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Home My WebLink AboutBLDE-22-005670 Official Use Only Commonwealth of _ • Massachusetts Permit No. BLDE-22-005670 11 , 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:4/5/2022 To the Inspector of Wires: City or Town of: YARMOUTH 3y this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 14 KEARSARGE RD Telephone No. 3wner or Tenant Pam Ryalls Dwner's Address 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: Replace panel,devices,&add lighting. Dryer&smoke detectors. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 22 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Emergency Lighting No.of Luminaires Swimming Pool Above ❑ rnd. ❑ Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and 5 No.of Switches 18 No.of Gas Burners Initiatinu Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump I Number I Tons I KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices Local 0 Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Connection Security Systems:* No.of Dryers 1 Heating Appliances KW No.of Devices or Equivalent NoNo.of No.of Ballasts Data Wiring: He Water KW Signs No.of Devices or Equivalent Heaters Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Collin Braley Licensee: Collin Braley LIC.NO.: 11301 Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 16 CHURCH ST,NORWELL MA 020612732 *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 othe liability in insurance ner coverage normally required by law.But my s signature below,I hereby waive this requirement.I am the(check one) t. Owner/Agent PERMIT FEE: $80.00 Signature Telephone No. b 4(.72yre, R E C F ..� Commonwealth.o Official Use Only ommonwea 7 aeeac ueaff0 . _._ :aB"tl i cc//�� n Permit No. C`.2 -c(-7 0 .,, F 2sparinmenl el. ire Serviced APR 0 4 nf41' '/ Occupancy and Fee Checked 'a'�, ,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING,D PART By AEPP (CATION FOR PERMIT TO PERFORM EL CTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I 't 2 Z aCity or Town of: YARMOUTH To the Inspe for of Wires: Q By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) j' K6ARSAQCa6 Owner or Tenant PA tik MA LA,S Telephone No. 'i ti S%5- (07 26 Owner's Address l iii FARM Rtt) IL tw s-N4-), MA Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building D W 5LLI l'Ct Utility Authorization No. PO Existing Service I a 0 Amps 12o / 2`10 Volts Overhead❑ Undgrd 0 No.of Meters .,,I New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters "I Number of Feeders and Ampac 0 ity 1 Location and Nature of Proposed Electrical Work: t6Pback PA1kL I . geet„t,6 �,�,JCG S, t )b L041,1)06, 4. kt j Completion of the following table may be waived by the Inspector of Wires. ,,iv f TotalU. U No.of Recessed Luminaires 2 No.of Ceil.-Susp.(Paddle)Fans Transformers KVA 'Z' No.of Luminaire Outlets No.of Hot Tubs Generators KVA �t... No.of Luminaires swimming Pool Above ❑ In- ❑ No.of Emergency Lighting g grnd. grad. Battery Units ti No.of Receptacle Outlets 5 D No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and _ ) Initiating Devices 5 Ili No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers s Heat Pump Number.. Tons KW No.of Self-Contained p Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Conic tion ❑ other No.of Dryers l Heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDevicesor qu v y g No.of Devices Equivalent OTHER: u ,�� Attach additional detail if desired,or as required by the Inspector of Wires. leafEstimated Value of Work: i I bop (When required by municipal policy.) Work to Start: 3I 22_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO 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 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: NJ OrtIST Ora- CC LeC 'g-1 C4 L. Ca N'T(1-'�-1,,J�y LIC.NO.:20 7 3 A Licensee: CO 1_1.1 Pi taAL6 7 Signature (,�"' LIC.NO. !/30 1-3 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. 1 ti E 2 Address: O c CAMkL3 J)R-1Vi uP'1T_t_ rOilw'14 AAA Alt.Tel.No.:751 63S 076g aitu,s C6r0 *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 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 Telephone No. PERMIT FEE:$ Signature p