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Home My WebLink AboutBLDE-21-003858 Commonwealth ofk111 Official Use Only Permit No. BLDE-21-003858 € Massachusetts 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:1/12/2021 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) 71 OLD HYANNIS RD Owner or Tenant EZZAOUI ABDELAAZIZ Telephone No. Owner's Address 71 OLD HYANNIS RD,YARMOUTH PORT, MA 02675-1767 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: Pool wiring. Rough/final Kitchen, bathroom, &laundry room in basement. 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- ElNo.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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: 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 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 perjuty,that the information on this application is true and complete. FIRM NAME: TYLER W PAYNE Licensee: Tyler W Payne Signature LIC.NO.: 22091 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 JANS PATH, HARWICH MA 026452458 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: $250.00 0 F? t nllu� i C'ot ,slr t/i 424 n�-3,2�t,Cziiia ,, v � �/�1 Q-iJ(,IV litCPA i, Z"-=cc_. 744ear 5 t/,c(2J qm'e- /1(42(74 r- CSntc7u t-1- Qtlrils rii4ii 1-10 ,5 L. f> d" j'zi k Commonwealth of Massachusetts Official Use Only Permit No. 2�—3S. a� �I Department of Fire Services _ Occup9/051ancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. (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 INFOR +MIA ION) Date: ( II 21 City or Town of: 'aY VOV 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& umber) 4 ■ , , I f 1 dt Owner or Tenant �‘ v r,C_ Telephone No-1 H,2)7 5gci z Owner's Address \ n Is this permit in conjunction with a building permit? Yes C] No ❑ (Check Appropriate Box) Purpose of Building dW e\'► n Utility Authorization No. Existing Service 2,Cn Amps \ /2_ Volts Overhead ❑ Undgrdt No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ((�� Location and Nature of Proposed Electrical Work: 'P-OY1C� c W 'c Q\ , alny) e -MA for Y)C�n : rye i00, rCOm \no rn -- ► cm Completion of the following table may be waived by the Inspector of Wit es. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ove n- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiatin Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons 1KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other Heating Appliances KW purity Systems:* No.of Dryers No.of Devices or Equivalent No.of Water K`,i, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications WirinNo.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: \V '2.\ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E AGE: 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:pA\I E E.I.-.ECTR1C.) INC. LIC.NO.:,53OL 4- j Licensee: Ty LBZ W• PANNE Signature 7 4-b.— LIC.NO.:22.r diii - A (If applicable,enter "exempt"in the license number line. t`"� Bus.Tel.No.: I e Address: P.O. BOX l'o1cl SOU-TN h F� �C-n t M d7� 1 Alt.Tel.No.: WHAM *Security System Contractor License required for this work;if applicable,enter the license number here: 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 PERMIT FEE: $ Signature Telephone No.