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Home My WebLink AboutBLDE-23-003368 or i14\ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003368 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:12/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfor the electrical work do ibed below. Location(Street&Number) 414 LONG POND DR OM ( ° Owner or Tenant 144140ILMMAL4rclit Telephone No. Owner's Address ,414 LONG POND DR,SOUTH YARMOUTH,MA 02664-4244 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps 240 Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 2nd floor addition, 1st floor restoration,service upgrade. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 50 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA — No.of Luminaire Outlets 4 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool g bnd.ove ❑ elrnd. ❑ No.of Emergency Lighting r Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 2 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 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.te of KW No.of No.of Ballasts Data Wiring: Signs 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:) I certify,under the pains and penalties o perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Matthew Kane Signature LIC.NO.: 55328 - (If applicable,enter"exempt"in the license number line.) Address:35 Harvard Street,South Yarmouth Ma 02664 Bus.Tel.No.: *Per M.G.L.c.147,s.57-61,security work requires Depaitutent of Public Safety"S"License: Alt.Tel.No.: 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 Signature Telephone No. (,� I PERMIT FEE:$180.00 I POILT-t A-C ( ilb.uc at I?/14/'2 . c -(/,/ R:E G )E 4.E_ID Mgdadc Official Use Only Can�nanwea[th o/ DEC.',V " c� nti p Permit No. tsz3- 3.368' I pae Occupancy and Fee Checked BuiLDINGENIB ARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (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 INFORMATION) Date: I L/i'//z Z City or Town of: t/ii/vino-tp, 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 A Number) 01 L 0 r1 c ea rx/ Owner Tenau ` /JAtTtih l C',iTREI) Telephone No. SC�7'7 k Owner's Address -7'`7 faT Z Sr 5 0 y co-v`1 /7 S("J Is this permit In conjunction with a building permit? Yes ti No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /U Q Amps / o / d V o Volts Overhead� Undgrd❑ No.of Meters New Servik4 Ott Amps /alb /(9YOVolts Overhead lala Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: , ncJ F/pc( /local i I tDo'1, /S l=/o w- /o r /2n,,/thin Rri/ Cary(' /mic re [No!ic c&t it) We tri- nfrzimii /5ec ore 0P6i.,de Completion of thefollowingtable may be waived by the Inspector of Wires. tal No.of Recessed Luminaires t� No.of Cell.-Susp.(Paddle)Fans No Trr anosformers KVA No.of Luminaire Outlets t f No.of Hot Tubs Generators KVA Z No.of Luminaires SwimmingPool Above In- cro.of Emergency Ltgatwg tirnd. prod. Batter,Units \, No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 'No.of Zones No.of Detection and S No.of Switches No.of Cu Burners / initiating Devices Total , No.of Ranges No.of Air Cond. Tons , No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Sell-Coatalned 03, _ Detection/Alertln Devices No.of Dishwashers Space/Area Heating KW Local 0 Connnt cptioon 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 -Tetecommankations Wring. No.Hydromassaget Bathtubs No.of Motors Total HP No.of Devices or Equivalent 4, OTHER: v Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Eleclical Work: (When required by municipal policy.) Work to Start: IZ/io/ 2Z inspections to be requested in accordance with MEC Rule 10,and upon completion. s INSURANCE COVERAGE: Unless waived by the owner.no permit for the performance of electrical work may issue unless d' the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office. • CHECK ONE: INSURANCE [BOND 0 OTHER ❑ (Specify:) Q I certify.under the pains and penalties of perjury,that the Information►on this application is true and complete. -.4 FiRM NAME: LIC.NO.: __.i Licensee: MN11iEw Kt4NE Signature LIC.NO.:553a 8 3 �,,� (If applicable,enter"exempt"in the license number lint) Bus.Tel.No.: .„ Address: �"iS. ilarV�rc Sires)-F .Savy-h Narmcoth mri ()Zbb'i Alt.Tel No.: 77y-rigy-73ro 'Per M.O.L.c. 147,S.57.61,security work requires Department of Public Safety"S"License: Lic.No. ZOWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability jnsurance coverage normally ‘3,j required by law. By my signature below,i hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Age f'r Signature ; ►i U/C(Q Telephone No. 61)g- 7714 29 PERMIT FEE:S