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Home My WebLink AboutBLDE-19-001401 • tCommonwealth of Official Use Only .d� rg\ Massachusetts Permit No. BLDE-19-001401 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.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:9/9/2018 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 eiectrical work des�d below. Location(Street&Number) 280 ROUTE 28 071-met 4 Owner or Tenant "cot Telephone No. Owner's Address 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 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: Repairs and additional devices. 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 4 No.of Hot Tubs Generators KVA No.of Luminaires 16 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 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. Total No.of Alerting Devices Tons 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 ❑ 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 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Mark S Hutchings Licensee: Mark S Hutchings Signature LIC.NO.: 12060 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:488 HOLMES ST,PO BOX 791,HANSON MA 023410791 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$80.00 C /so// /Io - ' r. � Comma. . omma. n va&ni sr/aasaehiusette Us7affy 4p) '- Official cryy, e.c77 �s�`-moi 2eparlman(el..Yire J Permit No.0 Q anricd `�`` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked . I/07j (leave blank) 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 ALLINFORMATIOPO Date: City or Town of: YARMOUTH �yct Inspector o2i96r . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • . Location(Street&Number) 07?0 RTF a 8 Owner'orTenant NAMES 6CLLEv�) Telephone No. Sats-3'7V- rico Owner's Address a Wet_F I4 t.L 2l , Eh-ss- SAN D W,�t t/ti HA gIs this permit in conjunction with a building permit? Yes L� No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. "aExisting Service Amps / Volts - Overhead 0 Undgrd❑ No.of Meters 79 New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity • 1J-cation and Nature of Proposed Electrical Work; �n 'T/l// G N 4C Dee? W // 5'4 1ATr i.✓('//rr 7f4 ko-,' J' t // a Mr% ?, /('✓' d cw.c lewd t/a�/r 1J i �efrf iJ table may be w LMye In l for o/ ices.G4,4 'AI > � ��"i?�o'"`� �aS�h!//�'"'k �Th'xaof7.% ,�lt�%/��'ptppfe�iPIIojthefoIIowingtablemaybewaivedbythelmpectorojWaes. cD LL N ,of Recessed LuminairesNo.of al t lr No.ofCer7 S¢sp.(Paddle)Fans Total Transformers ICVA _ V w z Nt.of Luminaire Outlets </ No.of Hot Tubs Generators KVA ()) N �N .of Luminaires /G imPool g Swmin Above ❑ In-grnd. ❑ BNo,aorttery EmergencyUnits Lighting - Ce &HO.of Receptacle Outlets 6, No.of OH Burners FIRE ALARMS INo.of Zones -J No.of Switches No.of Gas Burners No.of Detection and • • Initiating Devices No.of Ranges No.of Air Cond. Ton 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 HeatingKW' Municipal Lodi Q Connection ❑ ? No.of Dryers Heating Appliances KW Security Systems:` No.of Water No.ofNo.of Devices or Equivalent No.of Heaters KW Signs BallastsNo. of Devices Data of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent • OTHER l Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work`,t 00 a'Od (When required by municipal policy.) Work to Start 9-6-k))$' Inspections to be requested in accordance with MEC Rule 10,and upon completion. it INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 0,1 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) Li I certify,under the pains and penalties of perjury,that the information on this application is true and complete. .tC FIRM NAME: Licensee: f7J4f(ci S //w�� LIC.NO.: r� em A. st /� la pSc Signature Sc LIC.NO` (Ijapplitable enter"es r'm theiie rtrj�/7v/ line.) Bus.Tel.No. ,2 5 Address. PO 60pc 79/ VW m r g,..rew hl A. (7.2.39,/ G J `Per M.G.L.e. 147,s.57-61,securityworkAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I am requireswarthat tDepartmentensePublicoes not have the liability insurLicense: ance coverage normally c.No. ,-cc- required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)0 owner 0 owner's agent t Owner/Agent _1 Signature. Telephone No. I PERMIT FEE:$