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HomeMy WebLinkAboutBLDE-23-003826 Commonwealth of official Use Only Massachusetts Permit No. BLDE-23-003826i.. 6 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:1/13/2023 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) 7 WATER ST Owner or Tenant SEAN ENRIGHT Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap ropriate Box Purpose of Building Utility Authorization No. ,arm l '3 0 . Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters /( f New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters r. F V Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel residence Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 10 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 30 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tons Tota No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 4 Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers 1 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. ' 1 CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) 54l,_ / Z43 I certify,under the pains and penalties of perjury,that the information on this application is true and complete.. FIRM NAME: Licensee: Caleb Cook Signature LIC.NO.: 58839 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 Pond View Drive, Mashpee MA 02649 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: $180.00 cC.42Stilde; 041 1-(14.2-31 i-t NA-k- (IQ(1-7-6('2-3 QlVreigil (Pc-j• eC__T) 3124.(2-3 tor. (7)44101EF, faaty MAL -(7a 6& et-aUt414/111)Nt4T—P 16°r. c `4:1 g/261z3 ieg `... `-, ra---TRFCEVE ® ' 1 JAN 13 2023 , •� / Official Use Only , °" �',:t ! DING D PAR I' ^';i ENT a aeeac abatis Permit No. - olag -- -2/Pa-ICJ/R/t 7un1 cl ira-Sac Q t I + Occupancy and Fee Checked • " ' BOARD OF FIRE PREVENTION REGULATIONS Rev. I/07)Qs (leave blank) qs ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .�e„ 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: A(!' t 9/Z'zi U 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. c.: Location(Street&Number) 7(„/Ct./?:"e,/ '`c r'-i- t,... c u f yc,i-1;t�Z%vl t"�J l Y�/`} - �� r— v Jt Tele hone No. b boy 7'i E c' 6 11/41 Owner or Tenant ) f �7 e•Pi fr y 1- P j I.> Owner's Address ' tom( MY, • Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building 1-.1e)611 e Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd C No.of Meters S New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters N.) Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ( @ L..1 pie fe 9 tf ('eL"001 - i v Completion of the following table may be waived by the Inspector of Wires, ki. No.of Recessed Luminaires No.of Cei1:Sus .(Paddle)Fans No.°f Total nr 1 (� P Transformers KVA No.of Luminaire Outlets ( ''jrNo.of Hot Trios Generators KVA ` Above In- `N of Emergency Lighting .. No.of Luminaires `'� Swimming Pool grad. ❑ grad. ID Battery• Units No.of Receptacle Outlets ,5(../ No.of Oil Burners FIRE ALARMS No.of Zones L No.of Switches No.of Gas Burners No.of Detection and `- Initiating Devices 11.1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/AlertingDevices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H y g No.of Devices or Equivalent OTHER: L Attach additional detail ij"desired or as required by the Inspector of Wires. Estimated Value of y/ectrical Work: i i-' i` (When required by municipal policy.) Work to Start:U f L t f i 4 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the o,vner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance includ.ng"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: f LIC.NO.:5'1.Y3? -16 Licensee: t. G�/ b C, O%� Q,. Signature R -- O i-7 LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.• Address: I 1°C'"'),L t, et,/ ,e`i'r re. Alt.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/Agent /� Si nature l� � � Telephone No,CC'?TL#t'r��i PERMIT FEE: $ t. g '�