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Home My WebLink AboutBLDE-23-004427 Commonwealth of Official Use Only ITN Massachusetts Permit No. BLDE-23-004427 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:2/9/2023 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 descri d below / Location(Street&Number) 11 UNCLE EPHRIAMS RD .-7 '7 ,/ 6 Owner or Tenant VERNON JANET HARPER TR Telephone No. Owner's Address HARPER VERNON REALTY TRUST, 11 UNCLE EPHRAIMS RD,SOUTH YARMOUTH, MA 02664-4428 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: Split system wiring. 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 Initiating Devices No.of Ranges No.of Air Cond. 1 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 ❑ Municipal ❑ Other: 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 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 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: JESSE R LING Licensee: Jesse R Ling Signature LIC.NO.: 15646 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1200,WEST CHATHAM MA 026691200 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:$50.00 C__ Dit At,, 9424Z3 Commonwealth of Massachusetts Official Use Only t' Permit No. -�-i14 '� 2-7 l_ t - Department of Fire Services r __ I L_ ; Occupancy and Fee Checked =_ BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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 o (PILE SE PRINT IN INK OR TYPE ALL INFORMATION Date: 2_-7 - .3 W 1 1 City or Town of: Vaf C1 ekJ�h To the Inspector of Wires: N By s application the undersigned gives notice of his or her intention perform the electrical work described below. �, cis Lots on(Street&Number) C l Use � Co-4''N l p W' c 4'vner or Tenant ' c,-t�/c Ve 0f\ Telephone No. -737-l 0i 3 C i „co s4hO�inelr's Address l4 cJ -- Y' 5 u14 it-'- Iis permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) C P -gose of Building fr`),t, ka. ‘ 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: Vcalu,V- o' 40 V C� ....I Ai L 4p1 t E- 1S N1 Z ompletion of the following,table may be waived by the Inspector of Wires. No,of Recessed Luminaires No.of Ceil.-Susp. No.of Total(Paddle)Fans Transformers KVA 1' No.of Luminaire Outlets No.of Hot Tubs Generators '` Above In- No.of h;mergency Lighting No.of Luminaires Swimming Pool grad. grad. Battery Units No.of Receptacle Outlets No. of Switches No.of Oil Burners FIRE Ai aRMS No.of Zones No.of Detection and No.of Gas Burners Initiating Devices Total No. of Ranges No.of Waste DisposersNo.of Air Cond. Tons No.of Alerting Devices Heat Pump Number. Tons KW No.of Self-Contained Totals: Detection/Alerting Devices X No.of Dishwashers Space/Area Heating KW Local 0 C necti n CI Omer 0 No.of Dryers Heating Appliances Ir Security Systems:* ry No.of Devices or Equivalent No. of Water KW No.of No.of - Data Wiring: - - Heaters Signs Ballasts No.of Devices or Equivalent tt Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: m" Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 4 f 6 0 (When required by municipal policy.) Work to Start 7'�� 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 [ BOND 0 OTHER. 0 (Specify•) I certify,under the pains and pen ties of perjutylthat the information ors this application is true and complete. III w FIRM NAME: 1-i-h1 c. L 1,.e L-t.go --Ole-c LA*t-i Lea ( LIC.NO.:At. 64 6 L.) U Licensee: R. I,.t i L Signature 4_ LIC.NO.:E 36R 34 •� (If applicable,enter"exempt"in the license number line.) Bus:Tel.No.:5 68`400-la 32 04 t Address: tin t Z�C�O CO t fit-.�4-Z ► 1 '1 �(A ,Od.66`�` Alt.TeL No.: *Security System Contractor License required for this work;if applicable,enter the license number here: cn ai OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally 0. required by law. By my signature below,I hereby waive this requirement I am the(check one)D owner ❑owner's agent. Owner/Agent PERMI?' EE:$ X Signature Telephone No. w