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Home My WebLink AboutBLDE-23-002749 4 Commonwealth of official use only Permit No. BLDE-23-002749 Massachusetts 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:11/17/2022 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) 80 FREEMAN RD Owner or Tenant JOHN HOBIN Telephone No. Owner's Address 80 FREEMAN RD,YARMOUTH PORT, MA 02675 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 ❑ 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 ❑ 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 Initiatine 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 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 Siens _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: 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 : QM 11t(7(72/ t(g3i. IR•E� EIVED 16 202 /� y� [Nov Commanwaafth of Modachueotla Official Use Only cyy� / 3—Z7-/7 BUILDING DEPA ..[Jepartnunfo on ��ii Permit No. /Jiro Jowicrtd BY-�-"----- Occupancy and Fee Checked S BOARD 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 EC) 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: J///i, 72, City or Town of: YARMOUTH To the In pec r of Wires: By this application the undersigned gives notice of is or her intention to pe a electrical work described below. v Location(Street&Number) t.) es�•' 9j'. /. Owner or Tenant 'T,r, 1 IA_ rr�` Telephone No. Owner's Address `a/i t I Is this permit In conJunctiopyvith abuilding permit? Yes �o ❑ (Check Appropriate Box) ' Purpose of Building 1-)tAi t I‘r Utility Authorization No. 1 ExistingService Amps / nits Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity / / ,t I,Location and Nature of Proposed Electrical Work: / e , p 063 fl"vi 4.K/. e Completion of tlrefollowingtable nug be waived by the Inspector of Wires. Q., No.of Recessed Luminaires No.of Ceil:Soap.(Paddle)Fans No.of Total ,,, Transformers KVA 't No.of Luminaire Outlets No.of Hot Tubs Generators KVA r:, t• No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting brad. 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 Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number}Tons 1KW No.of Self-Contained Totals 11 Detection/Alertl g Devices No.of Dishwashers Space/Area Heating KW Local D Ma ID(Om er Connecuniciption No.of Dryers Heating Appliances KWSecurity Systems:; No.of Water No.of Devices or Equivalent Heaters KW 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: I./ A./ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:finless 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 ❑ OTHER❑ (Specify:) I cerBfy,under the ains andpenalties o perjury, per u that th injor upon on this pp(fcat/on is true and complete.FIRM NAME: �� ,J Z" LIC O.: `trr�7l Licensee: r Signature (!fn;applicable,enter"ez�pt'i�ys/pe icense number li J IC.NO.: 2 Z Address: ( � 1 r,,/ u�,T,,,� M Bus.Tel.No.: c:/ =F j Per M.G.L.c.147,s.57-61, ecurity work requires Department of Publliie3-afe 17 Alt.Tel.No.:--t ' '=/y 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. 1 am the(check one 0 owner II owner's a-ent. Owner/Agent Signature Telephone No.-----__ PERMIT FEE:$ 7S W CO- 33D?7,