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Home My WebLink AboutBLDE-23-002751 (Ka Commonwealth of Official Use Only 410, ' Massachusetts Permit No. BLDE-23-002751 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:11/17/2022 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) 124 PLEASANT ST Owner or Tenant CAVANAUGH ROBERT J Telephone No. Owner's Address CAVANAUGH NANCY A, 124 PLEASANT ST, SOUTH YARMOUTH, MA 02664 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 \ 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 6 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 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/Alerting Devices No.of Dishwashers 1 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 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. h��^� f CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) -U `'GJ 8- (9-/ I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Allen M Evans Licensee: Allen M Evans Signature LIC.NO.: 32120 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:21 HARTSHORN PL,WALPOLE MA 020813538 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 kZ\S ( '2v -__- (Mt CALL UMx; It ?z'roC / i 5u s trtm jiJl a ilcsrzrLDctltlz Dr1-)1 IN 2 `l ma(:. tv SJ 7'1 fte)-)) at a1-122 llr -ir& t;6(f) e8 tg- 13( QA--, r cstptc, e mar` 4 sa ucaext -a-fq'+av q ) r.3 frtztw-e RE _(Ws (= / if I n su,Va.vi. C.c 1 REr. EIVED r y� / I 6 NOVt C 9 r,w l.ommonwra[th tr/aeeachuerfle Official Uxc Only UU U z3 Z7cc 1 ^J'! 1-, cc�� cc77 Services Permit No. .0 parlmrn(o`Jw Joruicre aUlti]ric,.rtPa I BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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: //A.; —72 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention perform the electrical work described below. Location(Street&Number) /2 y" ne,../,Tht,,,k7,.. Owner or Tenant V C,Rv.ffj4/A d�`I Telephone No. JOB 7WG' 97s— Owner's Address p Is this permit In conjuncts ° building with apermit? Yes � ❑ No 27.--(Check Appropriate Box) Purpose of Building /1 f'J`:ues(,4.24/ Utility Authorization No. Existing Service 440 Amps /(O/27GVolts Overhead kY Undgrd g ❑ No.of Meters _L New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: AteLt/ k/'144F.6L irt'.vDY k;.-.t„., �r Completion of the followingtable may,be waived by the lrrs0eetor of Whoa. '!• No.of Recessed Luminaires No.of Ceil:Sas No.of 7 alai „j p.(Paddle)Fans Transformers KVA <21 No.of Luminaire Outlets W No.of Hot Tubs Generators KVA ram, t- No.of LuminairesSwimming Pool Above In- No.of Emergency Lighting „rid. LJ grad. 0 Battery Units No.of Receptacle Outlets or-- No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches F No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges / No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers / Heat Pump Number Tons 1KW No.of Self-Contained Totals:I....._..... ....__.I __. Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW Local 0 Munidpa Connection 0°t h e r No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters KM' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Rydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ��S—ou 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://"72—2 2 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 covers 's in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER El(Specify:) I certtfy,under the gains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: G—t/rP�f a 7...,,&,,.. Licensee:�//wolf/C[/igtyf' ,( LIC.NO.:G= Z/Z(.) Signature � � ts>sC.Lc�,— LIC.NO.: (If applicable,enter"exempt"in the license number line.) Address: q1 s5'CF/oo( S-: jc/,¢/p/' ,/,, OL-GcF/ Bus.Tel.No.: S'D _/3pcf •Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance covctage normally Ownrequier/ gy law. By my signature below,I hereby waive this requirement 1 am the(check one owner owner's ® C Owner/Agent Signature Telephone No.