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Home My WebLink AboutBLDE-22-006487 ....1.. Official Use Only //0 Commonwealth of y E Massachusetts Permit No. BLDE-22-006487 is� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:5/11/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 194 BERRY AVE Owner or Tenant WHITE RICHARD A Telephone No. Owner's Address WHITE JOAN P, 6189 SHOREWOOD COURT, LISLE, IL 60532 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 ❑ 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 2nd floor bedrooms&hall. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 14 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 5 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 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 Eauivalent 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Licensee: Robert Scala Signature LIC.NO.: 55987 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:24 Wagon Wheel Lane, Brewster MA 02631 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 ‘FM15-Z/'4;)t-V4( 4 31.11))4//3122 44 onsntarnrtrta#3 a Ira Mend Use Only ��I. `iti. Permit lgca. . ' . " .� Occupancy[Rev. 1/07]pancyand Fee Checked %' ,, ., .. BOARD OF FIRE PREVENTION REGULATIONS (leave blank) 1/4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Sill g..�- City or Town of: of("N 0 V To the Inspector of Wires: E Bythisundersigned application the enders ed�ives notice of his or her intention to perform the electrical work described below. C�' Location(Street&Number) Y \� f` thet e o v Owner or Tenant IGtli7lf�, GJ bsifi Telephone No. `�p-� -q � ." Owner's Address `9� i- efc ave at Is this permit in conjunction with a building permit? Yes EZI No 0 (Check Appropriate Box) d Purpose of Building $ N.t \t FO►Mf\V( & PANSN Utility Authorization No. Existing Service `d.C� AmpsU `7.9/ a,1..t'i)Volts dverhead ii+ Undgrd Ej No.of Meters 1„ V Nam'Service Amps / Volts Overhead 0 Undgrd[0 No.of Meters ' Number of Feeders and Ampacity ' Location and Nature of Proposed Electrical Work: 'a.F 1ooC f6a to eNg f[iO\\ Completion of the followinktable may be waived by the I of Wires. No.of La 1a:1y No.o€CeII.-Susp.(Paddle)Fans TSr ansformers DfVA of ?� Tr CI No.of Luminalre Outlets 2—5 No.of Hot Tubs Generators KVA ' No.of Luminaires �,� Swimming Pool Above Lin- 0 No.o[ tnergency Ltghting grad. grad. Battery Unite No.of Receptacle Outlets �.C) No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6No.-of Gas Burners "No.of Detection and _ Initiating Devices ottd I No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Viers HeatPump Number TTons KW `No.of Self-Contained Totals: ..... Detection/Alerting Devices No.of DishwashersSpace/Area Heating KW Tarsi 0 Municipalossoio Li Other Connesetkn No.of Dryers Heating Appliances KW Security :* No.of Water 'No.of No,of] or Equivalent Heaters KW No.of Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydros Bathtubs No.of Motors Total HP Telecommunications W No.of Devices or Eclul"v�t OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: i®f)V L f {When requ policy ired by municipal . Work to Start } 5 1 ,. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE '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"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 ►.I BOND 0 OTHER 0 (Specify:) Itertify,under the pains and penalties ofperjury,that the information on ads application is true and complete. FIRM NAME: C1 i?obech- 0Vac V f 9(1 F:�e, i�5crca�e caMpa� LDC.NO.: Licensee: 5 S clg 3aclCt�ttr' c E A. Signature :a' i LIC.NO.: 550) �CO,,tO` Of applicable,enter"exempt'in the lice number line. Bus.TeL No.: Rj"00% Address: 5,� e ne;k t(\ c6feu r% I ' O c 3\ Alt.Tel.No.: *Per M.G.L.c. 147,s.57 1,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 ❑_owner's aliens. Owner/Agent Signature Telephone No., PERMI?'FLEE: