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Home My WebLink AboutBLDE-21-006216 Commonwealth of4) Official Use Only _ Massachusetts Permit No. BLDE-21-006216 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:4/27/2021 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) 146 CRANBERRY LN Owner or Tenant NELSON CHRISTINE Telephone No. Owner's Address KIBBE MARK R, 146 CRANBERRY LN, 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 of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace. 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 1 No.of Gas Burners 1 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 0 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 Siens 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: ANDREW G THOMAS Licensee: ANDREW G THOMAS Signature LIC.NO.: 22152 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 ECHO LN,CHATHAM MA 02633 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 &,4 (0,g(74 Commonumailh oi Mametch..6riks Official Use Only Permit No, 0 ,,,, fbspartmani oi girs-carvir.t.4 ,....) BOARD OF FIRE PREVENTION REGULATIONS RCkeve.upl/Oan7icy and Fee Checked leave blank) APPLICATIO FOR PERMIT T a PERF • RM ELECTRICAL WQRK AU 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: Abl 1 )(-)) o ik I City or Town of: yet,-tit ou-i-LI To the Inspector of Wires: .... 0, By this application the undersigned gives notice of his or her intention to perform the electrical work described below. `-) Location(Street&Number) 1 4 1, C(44 6 cra, Owner or Tenant filetrk Vi),bk- Telephone No. cr L) Owner's Address l t-Of Ci. fry t4nt Is this permit in conjunction with a building permit? Yes Ei No 0 (Check Appropriate Box) (-- ° Purpose of Building ct 5,e t 41'4 Utility Authorization No. Existing Service 1 0 0 Amps 1.16 /14° Volts Overhead El. Undgrd 1 No.of Meters ' New Service Amps / Volts Overhead 0 Undgrd E No.of Meters o Number of Feeders and Ampacity _s- )--- Location and Nature of Proposed Electrical Work: (l.t f iCtCe f`,4 ai fu(liticc_ ( ovitti it)( 1,1 1 LT 1)0:1t( •. Completion of the following table may be waived by the Inspector of Wires. No.of Total ..., No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA In- No.of Luminaires Swimming Pool AV ri r-1 No.ot-EmergencylIghting grn . " trod. I-1 Battery Units -' No.of Receptacle Outlets a, 'No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches ( No.of Gas Burners -No.of Detection and , Inidating Devices Total ' ' ' No.of Ranges No.of Air Cond. 'No.of Alerting Devices Tons HesePump ,NututierTons ICW `No.of Self-Contained , No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 municiP0 0 other ConnecUon — • . No.of Dryers Heating Appliances KW Seeurity Systems:1 No.of Devices or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts 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: cl>clP - 0 0 (When required by municipal policy.) Work to Start: 4/J.ill 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 la BOND 0 OTHER 0 (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIILM NAME: 11/0Aci-5 Etecif,c.L.,) ,51,(V,c(C InC_ LIC.NO.: Licensee: AnartA.-, 71/0N 4 Signature C1-----1 , LIC.NO.: (If applicable, enter"exempt"in the license number line.) Bus.TeL No.: lb i?-37 5 -4 773 Address: 7 e(.4. kit_ c,kATI,4,i. (.1,ci 01(.31 i Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie.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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $