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Home My WebLink AboutBLDE-23-005669 7 Commonwealth of official Use Only Permit No. BLDE-23-005669 4, ,;144 \ Massachusetts 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:4/11/2023 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 described below. Location(Street&Number) 38 EARLY RED BERRY LN Owner or Tenant STEVE RENOLDI Telephone No. Owner's Address 38 EARLY RED BERRY LN,YARMOUTH PORT, MA 02675 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 kitchen&bath room. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 12 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. 0 grnd. ❑ Battery Units No.of Receptacle Outlets 12 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices 0 Municipal 0 Other: No.of Dishwashers Space/Area Heating KW LocalConnection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: John J Auld LIC.NO.: 36419 Licensee: John J Auld Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 PATRIOT LN,WHITMAN MA 023822379 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: $75.00 I /1 46g)4,1V illt.70 e NPt IZ'<(`?). -- --- Fr-R-----inECEIV , D '�' 71 o'nwealth of Massachusetts O r�ial Use Only �R 11 �LJ � 9 Permit No.: ��-`J �� R - 1� DApd►rtment of Fire Services Occupancy and Fee Checked: BOARD OF"FIR E PREVENTION REGULATIONS [Rev. 1/2023] ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH • Date: //- 25 To the f o Inspector Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. P Location(Street&Number): 5$ but y Xt2.) R'y Lk.) Unit No.: Owner or Tenant: 5TE' R.guD I-.%)/ Email: Owner's Address: ,3 g ,t✓o,?C F-D,B,ERI y L A/ Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes,ta No❑Permit No.: Purpose of Building: 1.)Wat /A/ Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: /' NOVA-77 d 1 rI/ A i r G e", f S47- 0cX4 Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: /2_ No.of Switches: _Generator KW Rating: Type: No.Luminaires: z No.of Recessed Luminaires: / No.Wind Generators: Wind KW Rating: No.Appliances: KW: No,Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 5 U° : — (When required by municipal policy) Date Work to Start: I/-8.2 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: j0 M-N 4-U LZ c ec/R 1 Oh'A' A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: LIC.No.: Journeyman Licensee: JO�,n•' / u L I� LIC.No.: j 64/l Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 3- P/4-T//O t Z.--A/ /4),,-ir 1 rvi xi-iv /4A 0 2 327? Email: O I f14 a U I d EP—LeoAl eY5 "T,l.et Telephone No.:,cbF 730 e %� I certify,under der he ains d penalties of perjury,that the information on this application is true and complete. • Licensee: 14-1 / // Cell.No ve-P .:$ 730 e21 , Print Name: �—�H�-' /`� / INSURAN COVE AGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides pr of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of ame to the permit issuing office. CHECK ONE: INSURANC:+t'! .BOND❑ OTHER❑ Specify: 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 0 Owner's agent 0 Owner/Agent: Tel.No.: Email.: Signature: