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Home My WebLink AboutBLDE-23-003364 Commonwealth of Official Use Only oFlee Massachusetts Permit No. BLDE-23-003364 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:12/16/2022 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) 15 MINNETUXET WAY Owner or Tenant RYAN THOMAS G JR Telephone No. Owner's Address RYAN KRISTIN L, P 0 BOX 148,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 ❑ 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: Kitchen remodel. 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. grad. 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 Initiatinc 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 0 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 Sites 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 Wh es. 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: Licensee: Kurt Casanova Signature LIC.NO.: 23129 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:39 Harpoon Ln.,Yarmouth Port Ma 02675 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 �� f Tellee hone No. PERMIT FEE:$75.00 /231,d it /�l rtd o Gt!L /2/24)/ 42-142$ RECEIVED g, f�------ 15Official Use Only Commonweal of aaaRc 2022 ryry� cc77 jetNo. Ez 3 3310 �i w �Ueparinunt o15. rvicu-- ]� BUILDING f�EPARTM_ pancy and Fee Checked BOARD OF FIRE PREVENTI /07] (leave blank) 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: 12/15/22 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) 15 Minnetuxet Way Owner or Tenant Ryan Telephone No. t Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Home Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters - C O Service New Amps / Volts Overhead❑ Undgrd❑ No.of Meters U Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: Kitchen Renovation k Completion of the following table may be waived by the Inspector of Wires. No.of Total V No.of Recessed Luminaires No.of Cell-Sup.(Paddle)Fans Transformers KVA V No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swintnrie Above ❑ In- ❑ No.of Emergency Lighting D.1 g Pool grnd. grad. Battery Units c• No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and C Initiating Devices O No.of Ranges No.of Air Coed. Ton No.of Alerting Devices (j) Heat Pump Number Tons KW No.of Self-Contained a No.of Waste Disposers Totals: Detection/Alertln Devices (j No.of Dishwashers Space./Area Heating KW ��❑Cyyonneetlion ❑Other No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivideet OTHER Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2,000 (When required by municipal policy.) Work to Start: 12/15/22 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 E BOND 0 OTHER 0 (Specify:) I certi,under the pains and penakks of perfary,that the information on this application is true and complete. FIRM NAME: Casanova Electric Corp , LIC.NO.: 23129-A Licensee: Kurt Casanova Signature�w"fi A"^�� LIC.NO.: 12340-B (If applicable,enter"exempt"in the license number line) Bus.Tel.No.• 505-280-048e Address: as Harpoon Lam Yarmouth Pon,Ha 02a76 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/Agent PERMIT FEE:$ 75.00 Signature Telephone No.