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Home My WebLink AboutBLDE-19-000596 •r bI t�.el or 0 t Commonwealth of Official Use Only 2E•.�►� Massachusetts Permit No. BLDE-19-000596 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked iRev.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:7/30/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perforin the electrical work described below. Location(Street&Number) 15 SULLIVAN RD Owner or Tenant FOLEY JAMES P TRS Telephone No. Owner's Address FOLEY KATHLEEN M TRS, 15 SULLIVAN RD,WEST YARMOUTH,MA 02673 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace exterior service only and upgrade grounding. 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 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Inihahne 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 ❑ Other: Connection 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 Wiring: No.of Devices or Equivalent OTHER: Attach additional demil 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: Jeffrey T Foss Licensee: Jeffrey T Foss Signature LIC.NO.: 36938 (If applicable,enter"exempt'in the license number lune.) Bus.Tel.No.: Address:33 SULLIVAN RD,W YARMOUTH MA 026733543 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Publte 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 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:$50.00 of(- r r 1 � V �\ nnommonuralo� �a tsac�usrls aecU_se O0540 9_; W_ip-7-- Permit No. a 2cc77i eparfmsnt ole Yre Strvictd • OccupancyandFeeCheckedBOARD OF FIRE PREVENTION REGULATIONS ev. 1/07j (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME 5,27 12,00 INFORM/17701V)(PLEASE PRINT IN INK OR TYPE ALL INFOR T701V) Date: / la City or Town of: YARMOUTH To the Inspec or of ires: . By this application the undersigned gives lice of hi rher int tion t. perform the electical w.rk described below. Location(Street&Number) t° �lab v i - I A lit/ I L/ w It 447 OwnerorTenant M _ S i Telephone No. � Owner's Address di, Is this permit in conjunction with a building permit? Yes 0 No •l (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service06 Amps /70 /d YOVolts Overheads Undgrd❑ No.of Meters New Service OU Amps AI /p2 y0 Volts Overhead® Undgrd 0 No.of Meters r Number of Feeders and Ampacity `{/J//Q t 4/�J Loc 'on and Nature of Proposed Electrica Work: �Ie, /I e F `I - e A. P fie ten Sankt o/1/sf �I/ Y a ,ci / or Completion of the follawinttable 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 No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Above ri In- ❑ No.at Emergency Lighting grnd and. Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump Number_ Tons I KW No.of Self Contained Totals:I .� — — I' Detection/Alerting Devices -`1 No.of Dishwashers Space/Area Heating KW' Local 0 Mp Si Connection 0 Oe No.of Dryers Heating Appliances � No.of n V Security Systems:" — �V No.of Water KW No.of No.of Data Wirineg: or Equivalent Heaters Signs Ballasts g 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 El Ica!Work (When required by municipal policy) Work to Start: _�W /Z 0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. \ INSURANCE CO ERAGE: 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 'ti. undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuin office. � � \\ CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify.)CvW9f,Q'e /f/s'CO /Ij//1 I certify, under the pains and penalties of perjury,that the information on this application is true and complete. �l _ FIRM NAME: LW.NO.: Licensee: ff/L �L^4 Signature friry/ / LIC.NO. 'e-, (Ijappliroble, enter"exempt/I@ t !ie nr tuber/in�/)/�/�J /L � ^ y/ Bus.Tel.No: Address: 7 Sr/��tm piniv(J/I'Y`l�Aw Mt lhtb2Y f79(1 j Per M.G.L.c. 47,s.57-61,securitywork requires D artment of Public SafetyAlt Tel.No OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nrmally ,rt required by law. B my Owner/Agent y si gnamro below,I hereby waive this requirement. I am the(check one)(]owner ❑owners agent Signature Telephone No. I PERMIT FEE: $