Loading...
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.: P xTt p ' " 5 6u x y xt 2 Z 1 , 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