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Home My WebLink AboutBLDE-23-003406 > ' Commonwealth of Official Use Only • 4. Massachusetts Permit No. BLDE-23-003406 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:12/20/2022 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) 3 HUMMOCK LN Owner or Tenant GARB ITT APRIL J Telephone No. Owner's Address 3 HUMMOCK LN, YARMOUTH PORT, MA 02675 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 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, misc interior. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 1 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 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: 12/15/2022 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: John R Mangold Licensee: John R Mangold Signature LIC.NO.: 20311 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:9 SPINNAKER DR, MASHPEE MA 026493655 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 Iw2 060 Verc,46sx, OK I Z J2 r/27 �� . A..0 ev,,,N,Jv c ►QA RECEIVED n ( /ry� C 14 2022 . n<aaa/, °////aeeachudal/d Official Use Only ` �'/I �i Permit No. L23 3`ir7(: -'a ARTMENI parim.nt glee_eevieee e. ,�I M Occupancy and Fee Checked 89ARC OF-F-IliE PREVENTION REGULATIONS (Rev.I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CIMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12( ]t} f 2 a 1-2 City or Town of: YARMOUTH To the Inspector of E'ires: By this application the undersigned gives1� notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 (7Ui„M a c].<' Lane '`f,„,e.s�)., ' rT N.) N c ' GAS Owner or Tenant Telephone No. Owner's Address 3 -It t,,/v\MUC,t< L P e w Is this permit in conjunction with a building permit? Yes 157,1 No ❑ (Check Appropriate Box) Purpose of Building 1."\T:\-ChQ r\ ` _e A act.e` 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: 7,k r,0 e O f ko tie / k l k I--e,\ vCompletion of the f llowinLtable miry be waived by the Inspector of Wires. Lb No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total •i Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- No.of Emergency Lighting mot` No.of Luminaires 2,._ Swimming Pool grad. grad. Battery Units Zzl No.of Receptacle Outlets (0 No.of Oil Burners FIRE ALARMS No.of Zones f Detection No.of Switches _ 'L No.of Gas Burners No.Initiatlng Devi and ces No.of Ranges No.of Air Cond. TotTons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons....KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers I Space/Area Heating KW Local D Co nceipannection Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Wafero.of Devices or Equivalent 1 Heaters KW Na.No of No.of Data Wiring: 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 of Electrical Work: +(''° (When required by municipal policy.) Work to Start:]z.I)S I i=a-e. 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 a BOND ❑ OTHER❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:1 S^ O le,q PA. ✓\ F lee%c / L.(' LIC.NO.: ri Z o3// Licensee:‘JO,l n Ma tl yd(p'• Signature / (If applicable,enter"Esempt"in! license number line.) Bus.Tel.No.. Address: q SP(nr\at-<r, DC:vP —M451r Del P l`} O'2671 Alt.Tel.No.:sOfj-7,•,q-/SOD *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safer S"License: Lie.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)[1]owner EJ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$