °No.of Self-Contained Totals: `{—" �•Detection/Alerting Devices j No.of Dishwashers Space/Area HeatingKW Local❑ Municipal Other • P Connection — No.of Dryers Heating Appliances r Security Systems:* Y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent ecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Equivalent OTHER: • Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electricali Work: 5OG0 b - (When required by municipal policy.) Work to Start: 71y.) la I 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 1-Q BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjwy,that the Information on this application is true and complete. FIRM NAME: f J L,4,'J AiFtAi F.JGL, J 0 L L G- LIC.NO.: 2.2213-A Licensee: 6,f/4I.t fgt=ZFiJ 0 .$ Signature ' LIC.NO.: 00=33 6 (If applicable,enter"exempt' in the license number line.) / Bus.Tel.No.: $bo-6/6-7 g Address: 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)0 owner Er owner's agent. Oet:sr` I -- at n re l Telephone No. _ {PBKMI:('FEE: $ qrj•O a -'+`__- .4ch;---399 8' -- /