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Home My WebLink AboutBLDE-23-004379 ,� w Commonwealth of Official Use Only A. ,I Massachusetts Permit No. BLDE-23-004379 `^— 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/N INK OR TYPE ALL INFORMATION) Date:2/7/2023 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 desc b glow. Location(Street&Number) 15 MALLARD ST Owner or Tenant DAVID CATON Telephone No. All Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (CheCiri t O Purpose of Building Utility Authorization No. ( 2 Existing Service Amps Volts Overhead 0 Undgrd 0 I; of� elf New Service Amps Volts Overhead 0 Undgrd 0 No. e Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Sunroom addition&bedroom closet. 1 / ) Completion of the following table may be waived by the InsPepor of Wires. No.of Recessed Luminaires 3 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 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and Initiating 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/Alerting 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 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. -rig- .�v�'�J /�'l t / CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:) C.� L�(.S l3 �j I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Curtis Capra Signature LIC.NO.: 57632 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 Zekes Way, East Falmouth MA 02536 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 CL ifls(73 bJI /le/v 1' I /Olin RECEIVED L.44111. o nava[!la Official Usc Onl • 1.__ - , 0 7 2023addacc Permit„ _ ` ! 1. i S No.��" 7/ -. :a�.... •Pa>'LmfnL O p'I tM/!C/d -- }1- Occupancy and Fee Checked N Bb ►I t ° tzl E PREVENTION 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 S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Zi 7/Z 3 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. Q� Location(Street&Number) /.S M.,1/L4 O Sr )/) Owner or Tenant I)1) l0 C,q,77,c%/ Telephone No. SzY' .8/ , (i,,f-Z �% Owner's Address // C%i4#p, ) rl/i' C hElcs''{a'-P i.14,s'J ( /4 2V' x Is this permit in conjunction with a building permit? Yes 0No ❑ (Check Appropriate Box) t Purpose of Building Re 1 i de A.h.-- / Utility Authorization No. U Existing Service 24. .) Amps i Zv/ 7/(0 Volts Overhead ' / Undgrd IliNo.of Meters New Service Amps I Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampadty ..i Location and Nature of Proposed Electrical Work: _5u,,t lea-,,K R9p1 bc'v /ex'Atte,c( cieJ- 'r o, VCompletion of the followin&table muy be waived by the Inspector of Wires. ll6 No.of Recessed Luminaires 3No.of Ceil.-Susp.(Paddle)Fans PTO-.o{ Total Transformers KVA C. No.of Luminaire Outlets No.of Hot Tubs Generators KVA A- No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting gr . grttd. ❑ Battery Units _ No.of Receptacle Outlets i:( No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners of Devices s I 1? No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area HeatingKW Municipal p Local❑ Connection ❑ °ther No.of Dryers Heating Appliances KW Security Systems:* ' No.No.of Water Heaters KW No,of No.of Data Wiringvices or Equivalent 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: G'''O (When required by municipal policy.) Work to Start: 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 raj BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: 6,0 LIC.NO.: Licensee: C L.II27' S C A prZ,f Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: 5-71t_6 Address: s—y Pi.,p✓te,;,,1 0 tt. r:e.a7Trtvtl/v M4s. D Z(;.,j Z Bus.Tel.No.: 7 7 Z�S ci fa*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 coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$