Loading...
HomeMy WebLinkAboutBLDE-19-001766 a Commonwealth of OfficialUse Only :116Massachusetts Permit No. BLDE-19-001766 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:9/24/2018 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) 42 SCALLOP RD Owner or Tenant MAHER DAVID L Telephone No. Owner's Address MAHER MARILYN J,400 CAPITOL PARK AVE#202,SALT LAKE CITY,UT 84103 Is this permit in conjunction with a building permit? Yes ❑ No 0 (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 ❑ No.of Meters Number of Feeders and Ampacity . Location and Nature of Proposed Electrical Work: Install receptacles. 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 n- 1:1No.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 I 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WILLIAM W GREER Licensee: William W Greer Signature LIC.NO.: 19867 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:275 OCEAN ST,HYANNIS MA 026014740 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 & arum n ea of rr/a-mac & Official Use Only ca 0! I McFarland o/Tin-gantlet! Permit No. CL-C1 �t o 1 Occupancy and Fee Checked (co 02.) BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK Al work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 a if I (g City or Town of: YARMOUTH To the Inspector of Wires: A By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • 4 L : Location(Street&Number) '1/a cCt,(( D 41 (Zc9- J mIll OwnerorTenant (4-r-0.1.4• S S )rn� (� 4r� 1 4-y (4 of&. LVTelephoueNo. ..r i Owner's Address a;; --FA 54 ;4-J Q{- (?Q wor-cds4r"�-, illl p. 6 /c G9 v Is this permit in conjunction with a balding permit? Yes 0 No W ® (Check Appropriate Box) ei U w i Purpose of Building0 t v Z\I`, to cL Utility Authorization No. Ill to Existing Service lea Amps / 1 Volts Overhead 0 Undgrd❑ No.of Meters f '__...• ;New Service Amps / Volts Overhead 0 Undgrd 0 Ni.of Meters •- -• • Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: K ( i#c,�,�N tw i 4tCt r12•00.ct 3 eiC75+` - r0Ck 4-o_clt �� �I`tt< Completion of thefollcnvintsable may be waived by the/Cpector of Wires. No.of Recessed Luminaires No.of Cert-Step.(Paddle)Fans No.of Transformers Transformers No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Swimming pool 'god'? 0 In-nd0 NaottoerryEUnits Lighting No.of Receptacle Outlets No.of OD Burners FIRE ALARMS INo.of Zones - No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges Na of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I I I Detection/Alerting Devices • No.of Dishwashers Space/Area HeatingKW Manicipa • Local❑Connection 0 Other 0 No.of Dryers Heating Appliances KW Security Systems:" No.of Water No of No.of Devices or Equivalent Heaters No.of Data Wiring: 1 Signs Ballasts No.of Devices or Equivalent lv'' No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent y OTHER:=.• in ot,-(1..,_v--tro K.-LS i7ot,+F4v-oow1S ; rtt7la.�. etts4'.ti GI 14-sc.tt�ek;S Go( GFS TYPe 'L`) Attach additional detail f desired or as required by he Inspector of Wires. Estimated Value of Electrical Work: co0 — I, (When required by municipal policy.) ,, Work to Start: Q' /I t r Inspections to be requested in accordance with MEC Rule 10,and upon completion. 4, INSURANCE CO RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless L •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 0 OTHER 0 (Specify;) 3 I cern&,under the pains and penalties ofperjnty,that the information on this application is true and complete i FIRM NAME: (,„fikl: Mur Ge- ' tt,- f (' c ���' �` ` LIC.NO..S ,QEy Licensee: p J.-cll., O. G-r a t- Signature (,,..,<,..t• y„_• LIC.NO.: 3 (If applicable,enter"exempt"in the license numberline) Bus.Tel.No.: S'a__R as a_ _o G 5"z Address 27.5- Ocuc t h., Q,1 32 all J Per M.G.L.c. 147,s.57-61,securitywork requires _ Alt Tel.No.:__ OWNER'S INSURANCE WAIVER: I am ware 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)0 owner 0 owner's agent t Owner/Agent j Signature Telephone No. I PERMIT FEE: S J