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Home My WebLink AboutE-19-687 �' Commonwealth of Official Use Only AS°. �a�. Massachusetts Permit No. BLDE-19-000687 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/07) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.007 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:8/3/2018 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) 237 ROUTE 28 \ Owner or Tenant HADAWAR VICTOR Telephone No. i Owner's Address HADAWAR SARIMA, 1600 FALMOUTH RD UNIT 38,CENTERVILLE,MA 02632 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Repairs to torn down service. / 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- CINo.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 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 0 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 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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperfury,that the information on this application is true and complete. FIRM NAME: Arthur P Doherty Licensee: Arthur P Doherty Signature LIC.NO.: 17197 (If applicable,enter"exempt'in the license number line.) Bus.Tel.No.: Address:372 YARMOUTH RD, HYANNIS MA 026012043 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 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 I/ )g 8 I3// 6 � (Cwnto t7`a CAnsofn !3067fgs IS(/il� Al J n ``rr y� Commonwea[h o`ii/aesac/saeette Official Use Only t — AZ;CQ cc77 �o Permit No. its. ervica Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).52R 12.00 V (PLEASE PRINT IN INK OR TYPE LL INFORMATION) Date: / City or Town of: al'ht.Ok4-1, To the Inspector f Wires: By this application the undersigned gr es notice of his or her intention to perform the electrical work described below. Location(Street&Number) p,37 I,ovA,te 2 'y) Owner or Tenant Ha Oat Viitto( Telephone No. Owner's Address HnlcNf saranet. Joao Rtininviii PA linifq (gnfrpYilll mil Is this permit in conjunction with a building_ / permit? Yes 0 No ❑ (Check Appropriate Box) ® Purpose of Building ficlde/'>�1'K.i Utility Authorization No. TYO klo(.- -H cke+ Existing Service Amps IX)/ .Q Volts Overhead Undgrd❑ No.of Meters I New Service _ Amps / Volts Overhead U Uodgrd ❑ No.of Meters a' Number of Feeders and Ampacity X Location and Nature of Proposed Electrical Work: I • a / r / , he ,, • rv, 4 Ite e .. A. Ctrl tzcfn✓ piA.IIin3 /in)n .f vice-EverSow'ce ou.blt -I-Icked- UCompletion of the foilowinatable may be waived 0 the In for of Wires. W No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Na.of °I C/ Transformers KVA el No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires Swimmin pool Above In. No.of Emergency Lighting g grnd. ❑ grnd. ❑ Battery Units `) No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of SwitchesNo.of CoCaa BurnersNo.of Detection and Initiating Devices _ IU No.of Ranges No.of Air Cond. Total No.of Alertin Devices Tons g No.of Waste Disposers Heat Pump Number TonsKW _ No.of Self-Contained Totals: __ "- DetectionlAlertinxDevices No.of Dishwashers Space/Area Heating KW Local ElCo oof pal ctioo 0 Other ee No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent ------""'—;No.of Water No.of No.of Data Wiring: '� ---1 �, Heaters KW Signs Ballasts No.of Dvices or Equivalent 1 Telccommun1tnfona Wiring No.Hydromassage Bathtubs No.of Motor Total HP No.of Devices or Equivaent LI?'! OTHER: Attach additional derail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 liabilityinsurance including"completed operation"coverage or its substantial equivalent. The 8, undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCES BOND 0 OTHER 0 (Specify:) -DO W/ine .4- ()Weil I cent?",under the pains and enables ofperjury•,that the Information on this application is true and complete. FIRM NAME: jpis. / A y e / .i/, a..S, / _ IC.NO•: 4/7/97 Licensee: . b I a ' Si, jPf�� `f /�L�' ir C.NO.: (If applicable,enter"exempt"in the license nu ,. r line.) • •s.Tel.No. SOP-17 h t-70 Address: 310- yarn u,4A e• :/i/yain1s M4 Oo '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: 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. Owner/Agent PERMIT FEE:$ O 00 Signature Telephone No. � .