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Home My WebLink AboutBLDE-21-005033 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005033 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen, bathroom, &bedrooms. 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 TotalTransformers 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 Init at.ofngtDevi es ection and No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 0 ConneMunicr on al 0 Other: No.of Dryers Heating Appliances KW - Security Systems:* No.of Devices or E•uivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devic• or •uivalent No. romassa a H d Bathtubs No.of Motor Total HP Telecom ic,t'; s Wiring: y g ,No.of •-• o I ivalent i • OTHER: " Attach add'tio l i , d..ired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (Whe equired b 'c al of y. Work to start: Inspection to be request'i n accordance wit MEC R , nd upon completion. INSURANCE COVERAGE:Unless waived by the ow,er,no p-- it for the performance of electr ca work may issue unless the licensee provides proof of liability insurance including"complete. •,- ation"coverage or its substa>�al -.uivalent.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 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 N2/L 2/g k e,—,,,,,aak 7 717, earlwetlfa Official Use Only Y c7 Permit No. 1 c; 33 `��` ` � Occupancy and Fee Checked y BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perforated in accordance with the Massschusets Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3-S -a'\ City or Town of: YOrfrO0i41 To the Inspector of Wires: By this application the undersigned bves notice of his or her intention to perform the electrical work described below. Location(Street&Number) GO /V.p' nt Land Owner or Tenant ANY 6-a\\ 3 her Telephone No. 60Z- 3TO - l OI Owner's Address / Is this permit la conjunction with a buildhig permit? Yes pi No 0 (Check Appropriate Box) Purpose of Building SeinivAer )flo'r^-e_ Utility Authorization No. 3 E Service adrO Amps )04)/ e'.4d Volts Overhead Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Amy Location and Nature of Proposed Illectriad Work: JG1 -01e(' , 5444) 1 BeJroovn ' �-ZmJe\ Completion of the followini.Ntabk a.onuy f be waived by the be of Wires. No.of Recessed L uminaires Na ofCa.-Slap.(Paddle) Transformers fatal No.of Luntinaire Outlets No.of Hot Tubs Generators KVA -' Above In- Ives.of Emergency L1g�ttag No. I.ioim ianirese S Pool and. ❑ grad. Battery Units No.of Receptacle Outlets No.of OS Burners FIRE ALARMS INo.of Zones No.of Detection and No.of No.of Gas Barnes bidding DevicesTertal No.of Alerting Devices No.of Ranges Na of Air Coed. Toss Pump'Number Tons KW 6N�a offSSelf-Contained No.of Waste Heat .•! unicipal No.of Dishwashers Space/Area Heating KW Local 0 CA 0 Other Secu No.of Dryers Heating Appliances KW No. or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or latt Telecommunkatneas No.Hydro age Bathtubs No.of Motors Total HP No.of Devices or FA OTHER Attach additional detail Vdesirec4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 3-5-a l Inspections to be requested in accordance with MEC Rule 10,and upon completion. the owner,no permit for the performance a of electrical work may issue unless INSURANCE COVERAGE: Unless waived by coverage or itssubstantialegirivaknt The the licensee provides proof of liability insurance including"completed operation" a permits issuinn o eq. undersigned certifies that such coverage is in force,and has exhibited proof CHECK ONE: INSURANCE V BOND ❑ OTHER 0 (SPecify:) is loser and complete. I�fy,radu theand,,,;„--:., of perjury,that the information on this Ld : 1!GG a- 3 FIRM NAME: .. (J�'y /'� J Signature Del LIC.NO.: Licensee: �cc�' � Bus.TeL Nor �?y-SS j-G5��► (lf te.enter"exempt"in\ I SL� )5 14t+noJ�'h,AAA oa&to 9 Alt.Tea.No.: Address: Jr l {cth of Public Safety"S"License: Lic.No. *Per M.G.L.c.147,s.5 -61,security work requires Department • OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage owner owner's p° aly required by law. By my signature below,I hereby waive this requirement I am the(check one)❑ gent. Owner/Agent Telephone No. 1 PERMIT FEE: Signature