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Home My WebLink AboutBLDE-23-004004 Commonwealth of Official Use Only et Massachusetts Permit No. BLDE-23-004004 �-' 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:1/21/2023 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) 8 HARBOR RD Owner or Tenant TIMOTHY BRYAN Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Remodel kitchen 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 ❑ to- ❑ No.of Emergency Lighting grad. 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 Imtiatine 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/Alertine 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 Was No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wit-es. 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:) cog •q 2�1r� _ .. 0 I certify,under the pains and penalties of perJury,that the information on this application is true and complete. BUJ�r C d L FIRM NAME: William R Reeves Licensee: William R Reeves Signature LIC.NO.: 9241 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:175 QUEEN ANN DR,N EASTHAM MA 026510517 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 .1 11140 � ti l� ' q[3(2A P nmt tig - \ .. . . Y R E^IVED �y)/) / Official Use Only w + ommonwaa o`///addachudal d 7I ' !� �7 Permit No. ,\_____ ;,w 2 0 2023 • toned O/�U J.ruittd "t I(_, ' Occupancy and Fee Checked ,.,/;•t, _,Lac)0 ' IRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) B • TION FOR PERMIT TO PERFORM ELECTRICAL WORK • All work to be performed in accordance with the Massachusetts Electrical Code( EC),52 CMR 12.00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / I,9- c -(D City or Town of: YA R M O U T H To the Inspector f T�f'ires: By this application the undersigned gives notic o his or er intention t rf rm the electrical work described below. Location(Street&Number) Fr y K- Owner or Tenant -lip/1 ` j?'l y r f7 4-k . Telephone No. 1 Owner's Address ` ` / Is this permit in conjunc'tio swith a b ng permit? Yes No D (Check Appropriate Box) Purpose of Building +/tA)e i v'\ 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 Location and Nature of Proposed Electrical Work: Q— p1 C1( I ,*idCF--' Completion of the following table m be waived by the In ector of Wires. Li No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.ofTotal �/ Transformers KVA , '1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA tr-N 't. No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool grnd. ❑ grad. ❑ Battery Units "l No.of Receptacle Outlets No.of Oii Burners FIRE ALARMS No.of Zones ", No.of Detection and No.of Switches No.of Gas Burners c Initiatlnc Devices Tota ill No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number T_ ons KW 'No.of Self-Contained p Totals: Detection/Alertin Devices Loc al ElMunicipalonnection ❑ other C No.of Dryers Heating Appliances KW Security Systems:* - No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: No.H y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E tric Work: (When required by municipal policy.) ' Work to Start: t Inspections to be requested in accordance with MEC Rule I0,and upon completion. INSURANCE CO : nless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability i ranee including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove a 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 pa ns and penalties o perjury,that the form on on this applic 'on is true and complete. FIRM NAME: LIC.NO.: Licensee — L $ Signature + t IC.NO.: G' L. (If applicable,f mpg" n the license number e.) Bus.Tel.No.• Address: ( t�1 (,,,(L� /� f+VI L•�/ \ t fr''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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $