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Home My WebLink AboutBLDE-22-003019 or ti� Commonwealth of Official Use Only A.k t Massachusetts Permit No. BLDE-22-003019 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:11/23/2021 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) 42 FOUR SEASONS DR Owner or Tenant Lynne DiPiro Telephone No. Owner's Address 42 FOUR SEASONS DRIVE, SOUTH YARMOUTH, MA 02664-2136 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: Kitchen remodel 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 Initiatine Devices No.of Ranges No.of Air Cond. Ton l 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 ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sinus No.of Devices or Eauivalent 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD, HYANNIS MA 026012043 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 —2,ii4( " 74 71 RECEIVED 1' NOV 1 2021 C. ,nweaa of Official Use Only N Q `it.i tv ti U E .4 R i!VI E �cc77 Permit No. C — 30 `q awk.,, niot irs&raw " — Occupancy and Fee Checked i BOARD OF FIRE PREVENTION REGULATIONS v. �` I 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 a (PLEASE PRINT IN INK OR TYPE ALL INFORMATION)j Date: // /9 10,21 City or Town of: U,Jrot(V I,t,'iw 1 To the Inspector of Wires: By this application the undersignedgives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4c >-Uu,',S�aJDns. bri VC. Owner or Tenant n TelephoneNo. 0 - &O-- 7q7 --4, Owner's Address � r1I U/ StairDi1 S T l'i V2 n lit 4,r/hDLL.* 1 m e /,/J Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Lt Purpose of Building (Mae/ilia) Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters ® New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity �+ !/ ` .i Location and Nature of Proposed Electrical Work: �l rif t° q 01 20c s f-- ei h e ) l7 emoct e1 Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)FansV. Transformers KVA ;) No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units "J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and „k Initiating Devices t tz-' No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P� Totals: Detection/Alerting Devics No.of Dishwashers Space/Area Heating KW Local 0 ConneetiOn 0 other No.of Dryers Heating Appliances KW Security ecu of Systems:* Devic or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.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: Inspections 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 IX BOND 0 OTHER 0 (Specify:) b(O�1in/ '+r 0'lv/l d i FIRM NAME:the pains and jen`alties of perjury,that the in urination on this ap�a' n is true and complete. 7� a ' on - � ,4171g7 lw Licensee: 4. I. )i A,-. id Signature` Lir, 1.._ "- (If applicable,enter"exempt"in the lie ,'number line.) ,D J's.T o.:.ve 771 7a.,70 Address: ,S7 rind Teak `Dr Wi'1-7 ygniatri'1 � 0 73 . lt.TeL No.: *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 am 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)❑owner ❑owner's agent. Owner/AgentPERMIT FEE:$,5,,O(� SignaturetuneTelephone No.