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Home My WebLink AboutBLDE-23-005059 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005059 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:3/15/2023 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) 4 RUNE STONE RD Owner or Tenant SHIELA REILLY Owner's Address 4 RUNE STONE ROAD, SOUTH YARMOUTH, MA 02664-1325 Telephone No. 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 gNo.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&bathrooms.Add recessed lights. (Work done in the past without permits) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 27 No.of Ceil:Susp.(Paddle)Fans 2 No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above IDIn- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 50 No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches 22 No.of Gas Burners No.of Detection and — Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers 1 Heat Pump I Number f I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Jonathan B Rossborough Licensee: Jonathan B Rossborough Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21529 Address: 12 CEDAR LN, KINGSTON MA 023641716 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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: $260.00 PC 9(z (z onemonursa //(adaacnudstfa Official Use Only at c� �7 {- " 2)s artinduet o .`t Permit Na, Z-3-5 V ' r +n P giro srveead �° r ° Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 {leave blankk) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (PLEASE PRINATI work N toK b Oe Rperf om7eEA inL Lac c�dance INFOR M TthIeO Massachusetts Electrical : C }(M/EL/CI 7 C MR2 132.00 City or Town of: el-r; ,r (. To the Inspector of Wires: By this application the undersigned giv notice of g1.s or her intention t perform the electrical work described below. Location(Street&Number) .ty J� 'et.,,, i•-te)vi-c, t.2.‘,) 1Owner or Tenant ,�`lie I cc Kiel Telephone No. /T ,fit% 7 ' \-_s Owner's Address 11 ` . \''' Is this permit in conjnncti n with bulldi rmit? Yes V /� � ng Pe No ❑ (Check Appropriate Box) t Purpose of Building /� V5-/ec>/l/ a ( Utility Authorization No. • Existing Service /�ii) Amps/,7 ) 112 Y6 Volts Overhead� Undgrd g ❑ No.of Meters 1 New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters r Number of Feeders and Ampacity J Location and attire of Proposed Electrical Work: C-'/ J .: feel,d � ie.. K v 7 k 2r/L k 60.-4 2 roes,,, 5 Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires J '7 No.of Cell.-Snap•(Paddle)Fang No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators Qi KVA No.of Luminaires Swimming Pool Above ❑ In- No.of 1"mergency Lightrng grnd. grnd. Battery Units � ReceptacleOutlets No.of Oil Burners '�1 No.of FIRE ALARMS INo,of Zones No.of Switches , - Na.of Gas Burners No.of Detection and Initiating Devices l No.of Ranges / No.of Air Cond. Total �'/ S Tons No.of Alerting Devices No.of Waste Disposers / Heatotamisp Number Tons j KW No.of Self-Contained I i Detection/Alerting Devices Na.of Dishwashers _Space/Area Heating KW al Municipal Connection No.of Dryers / Heating Appliances KW Security m No.of Water No,of of DeviSystecess:*or Equivalent Heaters ' No.of Dataa Wiring: Signs Ballasts No.of Devices or Equivalent Na.Hydromasaage Bathtubs No.of Motors Total HP Telecommunications Wiring: ,�v No.of Devices or Equivalent OTHER: �°/ ,,(( 41,40 Zez/q elta,,is f --- v?f" , F ,.. ( I `Lai1 / y- Estimated Value of Electrical Work: CJ(J� Attach additiehal detail jf desired,or as required by the Inspector of Wires. Work to Start: / (When required by •municipal policy,) Inspections to be requested in accordance with MEC Rule 10,and upon completion, INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liability insurance including�°� 1p�tofor the performance of electrical work may issue unless undersigned certifies that such coverage is in force,and has exhibited proof operation" osame to thee or its substantialssungfequivalent. The CHECK ONE: INSURANCE 2BONDpermit issuing office. I certify,under the pains and pe es , 0 OTHER 0 (Specify:). fpe17ury, , the information on this a�application is true and complete. FIRM NAME: 1g,, /� i :j;' // ,/ � Licensee: r`-'C/`'to a ( cS',/, e g �,� , u ♦ �S LIC.NO,; 1. � f�� (If applicable,enter"ex pt„M the license trey ber line.) Signature ez,y „ LIC.NO.: (U Address:/ Cy',9 e '� �.� e� *Per M.G.L.c. 147,s.57-61,security work ire:D Alt.TLiel.No,: OWNER'S INSURANCE WAIVER: I am aware that the L see not havSafetye the liability insurance covers e required by law. By my signature below,I hereby waive this requirement. I am the(check one g normally Owner/Agent owner Signature owner's a ent Telephone No. PEWIT FEE: $