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Home My WebLink AboutBLDE-23-004979 Commonwealth of Official Use Only litt Massachusetts Permit No. BLDE-23-004979 `s' 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:3/10/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to p the electrical w described be! . Location(Street&Number) 8 HOSKING LN ( td - Owner or Tenant GRANT ROBERT JAMES III Telephone No. Owner's Address CAMPBELL MEGHAN JANE, 1 INDEPENDENCE CT APT 1107, HOBOKEN, NJ 07030 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 Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Local ❑ Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Connection 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 Siens 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. 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: 23369 Licensee: Adair Martins Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N o. Address:25 Franklin Avenue, Hyannis MA 02601 *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 'PERMIT FEE: $75.00 I Signature Telephone No. � 7 tt &( r, , Fr---i—Ef—,_1 E I v _E_ D \ i_ RapuctLIrt +0 etc it_.' . MAR 0 9 2023 \ i tit. Commonwealth of Massachusetts Oft ial Use O 1 r- *� ?1NG nF?ARTti^, Permit No.: 2', �7� 1 = —D tment of Fire Services Occupancy and Fee Checked: =11—= OARD OF FIRE 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: To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): g Unit No.: Owner or Tenant: FretAi k, l_Ehn�r✓r p (4 Email: Owner's Address: Phone .: Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No Permit No.: Purpose of Building: ,,d"lie-AA 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: 14—(,a,A 0 1'to it: (Iv E c)r r il ed S w eLs weii S 14rr ;e'(v it he) Leer cLii cm Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: 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: t ! 1 Swimming Pool:In-Grnd.0 Above-Grnd.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: L ` No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: ENo.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: a Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount ElLevel 1 ❑ Level 2❑ Level 3❑ Rating: F. OTHER: . I "—' Attach additional detail if desired,or.as required by the Inspector of Wires. Estimated Value of Electrical ork: / 'T OW (When required by municipal policy) E' Date Work to Start: 03)b}-f t 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: i t IZ , -" ee ere -rj(A.4-v t L.C. A-1 0 or C-1 0 LIC.No.: Master/Systems Licensee: Ftcfair Max-174.3 LIC.No.: v2336ci — - Journeyman Licensee: ocj,,Z r' M v l€s,,ek 13 LIC.No.: 5S 6 g — Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: a o Prowl k.1.1 h7 Ave 14/i 1-n!ViS M 4 0266'I Email: 11 cr e „0„-CC .N_(2,- f e€ .„. Corn Telephone No. )30j _265 /56?3 ,i 5---(i II'_ I certify,under the pains and penalties of perjury,that the information on this application is true and complete Licensee: 4S r- mO14/ S '77 - Print Name: ,4cL r M v' 4-0.s Tr Cell.No.: S'Cg- 5--‘1 3 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"com leted operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE BOND El 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❑ Owner's agent 0 Owner/Agent: Tel.No.: Signature: Email.: