The URL can be used to link to this page

Home My WebLink AboutBLDE-21-005568 ( L.,tACommonweaIth of Official Use Only C:�+' \ ! Massachusetts Permit No. BLDE-21-005568 ` ± '' 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:3/26/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 9 PARKWOOD CT Owner or Tenant William Sheehan Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (CheckAppropriate Box) Purpose of Building Utility Authorization No. = 3 Existing Service 100 Amps z p Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&remodel kitchen Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 Space/Area Heating KW Loc 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances K Se rit terns:* evices or Equivalent No.of Water No.of a Wiring: KW No.o Heaters ,Siens B 1 is o.of Devics or Equivalent No.Hydromassage Bathtubs No.of Motors Tot 1 T lecommunications Wiring: N .of evices or Equivalent OTHER: , ) Atta dditiona 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Sherwood E Lewis Licensee: Sherwood E Lewis Signature LIC.NO.: 11503 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 283,YARMOUTH PORT MA 026750283 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:$125.00 3( 1/ZA i Commonwealth o j Mamaclumette Official Use Only * �; c'� �7 Permit No. C ' -7('p VP rt c� 4 Apartment ol}ire Serviced Occupancy and Fee Checked -� BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 Z,� 21 City or Town of: G,/ o,,�,14, To the Ins ofector' Wires: Bythis application the undersign PP gives noticei of his or her intention to perform the_�iielectrical work described below. Location(Street&Number) -I ear vwoo �tAr" I' S0 +J- Y,9,01. j'" f11' , 02.011 Owner or Tenant A {c� !` +-L _n ITTelephone NO.. -1 Owner's Address Pe4r' +► 0,2„ .% SSot^�-�, YAr-n,rx., I�j/MA, O2.Po y Is this permit in conjunction wit (`h a building permit? Yes ❑ No i, (Cldck Appropriate Box Purpose of Building 1 S 1 e/l e, Utility Authorization No. gl 0155 Existing Service 100 Amps 120/ /2.0 Volts Overhead ® Undgrd❑ No.of Meters 1..2 8 514 New Service 1 00 Amps 12C!/ )ZC!Volts Overhead® Undgrd ❑ No.of Meters Number of Feeders and Ampacity Si i k. P Location and Nature of Proposed ElectricatWork: t} A ( node( I 9r& cie QS r^v� Ce � J o ) Cen4-er' /e �p41/4 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 9 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires I Swimming Pool Above ❑ In- ❑ No.of Emergency Lightmg grnd. grnd. Battery Units No.of Receptacle Outlets (a No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 9 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges I No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of 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 1ec 'cal Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE G : 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 6 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: J�t .o0�Le W js Signature 1 LIC.NO.: (If applicable �(er`exemp r Jricense number line.) S v Address: tv poi. � o/ (�PjtApfor• A, ot(S3C/ Bus.Tel.No.- *Per M.G.L.c. 147,s.57-61,sec ty work equirel Department of Public Safety"S"License: Alt.Lie.No. Tel. �� 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 Signature Telephone No. I PERMIT FEE: $ To Whom It May Concern(Ken Elliot) I am writing this letter to request that our electrician,Woody Lewis, be removed from the permit for the work being done at 9 Parkwood Ct South Yarmouth,MA 02664 due to unauthorized work and communication issues. I made Mr. Lewis aware on 4/13/21 that we would be looking for another electrician to complete the work and have yet to hear from him. Kee;e y r9/zoz.t Katelyn Sheehan ,�� ,�o os5� �