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Home My WebLink AboutBLDE-23-000569 „� - Commonwealth of Official Use Only (f` LY ) Massachusetts Permit No. BLDE-23-000569 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/NK OR TYPE ALL INFORMATION) Date:8/3/2022 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) 11 WHIFFLETREE RD Owner or Tenant JEFF BURKE 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: Remodel kitchen& living room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 17 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 4 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOHN C BURKE Licensee: John C Burke Signature LIC.NO.: 50364 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 DIX ROAD EXT,WOBURN MA 018016104 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 Zia ) e/Lily, k ' e no nunonsorani al M c aeac k nwIL Official Use Only C.) Permit No.E13 �261C7'i � 2eparlmenl o` Z,e&voice) , • Occupancy and Fee Checked _ BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave with) c APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massachusetts Electrical Code ME 527 MR l2.00 (PLEASE PRINT iN INK OR TYPE ALL INFORMATION) Date: City or Town of: 4/LS1 Y/fi2s47 11 To the Ins for f Wires: By this application the undersigned tOops notice of his or her intention to perform the electrical work described below. J Location(Street&Number) NI /�(^/ !ice/L C%Q'C,C Owner or Tenant J c...Cr7f .tom tja.‹'l[ Telephone No. Owner's Address J Is this permit in conjunction wills a WINK;permit? Yes a Ne ❑ (Check Appropriate Box) Purpose of Building -ST J J e F6i-"K/1./ Utility AMYetrfeedea Ns. -^//'— Existing Service Amps / Velb Overrbena❑ Widest❑ No.of Meters New Service Amps / Vdh Overhead❑ Uedg d❑ No.of Meters Number of Feeders and Ampachy / Location and Nature of Proposed Hihelrieel Weep: j./i'+c A e../ A a c r'/(/e..) of / 0i,/c. '/3 /2rlCCl1'If0 LIGHT '7d Pr."CA tr &' L,` •' G /lio Cmapktion of the following C table roy be waived by the I of Wires. wi No.of Total lb in No.of Recessed Luminaires /7 No.of CelLSuap.(Paddle)Fans Transformers KVA O No.of Luminaire Outlets No.of Hot Tubs Generators KVA a Above In- No.of Emergency Lighting d No.of Luminaires Swimming Pool grnd. ❑ lid ❑ Battery Units J No.of Receptacle Outlets a O No.of Oil Burners FiRE ALARMS No.of Zones Z No.of Switches No.of Gas Burners No.of Detection Deviand ces (O Initiating Devices t L! No.of Ranges j No.of Air Cond. Tons Total No.of Alerting Devices No.of Waste Disposers ,�' Heat Pump Number Tons KW_.. °No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers S ace/Ara HeatingKW Local❑Municipal ❑Otber I p Connection 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 commun Equivalent icationsNo.Hydromassage Bathtubs No.of Motors Total HP Tel No.of Devices or Equiivalent OTHER: _' (0 Attach additional detail ijdesired.or as required by the Inspector of Wires. Estimated Value of El tri Work: 6 0 U. (When required by municipal policy.) Work to Star: . j" Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 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: LIC.NO.: Licensee: J O0 1-('./ ,/1 WI l jIc LiC.NO.:e_5"03 C y (If applicable,ewer"exempt-in the license mortber line) Bus.TeL No.:._ c�.S Address: Lis"7):rje' / iI) /T X7. 1A/0 !� / !Y/A fr G i r I AIL TeL No.: / ^�7"na ' '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)❑owner ❑owner's agent Owner/Agent re TeMnhone No. I PERMIT FEE:S 7 oi l