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Home My WebLink AboutBLDE-23-001920 Commonwealth of Official Use Only .1- %. Massachusetts Permit No. BLDE-23-001920 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:10/11/2022 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) 314 WOOD RD Owner or Tenant DON BOIVIN Telephone No. Owner's Address 314 WOOD RD, SOUTH YARMOUTH, MA 02664-3034 Is this permit in conjunction with a building permit? Yes 0 No 0 (CheckiA(p oprtate,Box)'. Purpose of Building Utility Authorization No. '9855349 "-. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No,of Meters ''"-;� New Service 100 Amps Volts Overhead 0 Undgrd 0 No.`of`Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service,dishwasher, microwave,&laundry receptacle. Completion of the following table may be waived by'*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 grnd. grnd. Battery Units No.of Receptacle Outlets 2 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. TTotal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: 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 Wire: 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: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC.NO.: 34454 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 TROUT BROOK RD, MASHPEE MA 026492063 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: $50.00 9 ( .u— �1ot+� A� y� fficial Use nl . o monwaata of///aamach.udaltd g �,_ TfJCN"T 3 C al d,.. v CI"'G DPAR c� n Permit No. :.,•. r• __ _-- pa/timid oi,}irs Jsrvase 11 ,-"__"" Occupancy and Fee Checked -. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: /0 /U ---=). City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to performthe electrical work described below. Location(Street&Number)._ // /{f'G (i) Owner or Tenant Do/-1 SC)/ Telephone No. -77y- fiF-<-3 Owner's Address G,,.y,6 Is this permit in conjunction with a building permit? Yes ❑ No Y --. (Check Appropriate Box) Purpose of Building Utility Authorization No. gi' .--3 9 f Existing Service,//,�-,) Amps /.)O1/j k)Volts Overhead t1 Undgrd E No.of Meters New Service /vl) Amps ,42 )/,..;) ,) Volts Overhead " Undgrd ❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: , . `� li) 6/e,— ,4:- t' /� g .Phil l ` Mi /�� I T'e / .24- '�' Completion of the following table may be waived by the Inspector of Wires. "' No.of Total `•t 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 SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grad. grnd. Battery Units No.of Receptacle Outlets 1 A 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 Conti, Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: DetectionfAlertin Devices No.of Dishwashers / Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.a-Mater KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevicesor Wiring: No.of Devices 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: /Ol 4- 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 E -4OND 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: LIC.NO.: Licensee:/ , Signature LIC.NO.:3 3 4J (If applicable,enter" empt"in th icense number i ,r Bus.Tel.No. n c -4/-ci'�'`ey Address: �17.L�}`..&.�'s '7._*- , 2 iJ'i o&&f"4 -6 '9Alt.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ IL;;;