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Home My WebLink AboutBLDE-22-005331 . y,"',. .. Commonwealth of Official Use Only r` - '� �J Massachusetts Permit No. BLDE-22-005331 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:3/24/2022 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) 70 SMITHS POINT RD Owner or Tenant Christian Nolan Telephone No. Owner's Address ^ „-14 AA" A_'I6 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap�p is Box �1��`I��tiM . Purpose of Building Utility Authorization No. (/ 3 Z'r".. 4 tt(Zv Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No )eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. Completion of the followVO .% ,,-a •Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans NTransformers No. F�,. otal No.of Luminaire Outlets No.of Hot Tubs Generators 0 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency I i _ grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS c1.. ne No.of Switches No.of Gas Burners No.of Detection and vv Initiating Devices 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 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: MATTHEW D KLINE Licensee: MATTHEW D KLINE Signature LIC.NO.: 53620 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 Nehoiden St, Harwich Port MA undefined 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: $180.00 (13..cm k Cc m)01.--r Con- Sbakk i el, '3/3.°/' ic---- t/ s13(� 6ix ' 0 faomT ( a cemme lk.1 s e ) ctrala. /3/?V IL, Commonwaaa of Plaaeaehiuealia Official Use Only kii:".11,, / c7 Permit No.�j27-"C3 d 1 epariment el gird Serviced 4 I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfomxd in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2 3� 3 J G Z City or Town of: YARMOUTH To the Inspector of Wires: J By this application the undersigned gives notice of his or her intention to perform the electrical work described below. b Location(Street&Number) 70 S h.,lit,'..c 1 ,",,,7s -} G r„4' Is 6,1 "-� Owner or Tenant ��r, , , /Jb 1 e,,. Telephone No. L I Owner's Address .50 Is this permit in conjunction with a buildingr. I permit? Yes El No ❑ (Check Appropriate Box) Purpose of Building CL w e.I 1. Utility Authorization No. Existing Service Amps Volts Overhead❑ Undgrd❑ No.of Meters New Service -1-bi7 Amps / Volts Overhead❑ UndgrdZ No.of Meters J Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: I,✓/'v-e-, GI-e-A,` ✓St 5 ✓✓/ Completion of the jo/Iowin&table nw be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of 1 otal vn " Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA mot:' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners -No.of Detection and i;r Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ..__�_.._ �_. _._.__.I_._._.__.. Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW I Municipal Local❑Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KW 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(I desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ?0-1es b (When required by municipal policy) Work to Start: 3/ InspectidHs 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 21" 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: M K\I ye-. Signature ' . -�— LIC.NO.: S L.LO 8 (If applicable,enterex rapt"in the license number lined Bus.Tel.No.• co (a y3 7 31 Address: 3 --1 Oa4 11gr�i 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)D owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$