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Home My WebLink AboutBLDE-22-006561 I os . Commonwealth of Official Use Only irky Massachusetts Permit No. BLDE-22-006561 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:5/16/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 54 CEDAR ST Owner or Tenant Cheryl Kidney Telephone No. Owner's Address CIO CHERYL KIDNEY,54 CEDAR ST,SOUTH YARMOUTH, MA 02664 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: Outlets&lights to code. 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 a KVA No.of Luminaire Outlets No.of Hot Tubs Generator KVA ., No.of Luminaires Swimming Pool Above ❑ In- 0 No.of E ' n i grnd. grnd. Battery Un ` Q No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALA' ,$ 'f 5>re No.of Switches 2 No.of Gas Burners No.of Detection a d Q / Initiatine Devices / No.of Ranges No.of Air Cond. Tons Tot No.of Alerting Devices 0 O 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 ❑ et,,r: 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DYLAN A TOWNE Licensee: Dylan A Towne Signature LIC.NO.: 53118 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 SWIFT AVE,WAREHAM MA 025712512 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 my 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: $75.00 RECEIVED (1 ,� MAY A� ' Co nwoa[th amac ueatie Official Use 3 "k_"f :/ DING DEPARTM T h Only a f�. s Permit No. zZ— 6`C �. inunI o Jiro ervicm '` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked -------____�� Rev. 1/07] leave blank L APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO r.) All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 RK y (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) s, - City or Town of: v p�A Date: .� 'l 3 a p. By this application the undersigned his or Mention toTo the Inspecto ofWires; Location(Street&Number) i. perform the electrical work described below. �cJ�c 5� Owner or Tenant C k�.r_ l , ra. I Owner's Address ✓✓ Telephone No. So -_``;�,�5-- C,- \ Y Is this permit in conjunction with a building permit? Yes t Purpose of Building LirN ICoLv� �0y''. a✓1 El (Check Appropriate Box Utility Authorization No. ) Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Taw ervi Amps / Volts — d Overhead❑ Undgrd El No.of Meters _ Number of Feeders and Ampa --KZ) 1 Location and Nature of Proposed Electrical Work: trt No.of R Com.letion o the ollowin: table m, be waived b the In ,actor o Wires. r•flik. Recessed Luminaires No.of Ceil.-Sus . `o.o CI No.of Luminsdre Outlets p (Paddle)Fans ota No.of Hot Tubs Transformers KVA CA No.of Luminaires Generators KVA ., Swimming Pool ad e ❑ n- O.o mergencY n No.of Receptacle Outlets 6 No.of OB BurnersaraMMII nd" ❑ Batte Units g •-- No.of Switches No.of Gas Burners •o•o t No.of Zones 1 i r No.of Ranges etec on an No.of Air Cond. ota Initiatin Devices No.of Waste Disposers Tons No.of Alerting Devices `eat 'amp um er ors Totals: -----_._-.-.......... ' `' `o.o e out n , No.of Dishwashers Detection/Alert Space/Area Heating KW an ' Devices No.of Dryers Heating Appliances Local Connection 0 Other `o.o "a er KW ecu ty ystems: Heaters KW '°•° `0.o No.of Devices or E,uivalent S ,s Ballasts Data Wiring: No.of Devices or E,uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca,ors " r ,gg OTHER: No.of Devices or E,uivalent ID CO— Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: to Start: ; (When required by municipal policy.) WorkSURANCE C VE �I.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INGE: 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. undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing CHECK ONE: INSURANCE9 ant. The I certify,under the pains and 0 BOND ❑ OTHER 0 (Specify:) urrtg office. penalties o FIRM NAME: J a i\ G Lo r fpt-kry,that the information on this application is true and complete. Licensee: t' ec l'r c ,c`r —a yl4v� TG�k,Y�Z Signature _ LIC.NO.: S J= Address•ble,enter exempt to the incense number line.) _— LIC.NO.: • l i q e• Bus.Tl.No. / *Per M.G.L.c. 147,s.57-61,security work requires De S .5 62-g6 ublic OWNER'S INSURANCE WAIVER: I am aware that Department Licensee does Safetyot have the liability insurance coverage"S"License: Lic.No.requie y law. By my signature below,I hereby waive this requirement. I am the(check one • owner Owner/Agentd normally Signature � owner's a:ent. Telephone No. PERMIT FEE:$