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Home My WebLink AboutBLDE-19-000664 A a Commonwealth of Official Use Only f Massachusetts Permit No. BLDE-19-000664 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:8/1/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 50 HOWES RD Owner or Tenant DEMERJIAN JOHN M Telephone No. Owner's Address DEMERJIAN JEANETTE A,230 ROSLINDALE AVE,ROSLINDALE,MA 02131-3302 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 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. 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- o 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 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 1 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 Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: SHEAMUS GLYNN Licensee: SHEAMUS GLYNN Signature LIC.NO.: 53967 (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: Address:167 FARMERSVILLE RD,SANDWICH MA 02563 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:$75.00 �li�- fi3g3fre / in Comma. y� `{ �S \ l.ommenwra&o`et/a-Machrwrfls Official Use Only a: a LIQ --o(oC.Lt • 1 i- CCAA lire c�s Permit No. .,r llrParlmsnE o�.yfrr Jrtviced BOARD OF FIRE PREVENTION REGULATIONS I Occupancy and Fee Checked �ev. I/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 (PLEASE PRINT IN INK OR TYPE ALLINFORMATION) Date: g/ //a/vs 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. 1 ,_ � Location(Street&Number) Co nUW e j /(c,C Im I Owner.or Tenant 16&.rl Deivte juin Telephone No. �yl o Owner's Address a}o KOSLine&te Ave )(oS(,tvtdq(e AA/)- 03 ) 3 ) V 11 I Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) (�Jy'puose of BuildingUtility Authorization No. Ezisting Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters ew Service 0 Undgrd 0 No.of Meters I'd Amps / Volts Overhead _ _— 2}Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Geedef. S/wlh.ta 0u f }'O ll 3 r}t'(, Completion of the followinqtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell-Snap.(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 Krnd. grnd. 0 Battery Units No.of Receptacle Outlets . No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • • Initiating Devices To No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump Number KW No.of Self-Contained Totals:I [Tons I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Municipal P Loral❑Connection 0e1 No.of Dryers Heating Appliances KW Security Systems:" of No.of Devices or Equivalent No.of Water No. Heaters KWNo.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 Vdesired or as required by the Inspector of Wires. Estimated Value of SI Work: Y Glib (When required by municipal policy.) Work to Start: 6 l/,ile fy Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: 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 ❑ (Specify:) I certify,under the pains1and penalties of perjury,that the information on this application is true and complete FIRM NAME: 5G,ecit-nki 4.01,4, E(cefpiCirc "jLIC.NO.• S Licensee: SL tt in(4-3 C l 7 `ic M signature LIC.NO.: (If applicable.enter"exempt"in the license number line) Address Bus.Tel.No.�_ J Per M.G.L. c. 147,s.57-61,security work requires Departanent of Public Safety AIL Tel.No.: — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance ncecoverage normally required by law. By my signature below,I hereb Owner/Agent y waive this r equircmenL I am the(check one)❑owns ❑owner's agent. a' Signature Telephone No. I PERMIT FEE: $