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Home My WebLink AboutBLDE-21-005034 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005034 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:3/8/2021 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) 50 NEPTUNE LN Owner or Tenant Andy Gallagher Telephone No. Owner'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: Remodel master bedroom&bathroom. 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 Initiating 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 ❑ Other: Connection 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 ❑ BOND 0 OTHER 0 (Specify:) (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 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: $100.00 axlet( 6_qoulz_13-tiVkt-I3Artf-IfrpOt-fi(4(zt ( Jt-� 44i1 Wei 4t9' 74jx P14-43 bfi e r'v,a I,lz y i gK. ��/Z' Leff i f OP nlm C'-V a.:I "4/o T /"441 P.�A AT 1)44/6 L , - t 14 Commo oil ntevalk Illamaciumette Official use Only * _ Permit No. . ; Apartment of.gire._comices Occupancy and Fee Checked % ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] (ewe blank) \hi, 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: 3-5 City or Town of: \Acrirtot.r4‘ 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) 5 a A.)5911,0{. Lane_ Owner or Tenant Aroty G-All go hir Telephone No. 5oS- 3373- trSZY) Owner's Address Is this permit in conjunction with a building permit? Yes p No 0 (Check Appropriate Box) Purpose of Bidding -)livtorttr 1•10M-e.... Utility Authorization No. Existing Service 10 Amps l'ab I go Volts Overhead 15Z1 Undgrd 0 No.of Meters I New Service Amps / Volts Overhead D Undgrd 1:1 No.of Meters Number of Feeders and Any Location and Nature of Proposed Untried Work: 1/\04)-Gfr ID fej muff% a-n A bad cv....mocif.,k Completion of thefoilowingtoble may be waived by the breebter of Wires. No.e Teta No.of Recessed Lumhuthes No.or Cell.-Sesp.(Padde)Fans Transformers KVA C No.of Luminake Outlets No.of Hot Tubs Generators KVA ,-, Abov r-t In- I—I'No.ot Emergency tigetrag z No.of Lundsaires Swimming Pool e giud. t...r and. L3 Battery units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 'No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total '- No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Insposen Totals: — Deteetkon/Alertiegpevices Municipal No.of Dishwashers Spece/Area Heating KW Local Du 0 °ther No.of Dryers Heating Appliances lKW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Masts No.of Devices or No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicadons No.of Devices or OTHER: Attach additional detail rdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 3-6 -GI I Inspections to be requested in accordance with MEC Rule 10,and upon convietion. 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 151 BOND 0 OTHER 0 (Specify:) I tenth:,ander the and pentdties operisuy,that the information on Otis application is true and complete. FIRM NAME: Darnel k CAA)My LIC.NO.: IiI4 9--5 licensee: ThrAr(leAk a.)tev / Signature DCYI4 C:24- LIC.NO.: (ff applicable.e erem nter" pt"in the license_mme5Sttber litpt Address: 5-4 Co ko-N, 13 50,301 UN ye)e4)+11 i.41 A od 66 lit TT:Li.No.• 7/tl.: -3$3-4 6 q 4, *Per M.G.L.c. 147,s.5741,security work requires Department ofrPublic Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: lam aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)Downer owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:$