HomeMy WebLinkAboutBLDE-21-004974 Commonwealth ofPI\ Official Use Only
or
Permit No. BLDE-21-004974
.E Massachusetts
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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:3/3/2021
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) 32 COUNTRY CLUB DR
Owner or Tenant Susan McKenna Telephone No.
Owner's Address 32 COUNTRY CLUB DR,SOUTH YARMOUTH, MA 02664
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 Feeders and ty ^ AtAl
_J
Location and Nature of Proposed Electrical Work: Kitchen&bath remodel. 1
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 10 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 15 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 10 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/Alertine Devices
No.of Dishwashers 1 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 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 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: DENNIS DUTY
Licensee: Dennis Duty Signature LIC.NO.: 51588
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 10 MERCURY DR, S YARMOUTH MA 026644129 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: $75.00
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iIt Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.i/07�
APPLICATION FOR.PERMIT TO PERFORM ELECTRICAL WO_RK- -
Allwork tobep hitlnedinaccori ic�wittheMas'sachusetisETcctricaTCode(M'EC),S2'ICMR.12.00 -
0:141CGS'74:PRINT INTWEoR1r.PEArj:.ZNFORt TION) Date:
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City or Town of: _ct,A, ) \ To the.inspector of Wires:
By this application the ii i.. - . gives notice of his or her intention to-perform the electrical work decor jbed below.
Location(Street&Number) &2 C du t"its Cl j ub iZ, So,t 1 cnyu (.3
Owner or Tenant s_v 511/..l c Ice-n Telephone 11to./ 77%.2 je•q yd
- Owner's Address .
Is its permitin conjunction with a building permit? Yes ❑ No Q''' (Check Appropriat*Bon) -
Purpose of Building �ji- •t-re p ,e d 4 j Utility Authorization No.
Existing Service/d 0 Amps /-ZGI.ZcfG Volts Overhead[] Undgrd D No.of Meters
New Service Amps I Volts Overhead❑ Undgrd[} No.of Meters_____
Number of Feeders and Ampaeity •
Location and Nature of Proposed Electrical Work: f.< ),/,�,,.,} ey} - •
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_.__ Completion of tfi following jble may be Weed 4y the Inspector of Wires.
No.of
4 ecc cl Lptninainres - / d .moo. £ -S'i .(Paddle)Fans Transformersanal
`VA - .
No.ofLmninoire Outlets No.of Hot Tubs Generators KVA
$ Above In 1Vo.ofL+xnergencykting - - - .
t = No.ofLmninai�res - -- - us gPool ETmod. 0 Battery ul its
No.of Receptacle Outlets i �No.of Oil Burners FIRE ALARMS No.of Zones d
II No.of Switches' •
1 No.of is Burners •
No.ofeg Devices n and —• --- -
•
h
No.afAir Cond. Toinl Ny'o.of Alerting Devices
No.ofnges TonsHeat Pimp Number Tons HW No.ofSelf-Contained
No.of Waste Disposers Totals: - - DeteclionJAie g Devices.
kill No.of Dishwashers • ' 1 Space/Area Heating KW Local❑ Ct it 0 Other
Heating KW
No.of Dryers Ali e o or Equivalent
. pa.MI
I No.of Water lc,* - No.of '• No.of Data Whing:
Beaters . S Ballasts . - No.of Devices or E" ' ; cut •
ad Telecommunications "i 1x
No.Hydromassage Batbtabs No.of Motors Total HP No of.Devices or Eq i iav lent .
OT.ER: -
'Attach additional detail:f dew or as regufredby the Inspector of Wires._
Estimated Value of Electrical Work: 3 two. 00 (When required by municipal policy.)
Work to Sim 3/,/2o 2 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 prance of elec ricalworkmay issue unless
- the•licr nseeprovidds proof of liabf y iosumaee including"completed operation"coverage or its-substantial' equivalent. The
.. - imdeasigned certifies that suchIs in force,and-bas-erinbited proof o€saame to-tbeper�mh.`issuing office: __..._. ........ .__.__
CHECK ONE: INSURANCE le BOND 0 OTHER 0 (Specify:)
I eerdfy,undek the pains and pena es o.jperjrny,that the information on this application is brie and completes
FIRM NAME: LIC NO.:
Li see: Pen A;S D 041 _Signet". i ;id.j LIC.NO.: CTh
ffapplicabk enter"exempt"in the ticeme tumnberfiira) This.Tel.No.;ND 8-13 7_b7 d
Address: Alt.TeL No.:
*Per M.G.L.a.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No.
OWNER'SINSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,Ihereby waive this eat. I am the Ow*one)0 owner ❑owner's agent.
Owner/Agent Telephone No.
1 PERRIFT $ 1
Signature -
Susan McKenna RECEIVED
—11
32 Country Club Drive
South Yarmouth,MA 02664 !UL 13 202
774-23330-9401
BUILDING DEPARTMENT
By
Ken Elliott July 13,2021
Electrical Inspector
Yarmouth Town Hall
1146 Route 28
South Yarmouth,MA 02664
Re: Electrical Permit by Dennis Duty
Dear Mr. Elliott,
Please consider this letter as my request to cancel any building permits that have been filed by Dennis
Duty for our home at 32 Country Club Dr.,South Yarmouth, MA 02664.As I mentioned to you on the
phone,I do not feel safe with him working in our home. If you need any further information,please do
not hesitate to call or email me.
I appreciate your help with this matter.
Sinc rely,
Susan McKenna
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