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Home My WebLink AboutBLDE-23-005090 Commonwealth of Official Use Only co Ems,-:\ tAit:7 Massachusetts Permit No. BLDE-23-005090 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:3/15/2023 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 described below. Location(Street&Number) 24 ORCHID LN Owner or Tenant DAVID GAUVAIN Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check-Appropriate Box) .-� Purpose of Building Utility Authorization No. ;1~� Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters -; j 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 7h, ector 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 grnd. grnd. Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices To No.of Ranges No.of Air Cond. Ton 1 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 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. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: James R Keighley Licensee: James R Keighley Signature LIC.NO.: 15740 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:24 RANGE HEIGHTS RD, LYNN MA 019041538 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 Lk(-Ili t— err (1-7 k -`ti1.4 RECEIVED Fr . ,AR 15 20 3 _ unonea el � O�t�E-c�iei¢us"e Only n w .„aEPARTMENT ��]] Permit No. 6/ 3. SI O `. y II _ partmant e`Jiea�eruiced cy and Fee Checked �_J, BOARD OF FIRE PREVENTION REGULATIONS (Rev.1p/07) (leave(I blank) 3 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 H£ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/2/23 .1 City or Town of: Yarmouth To the Inspector of Wires: yBy this application the undersigned gives notice of his or ha intention to perform the electrical work described below. Location(Street&Number) 24 Orchid Ln,W.Yarmouth Owner or Tenant Dave Gauvain Telephone No. 603-553-8505 r Owner's Address 24 Orchid Ln,W.Yarmouth,MA t. �i Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) HPurpose of Building Residential Utility Authorization No. ye Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ea New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters sa aNumber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kun electrical for lights,bathroom exhaust tan,and outlets(3). Coatpktbn ofdwfoUowtng table way be waived by the Inspector of Wires. a of tal WNo.of Recessed Luminaires 2 No.of Ceil.-Suap.(Paddle)Rana Tremformers KVA O No.of Lumina(re Outlets No.of Hot Tubs Generators KVA A -t- No.of Luminaires 1Swimmin Pool Aebondv ❑ gmIn-d. ❑ NBaott.ary Unsency Lighting No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones d No.of Switches 3 No.of Gas Burners No.InDetenon v Initiatingg Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: ..... ..------- Detection/Alerting Devices No.of Dishwashers SpaceJArea Heating KW Local❑Munccppaonnection ❑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 Winngg• No.of Devices or Equivalent OTHER: $425.00 Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 3/9/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE GI BOND ❑ OTHER❑ (Specify:) I certify,under the pains and penalties ofperjwry,that the information on this application is true and complete. FIRM NAME: K Security Systems LIC.NO.: Licensee: James Keighley Signature LIC.NO.: 15740A al elchleS` r3si� bca tens f 1 R51- 92-///9 Address: iynn, Alt TeL No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Si gent PERMIT FEE:$ Signature Telephone Na.