The URL can be used to link to this page

Home My WebLink AboutE-19-1363 4t Commonwealth of Official Use Only IL*.IL*. Massachusetts Permit No. BLDE-19-001363 ItY BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked tRev.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:9/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to periorm the electrical work described below. Location(Street&Number) 25 POWERS LN Owner or Tenant DOHERTY INVESTMENT CORP Telephone No. Owner's Address 47 WAREHOUSE RD,HYANNIS, MA 02601 � � Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)fiA��ir i lb s..w - Purpose of Building Utility Authorization No. 2295135 ✓ „�-rtr (N�� Existing Service Amps Volts Overhead 0 Undgrd El No.of Meters dd// New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install temporary 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 ❑ fn- CINo.of Emergency Lighting grnd. ;tad. 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 I Tons KW No.of Self-Contained Totals: Detection/Alerting 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 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:) l certify,under the pains and penalties of peppily,that the Information on this application is true and complete. FIRM NAME: DAVID BALFOUR Licensee: DAVID BALFOUR Signature LIC.NO.: 22363 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:14 STARBOARD DR,MASHPEE MA 02649 Mt.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:$50.00 Zi(9 4ke,k& l..omenonmeald,of Manage—tea! Official Use Only ryry, ee77 Service! 77 �C/ qr.- \` Uk---_--E-7110-Ts. 1Jepartrnent al.yire ServiWPermit No. `( � 3�n,j Occupancy and Fee Checked BOARD OF ARE PREVENTION REGULATIONS • Rev. 1/07] (leave blank) APPLICATION FOR•PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOA9 Date: 57/8 City or Town of: YARMOUTH To the 1 ear of Wires: . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) na�$' �e f^5 Z.Obie Owner'orTenant 44J /U/� w . Telephone . SDS i'r,V/ Owner's Address .Z 9 9 4//tl � /4 S 044 r(/�� Is this permit in conjunction h a balding permit? Yes No ✓',� 0 (Check Appropriate Box) Purpose of Building eSid�� Utility Authorization No. r,?. 4,57rjr Existing Service_ Amps / Volts Overhead ❑ Undgrd❑ No.of Meters _ New Service /42 Amps Apt ) Volts Overhead 0 Undgrd No.of Meters / 0 ,...1•7 i usher of Feeders and Ampacity W w i cation and Nature of Proposed Electrical Work: /a P& /a „Q �PM ,_ t m ? s ( ! ('((/�D sem/C� m — ,n w l • •lesion a the oflawin_ table • be waived. the I •actor a Wires. w �, o p 10.of Recessed Luminaires No.of Cert.-Sasp.(Paddle)Fans ,o.o Total Transformers KVA111. n' z io.of Luminaire Outlets No.of Hot Generators KVAWN Eil • o.of Lamiaaita Swiusmin pool Above In- No.of Emergency Lighting edcn g grnd. tnd. gBattery Units o.of Receptacle Outlets No.of Oil Burners FIRE ALARMS !No.of Zones No.of Switches No.of Gas Burners o.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers • Space/Area Heating KW' Local 0 Municipal Connection 0 0th?t No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heater No.of • KW SI• s Ballasts DataNo.of Devices or E.uivaleot No.Hydromassage Bathtubs No.of Motors Total HP No. !ring: I Na.of Devices or Equivalent OTHER: Attach additional detail Uri/exited or as required by the Inspector of Wires. Estimated Value of le INSURANCE C V ;cal Wort. (When required by municipal policy.) Work to Start g�f— er Inspections to be requested in accordance with MEC Rule 10,and upon completion. GE: 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cernfy, under the pains and pen,.: ofperj ry,th., the infor adon on this application is true and complete. FIRM NAME: _Ai j�• r 4 �. "...a._ LIC.NO.:_ Licensee: i �alt� li re_ 7 Signature , �e LIC.NO. :3— 4 (If applicable,enter"gg+� t"in t p cense be ' aJ Bus.TeL No.�_ Address: eV 77 "inj f s b Sor/noun J *Per M.G.L.c. 147,s.57-61,security work requires Dep em is Safety' "License: Alt.Lie No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally irequired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's went t Owner/Agent Signature Telephone No. ( PERMIT FEE: $ S�