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Home My WebLink AboutBLDE-23-003662 CommonwealthOfficial of Q Massachusetts Permit No. BLDE-23-003662 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/071 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:1/5/2023 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) 29 PHEASANT COVE CIR Owner or Tenant NORBONNE Telephone No. Owner's Address 29 PHEASANT COVE CIR,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes❑ 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 .`�/ter, Number of Feeders and Ampacity «ff Location and Nature of Proposed Electrical Work: Remodel kitchen,bath,&living room. ,3 /^1 Completion of the following table may be waived by the Inspector pJJ9Yr No.of Recessed Luminaires 25 No.of Ceil:Susp.(Paddle)Fans No.of Total• GGGjjj Transformers ,JC,VQ,^ No.of Luminaire Outlets No.of Hot Tubs Generators -_` No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No. itiating D of Detectievionces and I No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Na.of Waste Disposers Heat Pump Number Tons KM No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MATTHEW ABOODY Licensee: MATTHEW ABOODY Signature LIC.NO.: 22360 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:79 KINGSWEAR CIR,SOUTH DENNIS MA 02660 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,1 hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I / PERMIT FEE:575.00 J 1J )4 `((i I2.5 Kg 6C6ePft L/iis It/ Y ? eIv✓ D RE G. -- 0` A. A N 05 2t23 1n o ea[th o f aeaarhrwotf6 Official Use Only 1, (1� B'' 1 N � cc77 Permit No. J `-t:�,,'`' ; Cp`NG pkNAR nt o�.}rnr Serviced a OF FIRE PREVENTION REGULATIONS [ e / 7 Occupancy and Fee Checked) (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: I/'/ZZ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to orm the electrical work described below. Location(Street&Number) 29 eliFAf,4HT 6 U Owner or Tenant /(Jk4,(R,)NN E. Telephone No. 1 Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service /oil Amps tZv /25 ?Volts Overhead❑ Undgrd I!° No.of Meters I New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: �i ty"�/ il via y 1 tligc 1le b, Completion of the following_able may be waived by the Inspector of Wires. tlr No.of Recessed Luminaires No.of Cell. Trr ansformers KVA -Snap.(Paddle)Fans o Total 0.,/ No.of Luminaire Outlets No.of Hot Tubs Generators KVA :` No.of Luminaires SwimmingPool Above in- No.of Emergency Lighting 4rnd. ❑ grnd. ❑ Battery Units _ ",:,,! No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners �No.of Detection and t ( Initiating Devices 1 U No.of Ranges No.of Air Cond. Tops No.of Alerting Devices 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 Municlpai ❑ Connection ❑ otherNo.of Dryers 1 Heating Appliances KW Security of yste Devices or Equivalent No.of Water Heaters KW No.of 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 if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /Ji.at:-— (When required by municipal policy.) Work to Start: // /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 'verage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE i ':OND ❑ OTHER ❑ (Specify:) I certify,under the par�s and, nitres of perjury,that the information on this application is true and complete. FIRM NAME: / /gBe.A90 FLLCP7a/Ll,� 7i✓t� LIC.NO.:7_2 (e z,/ . Licensee: Ar9'R7� Signature — 7 LIC.NO.:Zz360A- (Ifapplicable,eat e�gpt"in the livens umbgr line.) Bus.Tel.No.:71/ &fri Si�j,3S Address: r�h vvr�„l' Crc' $,, Q-,,, 71 /0,41 O2 (0 Alt.TeL No.: ' Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,1 hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$