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Home My WebLink AboutE-18-5242 pa Commonwealth of Official Use Only �`E�wZ,►� Massachusetts Permit No. BLDE-18-005242 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:3/23/2018 _ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice othis or her intention to perform the electrical work described below. Location(Street&Number) 7 COVE RD Owner or Tenant CONNELLY MARY M TRS Telephone No. Owner's Address CONNELLY GILBERT P TRS,7 COVE RD,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (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: Floor heat,recessed lights,exterior light&receptacle. 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 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and initiating Devices No.of Ranges No.of Air Cond. ,TI,otal No.of Alerting Devices No.of Waste Disposers (feat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW 1 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 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: Adam G Lepire Licensee: Adam G Lepire Signature LW.NO.: 21742 (Ifapplicable,enter'exempt"in the license number line.) Bus.Tel.No.: Address:8 PICASSO PL,OSTERVILLE MA 026551245 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 (045-0-*44:-- v '//,g3 10)4. iln/e k- Sd Mgt, ,, 0/1e • ��/ /f/y/ lam . ravea(g of/a/ et/. et O{ncial Use^Only B � SVP2 ';:_a11�_ eParlmcnf o{.yi:a Services Permit No. .1/4.'1 BOARD OF FIRE PREVENTION REGULATIONS Rev 1/071,Occupan1�dFeeCbecked �1pezve blanl-) --_____ APPLICATION FOR'PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR I ,t (PLE,4SEPRIM-IPI INK OR TYPE ALL,ATFORMITIONJ Date: _ 6 City or Town of: YARMOUTH To the Inspector of Tires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. i3 • Location (Street&Number) 7 ECUVL. A - dOwnerorTenant A /jn 11//r�✓✓n n `"' ✓y wi 4 • (.x191//('t7t.Y Telephone No. G3Owner's Address --� N. Is this permit in conjunction with a budding permit? Yes No l `� E (Checl;Appropriate Box) .41 Purpose of Banding �j�/ / -a 7/Aio Utility Authorization No, Existing Service Amps / Volts Overhead ---- ❑ Undgrd❑ No.of Meters O .-__ _ 11 New Service Amps / Volts OverheadUndgrd ❑ ❑ No.of Meters w Number of Feeders and 4mpscf[y ^l, N Location and Nature of Proposed EIectrical Work: app / , .... CO 4°1-4) O �:. C '2.- ' •repletion of the forlo.vfno able may be waived by the Inspector of Fir= 0 ¢ �✓ No.of Recessed Luminaires INo. of Cent-Susp,(Paddle)Faas ' Iof Total iiiJJJ KVA III• r +- No. of Luminaire Oatle�s 3 INo.o{Hot Tubs Genes ormers L___!� T . IG aerators • TsVA ' CO -� No.of Luminaires I Above ❑ ia- Nn.or Emergency hang Swimming Pool emet crud. IBaSeryUn± ��' No.of Receptacle Chu-left 2 No.of Ort BIIraers I FTRE ALARMS INo.of Zones ro.of Switches / No.of Gu Burners Na,of Detecnoa an Initiating Devicd es No.of Ranges No. of Air Cored. • I Tons No.of Alerting Devices No.of Waste Disposers Hat Pomp'Number ('Tons I}CW INDeteetioo,of Self-Contai Totals: nlAlerting ned Devices No.of Dishwashers ISpacefArea Heating KW' Local❑ Municipal Connection. 0 Other No.of Dryers (Heating Appliances KW Security Systems:' No.of Water No-of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Sims Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: — Na of Devices or Equivalent OIHER: • • Attach additional detail if derired.or as required by the Inspector of Wirer. Estimated Value of E act c Work-. ', (When requited by municipal policy.) Work to Start: y ctions to be requested in accordance with MEC Rule ICI,and upon completion. INSURANCE CO RAG : 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 ❑ OTHER 0 (Specify:) FIRM trio;under he pairs and penalties • perjury,not the '.formation on this application is true and completed L ice/ i a I[ ' .a / LIC.NO.:a// R Licensee: sli M (...g...0Signature `�F� Addy af applicable, er"ex 't"in the linens moniker line,) . Bus.TeL No." Q. Address: //f ��-�L92-Aimi� Jy� J `Per M.G.L.c. 7,s.57:.6f,securitywork re Alt TeL No.: OWNER'S INSURANCE fires Department of Public Safety"S"License: Lie.No. �� ec WAIVER I am aware that the Licensee does nor have the liability insurance coverage n�— i required by law. By my signature below,I hereby waivethis requirement. I am the(check one)D owner 0 owner's agent Owner/Agent01 Signature I Telephone No. I PERMIT FEE: S 7�