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HomeMy WebLinkAboutBLDE-21-007366 Commonwealth of Official Use Only L, N. Massachusetts Permit No. BLDE-21-007366 '� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:6/17/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice o1 his or her intention to perform the electrical work described below. �+ Location(Street&Number) 32 COUNTRY CLUB DR '71'4- I.3o- Q`Lit 1 Owner or Tenant Suzana 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity (AL__ al) (3,1Location and Nature of Proposed Electrical Work: Replace receptacles&switches. Completion of the following t jnayee waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No. 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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 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 ❑ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuty,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:$50.00 __ Crriance urea otf ae uoelts Official Use Only; Permit No. � - j :=:. naparknontof Services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Coed . ___ <. [Rev.I/O?]v_,v (leavebl�) APPLICATION FOR.PERMIT TO-PERFORM ELECTRICAL WORK Air work to be performed in accordaace-with file IGIas-saclnisetts Erecirf of C de(MEGA; 7 CAR_12.00 . .._ -- (P.LEASR PRINT ININK OR 171' '14LL.IN.F'O� p1� Date: • City or Town of: 1k v To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to-perform the electrical work described br4qw. Location(Street&Number) 3 ' u v`''A. L I.v k. 5 Y V a'Jvw' ✓t 10 iet Owner or Tenant S, 7 j A)6 k t...-,n,,r. fr Telephone No. - Owner's Address 5 p* PA Is this permitin conjunction with a building permit? Yes 4 No ❑ (Check Appropriate Boa) . Purpose of Building C ip_a(s1y i v �'t.......) u 5-t-, R.L C_Utility Authorization No. Existing Service j p p Amps /),J0 / d t j/j Volts Overhead EC Undgrd❑ No.of Meters / - New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters ' Number of Feeders and Ampacity Location and Nature ofPro osed Electrical Work: C\iNG 51 • Completion of the fo11?H'ing,:ahIP may be waived by the Inspector of metres -- No.:ofRecessed Luminaires _ . . - t or:ef-£ uspb.(Paddle)Pans No.of Total Transformers KVA.. - I {# No.of Lumi aire Outlets No.of Hot Tubs Generators , KVA No.ofLnninaires --- Svvim aingPool Abr 1❑-In ❑ Bate I Unitsenep t.�ighi�g grad. Battery Tlnii�s No.of Receptacle Outlets / , No.of Oil Burners 'r` ALARMS INo.of Zones No.of&Witches' (o No.of Gas Burners • No.aflnidaating Devices Detection and •-- -- —. Total F OP No.of Ranges No.of Air Cond. Tons ► o.ofAlerting Devices No.of Waste HeatPw Number Tons t 0 ea Disposers Totals �KW o.ofSelf Contained "" r x a n/ rtzng Jev�ices D.si,i 1 No.of Dishwashers Space/Area Heating KW Lo Munici ❑ , am L ❑ Co No.of Dryers Heating Appliances Security No.of Water - No.of -- Noy of�or Equivalent No.of Heaters KW Data Wining: In t - . Signs Ballasts • No of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicatonss Wiling:Io OTHER.: Domes or Equivalent • Estimated Value of Electrical Wyk 3 - �(� a I. :\ 'Attachadditional detail ifdeefred or as required by the In of Wires. Work to Start~ (When required by nnuniapaI policy_) Inspections to be requested in accordance with MEC Rule IC,and upon completion. ' INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of elec rical work may issue unless - - thelicenseeprovidesaroof of liability including"completed operation"coverage ranee p or its-sabstamtial equivalent. The -- undersigned certifies that such c�o is in force, and-hase�i�}proofafsameto-the-peA�. . � office:-__ ....... . ._._ _-" GEM(ON : INSURANCE ]I BOND ❑ O'ikitit ❑ (Specify:) I co.*,unite the pains ond penalties ofperjrny,that the information on this applieafiFon is true and complete FIRMNAME: Licensee: De A..".i 5' rD v{-t/) _Signature LTC.NQt t Ifapplfcab'4 enter"exempt"in the license number bee) LTC.NQ_ p -�,3 7-U?G,? Address: Bus TeL No 'e'er IVMG.L.c.147,s.57-61,security work requires Department of Public Safety" Alt TeL No.: O'wlvR'Slivsn S"License: LIC.No.RANGE WAIVER I am aware that the Licensee does not have the required bylaw By my ire below Thereby waive this s liability insurance cov II y Agent zequirement Tam the(check one El owner owner's❑ Telephone No. P MTFEE': $ Susan McKenna RECEIVED 32 Country Club Drive South Yarmouth,MA 02664 JUL 13 2021 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