The URL can be used to link to this page

Home My WebLink AboutE-18-6479 Commonwealth of OffcialUseOnly to aeit 1 • Massachusetts Permit No. BLDE-18-006479 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 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/17/2018 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 belov. �� Location(Street&Number) 72 BREEZY POINT RD t ; Owner or Tenant SCHNEIDER JUDD GARRET Telephone No. Owner's Address 17 HARVEST LN, HINGHAM, MA 02043-4233 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 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: Rewire kitchen following water leak. 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 Arnd.bove 0 Ingrn-d. ❑ No.of Emergency Lighting I gBattery 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 i Initiating Devices No.of Ranges No.of Air Cond. .Tf.otal No.of Alerting Devices L ons 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 ❑ 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: THOMAS P SULLIVAN Licensee: Thomas P Sullivan Signature LIC.NO.: 18182 (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:71 WAQUOIT RD,COTUIT MA 026353517 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:$75.00 N9A si (� 6 c(�f re u— cePv� C� o,q_c g9(1 8 IC t C gg 9/i///�/� (.] r-, �s Commonwealth.of/r/amacLai O al Use Only 79 .., , , „J..If ry cc77 nn Permit No. -- (/p E g,Er!a @ Thepariment of ire Serviced 4.1i '' '"lie ` Occupancy and Fee Checked FII %. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) Lu a 4APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ill = 1. I All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 tt y ;, ,, 'LEASE PRINT ININK ORTYPE ALL INFORMATION) Date: S /&— /8 I` City or Town of: , .�.si ` "r, fat' i 44 To the Inspector of Wires: By this application the undersigned notice of his or her intention to perfo the electrical work described below. Location(Street&Number) "1 a '�ree Z e. rot Owner or Tenant Se Ne.i d-tre 11 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Q" No ❑ (Check Appropriate Box) Purpose of Building 'n(,(JQ,VI tytlfr. Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity p Location and Nature of Proposed Electrical Work: �G.V 1'Y�G kAV- k C i) 'G't II'41(4.9 ({j2 belt Lein K l/ Completion of the followinrytable may be waived by the Inspector of Wires. ofTotal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tr Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No. nDetenand Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area heating KW Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.II dromassa aBathtubs No.of Motors Total HP TelecommunicationsNofDeicer y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9'OV (When required by municipal policy.) Work to Start:s--/d—,et 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 liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cooveege is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [t3 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.. FIRM NAME: —1 0IA 5 V I 1 Vkle q el ec -5 / LIC.NO.: 4-/p/ea Licensee:�lfj444.5 Salitvar Signature �ft,/,� LIC.NO.: -j/O// (If applicable,enter"exempt"in the license numher line.) Bus.Tel.No.. o7d'U1f—G/4 Address: 7/ weivie/! .7A' CD/ij/, .94 Alt.Tel.No.: *Per M.G.L.c. 147,s.5741,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 on)0 owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signaatureure Telephone No.