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HomeMy WebLinkAboutBLDE-23-003536 Commonwealth of Official Use Only ( 4 ,I. `44 ' Massachusetts Permit No. BLDE-23-003536 ` 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:12/29/2022 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) 7 PAYSON PATH Owner or Tenant FONTES DAVID E Telephone No. Owner's Address FONTES STACEY L, 7 PAYSON PATH,WEST YARMOUTH, MA 02673 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 No.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: Master bath rough and finish,flood light and attic fan. 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 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 No.of Gas Burners No.of Detection and Initiating Devices 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/Alertine Devices Space/Area HeatingKW No.of Dishwashers P Local ❑ Municipal 0 Other:Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sins No.of Devices or Euuivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent 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: 12/26/2022 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 LIC.NO.: 34454 Licensee: Frank 0 Korpela Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) 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 elephone No. !PERMIT FEE: $75.00 I I—R-7E7- C. F`" VE ® i. i n gg�� /rye Official Use Only ' DEC 2 8 ". Cammonivsa!'th °I //laaaac�iusalfa ft __ l— c� (� Permit No. Z 3 35 3 : i B U I L G i N U '1 2spartment of Jigs Servicod rk T Occupancy and Fee Checked �� l" [ ] (leave blank) --,�,,, . ---;—,BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07 APPLIC ION FOR PERMIT TO PERFORM ELECTRICAL WORK to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT .K OR TYPE ALL INFORMATION) Date: //:...2—...s . .- - City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned givesgi� notice �� tentio to erform the electrical work described below. Location(Street&Number) ! yak ,� Sj / �� Telephone No.7.' Owner or Tenant Splay � Owner's Address crGL/nt Is this permit in conjunction with a building permit? Yes Authorization0 (Check Appropriate Box) Purpose of Building Utility No. _.. Existing Service Amps / Volts Overhead Undgrd No.of Meters New Service Amps / Volts Overhead E Undgrd ❑ No.of Meters Number of Feeders and Ampacity �^� JI �� �� Location and Nature of Proposed Electrical Work: /"Aft, ,/` r/ -�D 4 / 4t 06.---/�`am// 4 < /ii«L_ 7Yzc/,‘.) ,2,-` Completion of the following table m9y be waived by the biota r of Wires. ,' N0.0[ T t No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA ."�` Generators KVA •-' No.of Luminaire Outlets No.of Hot Tubs Above In- No.of Emergency Lighting No.of Luminaires 4 y Swimming Pool grad. ❑ ,i,d, ❑ Battery Units FIRE ALARMS 1No.of Zones No.of Receptacle Outlets No.of Oil Burners No.of Detection and �` No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices i= No.of Ranges No.of Air Cond. Tons Heat Pump Number I Tons . f KW No.of Self-Contained No.of Waste Disposers Totals:I t" "I Detection/Alertln Devices Municip Other No.of Dishwashers Space/Area Heating KW Low❑ Connectson ❑ No.of Dryers -f KW Appliances ' Security Systems:*No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or Equivalent Heaters Signs Telecommunications Wiring. No.FIydromassage Bathtubs No.of Motors Total HP 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: /2--24: -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: INSURANCEOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and LIC.complete. FIRM NAME:"44 Oi , NO.: _ �gn �%" LIC.NO.: ,.3yC5sy� !Z rX,'G�4 - afore Licensee: Bus.Tel.No.r4,$-� r�y� Address: S�c ¶applicable,enter"exe t"in the use nu er lObi am.) e Alt,'peL No.: *Per M.G.L.c. 147,s.57-b 1,security work requires Department f Public Safety"S"License: Lic.No. OWNER'S INSURANCEsignature below,I hereby waive this requirement WAIVER: I am aware that the Licensee does not I am the(check one) ownervera owner's a ge lent. required gPERMIT FEE: $ law. ByBy mymy Owner/Agent Telephone No. Signature