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Home My WebLink AboutBLDE-23-000292 , a• Commonwealth of Official Use Only ite l Massachusetts Permit No. BLDE-23-000292 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:7/19/2022 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) 43 PHYLLIS DR Owner or Tenant REED ROBERT Telephone No. Owner's Address REED MARY M KELLY,43 PHYLLIS 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 of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen&laundry remodel 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine 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 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 Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 that the information on this application is true and complete. FIRM NAME: Kurt J Casanova Licensee: Kurt J Casanova Signature LIC.NO.: 12340 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:39 HARPOON LN,YARMOUTH PORT MA 026752409 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 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: $75.00 RECEIVED v JUL 19 2Q22 ` Co ,teak 4 Mamachi Official Use Only \ ^ry; ;DING DEPARTMENT - ``� Serviced Permit No. l� 1`i' ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev. I/07) leave blank ��- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 RIC (PLEASE PRINT IN INK OR TYPE ALL INFORMATION `'' City or Town of: YARMOUTH n Date: Ci •V By this application the undersigned gives ot�'of his or her UTH intention to perform the elTo the- ectrical wok described i Location(Street&Number) . 3 p - . 11t s described below. Owner or Tenant /Qei.zr f- R-c e ' Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building �e,,-i re El (Check Appropriate Box) Utility Authorization No.Existing Service Amps / �Volts Overhead❑ Und rd New rvice Amps / g 0 No.of Meters _ " Volts Overhead 0 Und rd 't Number of Feeders and Ampacity g ❑ No.of Meters V I Location and Nature of Proposed Electrical Work: • '( 2.N Gib 4-01viv^ r, ' U C 1,i � „w Completion o the ollowin. table in, be waived b the Ins.ector o Wires. No.of Recessed Luminaires No.of Cell.-Sustit . `o.o �t No.of Luminatre Outlets P (Paddle)Fans ota No.of Hot Tubs Transformers KVA ,t' No.of Luminaires Generators KVA Swimming Pool rode ❑ n 'O.o Units mergency g ng No.of Receptacle Outlets °d Bane Units g .-R No.of 011 Burners FIRE ALARMS No.of Zones . No.of Switches No.of Gas Burners `o.o t etec on an it' No.of Ranges Initiatin, Devices No.of Air Cond. ota No.of Waste Disposers Tons ' No.of Alerting Devices eat 'ump `uro er ons Totals: "...._....__.._._......._. ' " `o.o e ant: ne, No.of Dishwashers Detection/Alerts • Devices Space/Area Heating KW •un c pa No.of Dryers Heating Appliances Local Connetion Other• KW`o.o "a er W ecu ty ystems: Heaters KW 'o.o .o o No.of Devices or E uivalent Sins Ballasts Data Wiring: No.of Devices or E.uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca•ons " r ng: OTHER: No.of Devices or E•uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lee 'cal Work: Work to Start: /y 2,2 (When required by municipal policy.) INSURANCE COV Inspections to be requested in accordance with MEC Rule 10,and upon completion. RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including undersigned certifies that such coverage is in force,and has'exhibited proof of same to the permit issuing office. `completed operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE 5 BOND I certify,under the pains and penalties o ❑ OTHER 0 (Specify:) FIRM NAME: fperfury,that the Infottnati'on on this application is true and complete in C S�tnOv�, �f,�,�. C r ' c Licensee: v r t: S ,t a LIC.NO.:! —� (lfapplicable,enter"exempt"in the license nu her line.) Signature Ar"' Address: �g /./ A,, LIC.NO.: 23'1/�-�� `-'_°' yA Ys,^,tia;.' '< Pas !'//4 024 �r Bus.Tel.No.• o / *Per M.G.L.c. 147 s.57 61 security work requires Department of Public SafetyC yb OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability Alt.Tnc iVo.: y "S"License: Lic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one insurance coverage normally-" Owner/Agent Signature � owner • owner's a:ent. • Telephone No. PERMIT FEE:S 57GG'