HomeMy WebLinkAboutBLDE-23-004289 Commonwealth of Official Use Only
1541 Massachusetts Permit No. BLDE-23-004289
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:2/3/2023
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives nonce of his or her intention to perform the electrical work described below.
Location(Street&Number) 3 CHARLES ST
Owner or Tenant AL CURTIS Telephone No.
Owner's Address 3 CHARLES ST,SOUTH YARMOUTH,MA 02664-3103
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 ❑ 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&add circuit for gas stove&hood.
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. I"tail No.of Alerting Devices
Tuns
No.of Waste Disposers Heat Pump Number 'foes KW No.of Self-Contained
Totals: Detection/Alerting Devises
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. �'7,�J
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) )tJtd'"96s---
Z73
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: JEFFREY A WEINER
Licensee: Jeffrey A Weiner Signature LIC.NO.: 20839
(If applicable.enter"exempt"in the license number line.) Bus.Tel.No.:
Address:101 HEADWATERS DR,HARWICH MA 026451028 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
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Co rattA o1 Macksaclut.Isti6 Official Use Only �}
•/FEB 02 2023 �7 Permit No. (`J i i'.3 _ z--bC(
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-`i DI rLA R 1 M 'NyL Occupancy and Fee Checked
" BOARD_QEMIKt 'REVENTION REGULATIONS [Rev. 1/07] (leave blank)
t•- 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: 2/2/2023
City or Town of: Yarmouth To the Inspector of Wires:
v By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 3 Charles St
Owner or Tenant Al Cutts Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
# Purpose of Building Dwelling Utility Authorization No.
v
- z Existing Service 100 Amps 120 24 lts Overhead n Undgrd E No.of Meters 1
JNew Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
v
UNumber of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Re-configure kitchen wiring. Add circuit for gas oven/hood.
e,
V) Completion of the followingtable may be waived by the Inspector of Wires.
vl W otal
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Trano. i TVA
Transformers KVA
q No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
<t- No.of Luminaires Swimming Pool grnd. ❑ grad. ❑ Battery Units
J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
1.7 No.of Switches No.of Gas Burners No. Detectiong and
Initiating Initiatint;Devices
I'- No.of Ranges No.of Air Cond. Tans No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p° Totals: Detection/AlertingDevlces
No.of Dishwashers Space/Area Heating KW Local❑ c Co o a tion ❑ Other
No.of Dryers Heating Appliances KW Security No.of Systems:*
or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
iring
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationsq�
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: 1/31/2023 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 ® BOND ❑ OTHER ❑ (Specify:)
I certify,under the pains and penalties of perjury,that the information this application is true and complete.
FIRM NAME: WeineLFlactric Inc LIC.NO.: 20839a
Licensee: Jeff Weiner Signature LIC.NO.: 12191 b
(If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-965-2738
Address: 166 Queen Anne Rd Harwich 02645 Alt.Tel.No.:
*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/AgentPERMIT FEE:$
SignaturetuneTelephone No.
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