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Home My WebLink AboutBLDE-21-005780 a 4" Commonwealth of Official Use Only 4 1 '‘.' `i Massachusetts Permit No. BLDE-21-005780 1 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:4/7/2021 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) 135 SOUTH SHORE DR UNIT Owner or Tenant MILLER JOHN LEE SR Telephone No. Owner's Address MILLER NANCY LEE, 8912 SEVEN LOCKS RD, BETHESDA, MD 20817-2056 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: Remodel kitchen &bath room.(UNIT#35) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool g b ❑ grnd. ❑ No.of Emergency Lighting rnd.ove Battery Units No.of Receptacle Outlets 8 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 I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertin2 Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Exhaust fa Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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: Richard Leonard Licensee: Richard Leonard Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 35732 . Address:306 SCHOOL ST, TAUNTON MA 027801944 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I �`' (PERMIT FEE: $75.00 t� vCa/ `fJT 2.1 e 1-0?(74 ... ,-- - IZ:a eoeutropurwatfi ell Miasociuolefta Official Use On ____7 I) .... „„ • , Permit No. C="-:-24--- 5 / DI° .2.p.,4,..d 43i...c.a.. - Occupancy and Fee Checked 1--' '• BOARD OF FIRE PREVENTION REGULATIONS v. 1/071, hum blank -,..., * ...- ---, i 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 INFORMATION0 Date: .i 2-Lc ...— i City or Town of: \JC_,.(iY‘t.,0A-r, To the Inspector of Wires: • By this application' the undessigned gives nodcetifhis or her intention to perform the electrical work described below. ---- ! Locadon(Street&Number) 1 )5 _5i,--2,,4 1 , .., , Owner or Tenant h ,'k ye(. ....3 Cs.to,rt ' ( Telephone No.ct..:,)? a‘.7 /--,,;_. / .._ , , Owner's Address '<c-.?i Z_ '{- K)1 Lc(t,') .-----,, , e-)--eil lc •-c--V.3.._ 1--i i-) ---:„ Is this permit in conjunction with a bugging permit? Yes gl No 0 (Check Appropriate Bog) '-- Purpose of Building -..,2"--_-,i\-X,-.0 \ \P.l'' Utility Authorization No. / , ,,--- - 1., , Existing Service to O. Amps It 0 /z 1-6 Volts Overhead El Undgrd 0 No.of M **.'"•-ZI.,.' * , , i''' • New Service Amps / Volts Overhead 0 Undgrd 0 No.of •=4or ...., — -- Number of Feeders and Annacity C)1,4 1 72e, (1 ---.. ,z Location and Nature of Proposed Electrical Work: kt-tv\C.:a irL-t 1-C.,c47-i-V .,r)Q-Z_ 4 --.' 'ig --i'kJ\ ---.. /-- '- -=--' Completion of the following table may be'velem!by the!vector of Wires. go.of- Total No.of Recessed Luminaints '-i No.of CSosp.(Paddle)Fans ,Transformers ICV'A KVA No.of Luminake Outlets 9 No.of Hot Tubs Generators In- — ANL Of Emergency Ligatung No.of Luminaires 2 Swims Ftw4 Akvbadve. 0 Erni. Li,BatterY MIR, -s No.of Receptacle Outlets p. No.of Oil Burners FIRE ALARMS No.of Zones ki.of Detection and Na.of Switches t-f No.of Gas Burners Intestine Devices Total No.of Ranges l No.of Air Cond. Tons Na.of Alerting Devices 'Heat Pump Number Tons KW_ /4 of Selt-Contabed No.of Waste Disposers Totab: ,DeteetloeMlersiigDevka, No.of Dishwashers Space/Area Heating KW Local 0 0 Other .•; No.of Dryers Heating Appliances Kvy Security Systems:* No.of Defier&or Univalent 'No.of Water No.of No.of Data Wiring: Heaters KW Sim Began No.of Devices or lecommunitations No.Hydromassage Bathtubs No.of Motors Total FIP TeNo.of Devices or OTHER. ..3 ii..1"%.k„ c 4‘...A Attach additional detail#*destreel or a s required by the inspector of Wires. A 4---, c Estimated Value of Electrical Work: 7 t- (When required by municipal policy). Work to Start .-1.-I- 2.1 Inspections to be requested in accordance with MEC Rule le,andupim.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 iroprence including"completed opetafion"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 maths,under the pains and penalties a/perjury,that le informatkm on this appncation is true and complete. , - FIRM NAME: Z\i CI!t irk 1._,- I iRzi i r LIC.NO.: ,I ..-ireara•o: Signature / LIC.NO.: (if applicable,enter"..aesw lic•enee"mbar-line) _,_,., 7: '-,,,-, Bus.Tel.No.: 7,-1C1 (75-3 /e 7/ Address.. ,-..-,C''.\c., ----1---v\0.1,\ 'St \c•,. k 1-\:'\'-A\ \\''C'"- "1- ) 3 -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 swine 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 Downer's agent Owner/Agent .1 T1 Signature /k--'s., A,..-- Telephone No. PERMIT FEE:$