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Home My WebLink AboutBLDE-23-001988 Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-001988 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:10/13/2022 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) 153 WOOD RD Owner or Tenant KINKEAD JEAN Telephone No. Owner's Address 153 WOOD ROAD, SOUTH YARMOUTH, MA 02664 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: Kitchen Remodel 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 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 ❑ 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 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: RAYMOND E LAFLEUR Licensee: Raymond E Lafleur Signature LIC.NO.: 16814 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:355 Old Jail Ln,PO BOX 253,Barnstable MA 026301426 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: $75.00 ( (2-4-2'7' lg- r /1;/�� ,RECEIVED y� .=� /�onunonw•a ryamok 3 2022 1, l of„/ hao.th Official Use Only -1 r c7 p Permit No. L-o'3- i 4 8-r e a ;ARTMENT .•parG•nnf o`Jir•J•wic a Occupancy and Fee Checked By '-?+ i, :a.RD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 Q61 1 3 (A a City or Town of: m roL�.+ i To the Inspect r of mires: By this application the undersigned gives notice of his or aer m lion to perform the elecgical work described low. Location(Street&Number) I. (Aeyx-Y( ri ci ) --) V/Q--MO Lk Owner or Tenant JeL%(f i. Vie(A C-I Telephone No.503 a$Q *65b' Owner's Address Is this permit in conjugction with a1 building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building .1(e)F`�A P Y\1n 1 Ci , Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: I/1 i l-chec\ ren\Ci- e. V) Completion of the followin&table m be waived by the Inspector of Wires. Ui No.of Recessed Luminaires No.of CelL P-Sox .(Paddle)Fans No'nP Total Transformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KVA a Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and Z. Initiatinngg on No.of Switches No.of Gas Burners No InDete Devices IV No.of Ranges No.of Air Cond. Too Total No.of Alerting Devices Disposers Heat Pump Number Tons KW-No.of Self-Contained No.of Waste D vp° Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Cunnnectlon ❑Other No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.ofKW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromass a Bathtubs No.of Motors Total HP TelecommunicationsNofDevor Wiring: y ag No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of ectri al Work: lt" I,'_�� _ (When required by municipal policy.) Work to Start: .3 G11 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 covTge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the tits and penaldes o perjury,that the in ormation on this a plication is true and complete. FIRM N E: S I-_. CC i C.NO.: Iry 814A/A Licensee: V tU.C.I Signature • (If applicable,enter"exempt"in the license number line.) Bus.Tel.No. }e'^)-7`=-," 3 f`i Address: 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 Telephone No. PERMIT FEE:$ Signature P