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Home My WebLink AboutBLDE-22-005032 Commonwealth of Official Use Only gE� Massachusetts Permit No. BLDE-22-005032 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:3/11/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pe orm the electrical work described below. Location(Street&Number) 80 BAXTER AVE ( C. a EC 1- Owner or Tenant Telephone No. Owner's Address T - $ E;=IIINIF-E, 80 BAXTER AVE,WEST YARMOUTH, MA 02673 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: Livingroom&panel change. 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. Totalo No.of Alerting Devices 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 Signs 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 perjury,that the information on this application is true and complete. FIRM NAME: Darnell Cauley Licensee: Darnell Cauley Signature LIC.NO.: 11662 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:54 CAPTAIN BESSE RD, S YARMOUTH MA 026642805 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 CIY'o t' ssro firte, — otou Sp ` Verb' a) ?i,eQci(a, RECEIVE ® F.- ' - -------- U-84 05----7C.- MAR 10 2022 ommonweaith of Massachusetts Official Use Only BUILDING u _/_'l T Department of Fires Services Permit No. :' *iZ2= 3-Z tlir BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev,4m5) (leave blank) 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 q _ds a" city or Town of: alinglig y6T-010—* To the Inspector of Wires: III By this application the undersigned g' notice of his or her intention to perform the electrical work described below: Location(Street&Number) c P X f<c Avg- , Owner or Tenant Aole -1 CI-le:A( Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes W No 0 (Check Appropriate Box) Porpoise of Building Utility Authorization No. Existing Services in Amps lab / d LID Volts Overbead' f Undgrd❑ No.of Meters New Ser tc: Amps 1 Voles Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 i .nJ ;"A ihPi 2up-\ e/Tia jZ Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans 7No.of ers Total KVA No.of Ltuninaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abod [] 'j eY lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.ifDet ng tection and Devices No.of Ranges No.of Air Cond. 7 No.of Alerting Devices ?Is.of Waste Disposers 'Heat Pump I Number I Teas I KW No.of Self-Contained Totals: i I . i._....._..... DetectiowA.iertingDevices No.of Dishwashers Space/Area Heating KW Local Q Et other n No.of Dryers Heating Appliances KW Security D :. Equivalent No.of Wpgernatt KW No. lioollN .asta ThiN W ngi3evices or Eqtdvident No.Hydromassage Bathtubs INo.of Motors Total HP Tel Equivalentig: OTHER: Attached additional detail if desired,or as required by the Inspector of Wires. Estimated Value„ggf Work _----_--- ._w (When required by municipal policy.) Work to Start J 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 IXI BOND❑ OTHER❑(Specify:► I cell*,under thipains and hies of perjury,that the information on this application is true and complete. FIRM NAME: -, k �1ry �+ LIC.NO.: Licensee: c -i Q\} >is/y I Signature Da"rv,-F� l i - LIC.NO.: 1<404 - 6 (If applicable,enter"exempt"in the lidonstnumber li .) Bus.Tel.No.: -7 74-35.-3"�.Sctt'.5 Addkess L ({�,..ijjtt i i3 S SC 4A 3i- ciink.'a' ,if . A-1 !l t. , 1 it t1 Alt.T.No ._y_ *Security System Conte for License required for this work;i applicable,enter the license number here: OWNER'S INSURANCE WAIVER:I am aware that the Licensee does nor have the liability insurance coverage normally required by law.By my signature below,I hereby waive this requirement.I am the(check one) Downer ❑owner's agent Owner/Agent SignatateTelephone No.. PERMIT FEE:$ —7c