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Home My WebLink AboutBLDE-23-001906 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001906 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:10/11/2022 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) 135 THACHER SHORE RD Owner or Tenant JEFF KEFFER Telephone No. Owner's Address 135 THACHER SHORE RD,YARMOUTH PORT,MA 02675-1129 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: Remodel bathroom Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 2 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 grad. grad. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. TTotal No.of Alerting Devices on No.of Waste Disposers Heat Pump Number Tons 1 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 0 (Specify:) Cyr 7- E2Q— 0 f certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Zachary Mancini Signature LIC.NO.: 57951 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:45 Taft Road,West Yarmouth MA 02673 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 No. PERMIT FEE:$75.00 c-0( I G I 17 f w �t(u1..7 R E C E I V E D �/ l Ai, data o` aoeachuesffd Official Use Only '' '' OCT 11 2O2 c7 Permit No. 3 —1640f> '� .lJs nt o/.tirs Sswres! Occupancy and Fee Checked =uII-Bti ` '(IkEiP"EVENTION 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL. �YFORMATION) Date: `0 0� ZZ City or Town of: d/n'i(�11 To the Inspector of Wires: By this application the undersign jives no ce of his or her intentiopito perform the electrical work described below. V Location(Street&Number) l 3 5 f j,Lr Sr iI1, A r le.mh , Po{ -, AAA017c ;�( Owner or Tenant:7CT y- ,(� ` ///C1 �I Telephone No. ( ,fj78 t Owner's Address /3r 7 5/v!t Y 4r/►�uv� d4 jl�( Is this permit in conjunction with a building permit. Yes No LPL (Check Appropriate Box) 4_, Purpose of Building ()ttitili °roily Authorization No. S Existing Service761) Amps //701 7f-to Volts Overhead❑ Undgrd gr No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters .A Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: .f, tf M O J "ud",(O'r,, Alt j�y� r ke S q�'e'�'5Z4 Completion of the followin&table may be waived by the ln�ssi eector of Wires. Total No.of Recessed Luminaires � No.of Ceil.-Suap.(Paddle)Fans Tf Transformers KVA QNo.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 I No.of Oil Burners FIRE ALARMS No.of Zones t No.of Switches 3 No.of Gas Burners No.of Detection and c Initiating Devices 11.! No.of Ranges No.of Air Cond. 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 Space/Area Heating KW Local❑ Monnectiunicipalon ❑ Other C 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 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: 21 000 (When required by municipal policy.) Work to Start: /()Ij// .l Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E 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 VII BOND ❑ OTHER 0 (Specify:) 1 certify,under the ins and penal'es o perjury,that the information on this application is true and complete. FIRM NAME: .. Ciy7i �€C 2I. LIC.NO.: 57q,r7-3 Licensee: 7X " 7 : Mon U ' Signature f— LIC.NO.: (Ifapplicablj.,inter e t"�r the{icense number lined Bus.TeL No.:07 � CC?O Address: `' ( /C. Opt , JZ6o73 Alt.Tel.No.: (p/7 �3 t!_:[=1_ '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 0 owner's agent. Owner/AgentPERMIT FEE:$ SignaturetuneTelephone No.