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Home My WebLink AboutBLDE-23-005112 Commonwealth of Official Use Only !t Permit No. BLDE-23-005112 Massachusetts 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:3/17/2023 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) 15 CAPT NOYES RD Owner or Tenant KELLY WILLIAM G Telephone No. Owner's Address KELLY SUSAN J, 15 CAPT NOYES RD, SOUTH YARMOUTH, MA 02664-2819 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 12296450 Existing Service 150 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&replace sub panel in garage. 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 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 Initiatine 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 ❑ 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 Siens 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: COTTI JOHNSON HVAC Licensee: Jason Mienscow Signature LIC.NO.: 22630 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:36 Torrey Road, Cumberland RI 02864 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 °ea l z (w/ii 4 o �t r c - )OM- r z -sc/Cc)) Commonwealth of Massachuaett3 Official Use Only )la---.: ,,i_,, .1 Department o�.}ire.ervice3 Permit No. � ' y Occupancy and Fee Checked � = BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1 07 y (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: 3/VS /2 City or Town of: Y G fy,-- 0 v V V\ 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) 15 CC v cA t n s es Cc/ Owner or Tenant 1--.,(,t,r,-‘ 1A e l t y Telephone No. ;(ie j57- , Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No LY (Check Appropriate Box) Purpose of Building c e,S 101-P'n k-t ci I Utility Authorization No. v aaq(o/ Existing Service 160 Amps Ca 0/-4k0 Volts Overhead ❑r Undgrd❑ No.of Meters I New Service CON Amps ‘3,0 /a40 Volts Overhead EK Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: TrsVct G a o oo p co ono el e S-e.'c v I cc �o ce\p\cice \-hey -ex ib\-►njU anciI,Sc, 1h5ciII q IC Vc,,,,pSu -pc,net ihtielrca, e. tvrep i tt... eret ,r j n Ei Completion of the following table may be waived byte Inspector of Wires. No.of Recessed L>nlinaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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 AlertingDevices 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 El 'IMunicipal El Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts 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 ofpectrical Work: (When required by municipal policy.) Work to Start: 4J/ tR 1/ 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Cotti Johnson LIC.NO.:22630-A Licensee: Jason Mienscow Signature/� A� LIC.NO.: 12025-B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:774-501-3041 Address: 30 Waverly Street,Taunton,MA.02780 Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Depaitntent 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 PERMIT FEE: $ 50.00 Signature Telephone No. I ) D J(o» HEATING & AIR CONDITIONING � Since 1948 IREED JUN 05 2023 To whom it may concern- BUILDING DEPARTMENT By Please see the attached re-inspection fee for 15 Captain Noyes Road Yarmouth, Permit# BLDE-23-5112 Any questions or need more information please Call or email Phone: 774-265-5736 Email: inspections@cottijohnson.com -Thank you Caitlin Delaney Permit & Inspections Coordinator HEATING $AIR CONDITIONING *FIREPLACES ELECTRICAL 30 Waverly Street,Ta u nton,MA 02780 I PHONE 774-501-3041 I FAX 774-501-3191 I www.cottijohnsonhvac.com