HomeMy WebLinkAboutBLDE-23-005462 Commonwealth of Official Use Only
-E Massachusetts Permit No. BLDE-23-005462
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:4/3/2023
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) 4 MELVA ST
Owner or Tenant CAMILLA FLANNERY Telephone No.
Owner's Address
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: Finish bath devices, lights, &fan. (Take over from BLDE-23-001098)
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. Tonal No.of Alerting Devices
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 ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Michael D Hollister
Licensee: Michael D Hollister Signature LIC.NO.: 10071
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:85 N DENNIS RD,S YARMOUTH MA 026641017 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 ❑ owner's agent.
Owner/Agent
Signature
Telephone Telephone No. PERMIT FEE: $50.00
- `�<oe(z3
Commonwealth of Massachusetts Official Useonl
Permit No.: �73— (0Z
t 'i Department of Fire Services Occupancy and Fee Checked:
"e— a BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/2023]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 cryIR 12.0g
City or Town of: YARMOUTH Date: 3 / ?/ / Z3
To the Inspector of Wires:By this ap licatioy on,�the undersigned gives notices his or her intention to perform the electrical work described below.
Location(Street&Number): /r r) V 4 s 1 Unit No.:
Owner or Tenant: rV] tt 'r 41 [/}vo t L k or FL fa,/N y Email:
Owner's Address: Phone No.:511 (t 4- I 1i67
Is this permit in conjunction� with� a building permit?(Check appropriate box)Yes$ No El Permit No.:
Purpose of Building: F pJ/I)l/vt Gb Utility Authorization No.:
Existing Service: av Amps if/IIC/ .Volts Overhead Underground El No.of Meters: I
New Service: Amps //) Volts Overhead f Underground 0 No.of Meters:_
Description of Proposed Electrical Installation: 1-'ti}_,6- 0 c(L )- -Ovig's P1/y )?iZ-
0 tGiliGifa-ttl, Fr iv IS 1-i yap---ii Vc. //c b-) I ► 47 L r S& KA-14/
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:.
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Gmd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Deyjc.r'Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipm nR E E I V 1=_
No.of Modules: Roof-Mount❑ Ground-Mount IDLevel 1❑ Level 2❑ Level 3❑ Rad 0
OTHER:
MAR 312023
Attach additional detail if desired,or as required by the Inspector of Wires. QU I L DI NG DEPARTMENT
Estimated Value of Electrical W rk: I,( 2 (When required by m icrp —
i
Date Work to Start:31L7 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: YIA1 G 1 4f�L- b 1 is L[-!S7Z:I A-1❑or C-1 0 LIC.No.: ff��
Master/Systems Licensee: LIC.No.: l r2 7 t — I'
Journeyman Licensee: 16L- LIC.No.:
Security System Business requires/ a Division of Occupationaal�Licensure"S"LIC. S-LIC.No.:
Address: 0S /y t r J t�l/V/V/5 y-d c ,4 .Ala,/%e l-
Email: Lim lee L/oze—isr -cy ttlG62 /- ry1jAt-• Telephone No.: 5 3 776 — II'
I certify,under a pains and nalties of perjury,that the information on his application is true and complete.
It
Licensee: Print Name: 't IIC e g c1U 1 5134--- Cell.No.: 7 7t
INSURAN O RA E:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
. provides p of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage
is in force and has exhibited proof a to the permit issuing office.
CHECK ONE: INSURANCE BOND El 0 Specify:
OWNER'S INSURANCE W I R: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: Tel.No.:
Signature: Email.:
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STUDIO VERTI
�I R i...
March 30, 2023
Ken Elliott
Yarmouth Building Department
Yarmouth Town Hall
1146 Route 28
South Yarmouth, MA 02664
Re. 4 Melva Street
Dear Mr. Elliott,
This letter is to inform you that Robert Chaves will no longer be working on
my property at 4 Melva Street. The electrician who has taken over to complete the
work is Michael Hollister.
Since( y,
(I)
Camilla Flannery AIA, NCARB, CPHC
Principal Architect, Studio Vert, LLC
4 Melva Street
Yarmouth, MA 02664
11 Taranto Ct
Maplewood, NJ 07040
p. 917-647-1667
www.studiovert.net
I