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Home My WebLink AboutBLDE-23-001627 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001627 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:9/27/2022 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) 395 ROUTE 6A Owner or Tenant GEORGE KENNEDY Telephone No. Owner's Address 395 ROUTE 6A,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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service,wire hot tub&sauna 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 1 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. 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 0 Municipal 0 Other: SAUNA 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: MARK B KIEFER Licensee: Mark B Kiefer Signature LIC.NO.: 26093 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 GRASSY POND DR, DENNIS MA 026382515 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:$100.00 tuJI ) &tt- heir JOSPttffa o F- t!► -.Lu tI/l/t / _� Comnsonwaa&el adeachudsEld Offic�ial2Use Only .1, eW ", ll' c� Permit No. L L7 yl t0� > I tki ave I I 2eparionenf el gire Serviced ..-1 `C) ", ,;4' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 111 LU ct :� [Rev. 1/07j �` '" PP !CATION FOR PERMIT TO PERFORM ELECTRICALi All work to be performed in accordance WORK i"1`t' o I pe cordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 L� �_ 1ASE PRINT IN INK OR E ALL INFORMA ION) Date: , City or Town of: Q�`t-' '/�/( ATo the Inspector of Wires: By this application the undersig ed gives notice of his or er intention to perform the electrical work described below. Location(Street&Number) 'lid p--t-- &jC Owner or Tenant 0 ecQ j e a -re( S 7 g ++'"'" �t � �-�'lVy(ff.?��(i'elephone No. ��.� ``•' Owner's Address 5'-41 e Is this permit in conjunction with a building permit? Yes 0 No ao (Check Appropriate Box) Purpose of Building i / 1 e 11.1T A- ( Utility Authorization No. Existing Service/t ) Amps ca-`(0/ L Volts Overhead KJ Undgrd No.of Meters I' �"� New Service TI Amps a Liu //)o Volts Overhead Undgrd❑ No.of Meters Number of Feeders and Ampacity 3 -e.)-p►-v Locationand Nature of Proposed Electrical Work: 0 4 VJ i R.e 1-le-� --oQC h p Ai t� p CA) tQ S Completion of the followinktable meg 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 grad. grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners #No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Toast No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals:1 f { Detection/Alerting Devices No.of Dishwashers Space/Area Heatin KW Municipal g Local❑ Connection El Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (Whenrequired by municipal policy.) Work to Start: �'�' 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 (p BOND 0 OTHER 0 (Specify:) I certify, under the pains and penalties of ury,that the information on this application is true and complete. FIRM NAME: to t Licensee: . C LIC.NO,:— =. LL+� (If a livable, Signature LIC.NO.: pp the license nu r line) Address: S Bus.Tel.No.: SZ T7—� �7 Alt. *Per M.G.L.c. 147,s. 57-61,securi work requires Department of Public Safety"S"License: Licl. .: 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/Agent ■ owner's sent. Signature Telephone No. PERMIT FEE: $