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Home My WebLink AboutBLDE-22-004094 0_ Commonwealth of Official Use Only 'fi.�, Massachusetts Permit No. BLDE-22-004094 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:1/25/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform�theth�eell.ectricall`f ork described below.lo n� Location(Street&Number) 28 PROSPECT AVE +Jd1�1.=— 1"'1'4N t� r f 1Z/'► ' I I Owner or Tenant Telephone No. Owner's Address ,28 PROSPECT AVE,WEST YARMOUTH, MA 02673 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 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. grad. Battery Units No.of Receptacle Outlets 10 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. Toot l No.of Alerting Devices Tns No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices Space/Area HeatingKW Local ❑ Municipal ❑ Other: No.of Dishwashers P 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 Equivalent 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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: KENNETH E BROWN LIC.NO.: 21117 Licensee: Kenneth E Brown Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:3 MICHAEL RD, FRANKLIN MA 020382565 *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 'PERMIT FEE: $75.00 I Signature Telephone No. t.?4j (/218 (22- —' RECEIVED i ' JAN 2 4 2022 A, BUILDING D c PA 41614,1, a 0/f7la�+aecJuwalt4 Official Use Q By -- _ Permit No. — v b l * Oc mancy and Fee Checked BOARD FIRE PREV NT1ON REGULATIONS [Rev. l/U11 Heave 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 INFORMATION) Date: 1/24/2022 JCity or Town of: Yarmouth To the Inspector of Wires: 0 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ) Location(Street&''Number) 28 Prospect Ave v Owner or Tenant Joe Mangiaratti Telephone No. Owner's Address 28 Prospect Ave,West Yarmouth MA 02673 4 Is this permit in conjunction with a building permit? Yes E3 No E3 (Check Appropriate Box) 0 Purpose of Building Residential Utility Authorization No. q)I Existing Service Amps / Volts Overhead[, Undgrd t❑ No.of Meters -J New Service Amps / Volts Overhead Q Undgrd t._I No.of Meters Number of Feeders and*opacity Location and Nature of Proposed Eiectricaiil:Work: Remodeling Bedroom/Bathroom 10 lights,10 outlet, 1 exhaust fan (41 Completion of the following table may be waived by the In No.of spector of Wires. \i No,of Recessed Luminaires 10 No,of CelloSnap.(Paddle)Fans ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimming Pool e ❑ Igrtd, C- g ttery Lightingergency No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones 'No.of detection and No.of Swvltehes No.of Gas Burners Initiating Devices 1, No.of Ranges No.of Air Cond. fi No.of Alerting Devices 'Beat Pump NumberTons. .,._. 'No.of Self-Contalged Na:of Waste Ilisp era Totals: _. KWn/Ale lkwices unidpal No.of Dishwashers Space/Area Heating KW Local 0 Other Connection No.of Dryers Heats Appliances KW Security S `* Besting No.of Devices�or EquivalentNo.of Waterr 'No.of No.of Data Wiring: SignsHester* ft" Balhru r* No.of Devices or Equivalent 'Telecommunications Wiring: No.Hydromassage Bathtubs NO.of Motors Total HP Na.of Devine,or Equiraent OTHER 1 Exhaust Fan Attach additional detail if desired:or as required by the Inspector of W res. Estimated Value of Electrical Work: $5,000 (When required by municipal policy.) Work to Start: 1/24/2022 Inspections to be requested in accordance with MEC Rule i0,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on this u an is true and complete. Al FIRM NAME: Tatra Building Company Inc LIC.NO.: Licensee: Kenneth Brown Signature &A�'D1 1L LIC.NO.: 2117A Of applicable,enter"exempt"in the license number line.) Bus.Tel.No.:774-317-0593 Address: 3 Michael Rd,Franklin MA 02038 Alt.Tel.No.:774-306-1497 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I sin aware that the Licensee does not have the liability insurance coverage normally requited by law.By my signature below,I hereby waive this requirement. lam the(check one)0 owner ❑owner's agent., Owner/Agent �sign re Telephone No. I PEWIT FEE:$ '2s' out-- it