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Home My WebLink AboutBLDE-19-000953 Commonwealth of Official Use Only F®M Massachusetts Permit No. BLDE-19-000953 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:8/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 9 PLEASANT ST Owner or Tenant MCMANUS J DREW Telephone No. Owner's Address 9 PLEASANT ST,SOUTH YARMOUTH,MA 02664-4538 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boilers(2)and add CO detector. 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 0 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 2 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/Alertine 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 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 fdesired,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: TODD A HIGGINS Licensee: Todd A Higgins Signature LIC.NO.: 13438 (lfapplicable,enter"exempt"in the license number line.) Bus,Tel.No.: Address:PO BOX 1958,ORLEANS MA 026531958 Mt.Tel.No.: *Per M.G.L.c.147,s.57-61,secunty 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 cs (a,c) lie 1 . • A^ Com rLoneva of a4daciacdci . _ O/mcislnUse On `9 = c7 �'/ [� Pernik No. (p"t `\ v �_ 2cParla tri c{. 4.ro Jc,niat iU� Ocetocy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Re . l/D ( (]rzve blank) APPLICATION • FORkPERMIT TO PERFORM ELECTRICAL WORK All work to be performod in accordance with the Massachusem Electrical Cod:(MEC),527 Ck3 1200 (PLEASE PRINTIN_MIK ORTYRE:ALL INFORM4TIOA9 Date: tee.a/ 7 - /S2 City or Town of: YARMOUTH To theInspector of Fires: By this application the Ind:trigned gives notice of his or her bteation to perform the electical work described below. • Location (Street&Number) 7 Pc.arks- l{% s7 Owner'or Ten ant '7/Z&'h/ P11C /,yl.4neti 5 �, Owner's Address 9 PC S Telephone Nock , I 1 I{ Is this Permit in conjunction with a building p Yes ❑ No ❑ (Check A ro Purpose of Em1 uag f PP P�%te Bar) r `mv : ES f t7('Y/GC Utlity Authotiation No. I� ,o Existing Sex-vice_ Amps / Volts Overhead ❑ y� E Undgrd No.of Meters -- Lie''' Yi L" 1 O New Service Amps / Volts Overhead IInd�rd U ^--1= Number of Feeders and Ampacityal ❑ ❑ No,of Meters tO Io Location and Nature of Proposed Electrical Work: v X3D/c,,e1/2� 1ti/f/1//t!G of �._ 'I,44 c�1gi�- Compt�ian tithe follow-int table may be waved by the Irspector of Hiatt No.of Recessed Luninoi-s No.of Cell--Sttsp.(Paddle)Fars INo-of Total Transformers KVA No. ofLnminaireOttlets INo.vtHot Tubs (Generators KVA ' No. of Ltrmfaaires (Swimming Pool °-hove ia- 0 No.or amergeacy l an.. . orad- ui-ad- No. Units No. of Receptacle Outlets . No.of Oil Burnes IF=ALARMS INo.of Zones - No. of Switches No. of Gas Earners No.of Detection and No. of Ranges To Intnatmo Devices - No- of Air Cond. Tons No.of Alerting Devices N .of Waste Disposers Hest Punp I Number Tons KW INo of pelf Coataiaed Tohk: Det cion A[eriae Devic s No. of Dishwashers • ISgace/Area Heating KW' I Mtma.V ritmc pal d lama. 0 Od s No.of Dryers Heating Appliances KW Security Systems:" No. of Water No.of Devices or Equivalent Heaters KW No. of No.of Data Wiring: Sins BallastNo.of Devices or Equivalent ' No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Whin;. No.of Devices or Equivalent — • • Attach additional detail Lfderfe4 or as required by the inspector of roes. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start f vE P �') �' 7�/9 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 gess the licensee provides proof of liability insurance including"completed operation"coverage or it substantial equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing oSce, CHECK ONE: NSURANCE ® BOND 0 OTHER 0 (Specify:) I certfy, roofer the pains and penalties of perjruy,that the information on this application is true and complete. FIRM NAME: 174 H/C0G//vf &L c G?i2/L Licensee:'�vA.� 4. f//GG/NS /// LIC.NO.• �3 (lfapplicable enter" .. Signature.2•- f/ �� LIC-NO.Lsag' Address 6. mpt"in the license number line.) Bus.Ieca3 S /9.5"1" 0 Acell-tic YK.4. d�G'r3 Alt'f{LNo.•2Yi •J "Per M.G.L. c. 147, s.57-61,security work requires Department of Public Safety"5"License: Lic.No. — 2._:_i_3- c., — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement 1 am the(check oneownerowner's t Owner/Agent 0 0 a eat j Signature Telephone No. PERMIT FEE: $ -�